<prompt> Keratodermic sandles is a feature of ?Pityriasis rosaceaLichen planusPsoriasisPityriasis rubra pilaris  <response>: Ans. is d i.e., Pityriasis rubra pilaris Pityriasis rubra pilaris It is a chronic papulosquamous disorder of unknown etiology characterized by : ? Scaling Pityriasis means scaling Skin disorder Erythmatous plaque Rubra Follicular papules Pilaris Hence the name pityriasis rubra pilaris. Two peaks of age are seen : ? 5-10 years in juvenile type 40 - 60 years in adult type Clinical presentation Characteristic lesions are erythmatous orange to pink, follicular, scaly plaques. A characteristic feature of plaques is the presence of distinct islands of normal skin. Sites of predilection Trunk -- Lesions on the trunk evolve in craniocaudal Cephalo caudal direction. Typically, follicular lesions are seen on the dorsum of hands on knuckles -- Nutmeg papules. Associated features Diffuse erythema and scaling of face. Orangish thickening of palms and soles Keratodermic sandals. Nails -- Distal yellow brown discoloration and nail plate thickening. Complications Erythroderma Treatment Localized lesions -- Topical coicosteroids Keratolytics Salicylic acid, urea Erythroderma -4 Vitamin A, Acitretin Retinoids, oral methotrexate 