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Punctate keratotic papules and plaques over palm
Department of Dermatology, Kasturba Medical College, Manipal - 576 104, Udupi Dist, Karnataka
|How to cite this article:
Sripathi H, Kudur MH, Prabhu S, Pai SB. Punctate keratotic papules and plaques over palm. Indian J Dermatol Venereol Leprol 2010;76:449
A 56-year-old male agriculturist presented with asymptomatic papules and plaques over bilateral palms of three months duration. These lesions were gradual in onset and progressive in nature. They started with keratotic papules and later coalesced to form plaques. There was no history of vesiculation or oozing or of similar lesions elsewhere in the body. Examination revealed multiple hyperpigmented, hyperkeratotic papules and plaques with pitting on the thenar and hypothenar eminences of bilateral palms [Figure - 1] and [Figure - 2]. No other skin lesions were seen on the body. Nails and oral mucosa were normal. Characteristic findings were seen on histopathological examination of skin biopsy from the plaque [Figure - 3],[Figure - 4],[Figure - 5].
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