PMC5771730_01
Smooth, flat-topped, skin-colored pinpoint papules located near the periphery of the palm.
gr1.jpg
PMC5771730_01_gr1.jpg
fig1
A, Sections of skin with compact hyperkeratosis, hypergranulosis, and a depression of the epidermis with a clear relationship to the acrosyringium. B, There is hyperkeratosis with a shallow depression of the underlying epidermis. (A and B, Hematoxylin-eosin stain; original magnifications: A, x20; B, x10.)
gr2.jpg
PMC5771730_01_gr2.jpg
fig2
Elastic fibers are decreased in number, thin, and fragmented. (Hematoxylin-eosin with elastic stain; original magnification: x10.)
gr3.jpg
PMC5771730_01_gr3.jpg
fig3
Verhoeff-van Gieson stains were significant for fragmented elastic fibers within the dermis (Fig 3).