PMC3481932_01
Diffuse alopecia of scalp (a)-cicatricial at places; (b) -Multiple hyperkeratotic hyperpigmented papulo-plaque lesions; (c) few lesions of folliculitis in the healing phase
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F1
Examination of the child showed sparse hair over the scalp with evidence of follicular atrophy at places and multiple folliculitis lesions [Figure 1].
Photophobia and erythrokeratoderma of both cheeks with hypotrichosis of the eyelashes and eyebrows
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F2
Bilaterally symmetrical well-defined erythematous non-blanchable,non-scaly plaques were present on both the cheeks [Figure 2].
Diffuse hyperpigmentation and hyperkeratosis of the (a) dorsa of hands and feet; (b) knees
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F3
Both the elbows, knees, and dorsa of hands and feet showed presence of diffuse hyperpigmentation and hyperkeratosis [Figure 3a and b].
Keratoderma of (a) palm; (b) soles
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F4
There was bilateral palmoplantar keratoderma with a yellowish hue, velvety texture, and prominent dermatoglyphics [Figure 4a and b].
Slit lamp examination showing vascularising keratitis
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F5
Ophthalmological examination showed bilateral corneal neovascularization [Figure 5] with evidence of dry eye.