This award-winning picture shows a 65-year-old male with severe peeling on his hands from acute psoriasis.
This picture was a silver award winner in the 2009 Institute of Medical Illustrators awards and was taken by Tom Kersey at Royal Gwent Hospital.
This is the latest in our series of clinical pictures which will be published every week. Click here to see all the pictures.
Clinical picture of the week: Acute psoriasis Pulse CPD
To read our CPD module on psoriasis then click here.