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Isabella De Vere Hunt
This report addresses the case of a 15-year-old boy with extensive plaque psoriasis seen by an outreach nurse in Northern Ethiopia. It addresses firstly the issue of misdiagnosis, but moves on to focus on the considerable psychological burden that chronic skin disease imparts. The case is a poignant reminder that healthcare practitioners must always consider the psychosocial implications of a condition that is perceived as disfiguring by the patient.