PMC5215458_01
Acrokeratosis paraneoplastica. Of note, the patient had scaly hyperpigmented plaques on the ulnar surfaces of the bilateral hands and the periungual skin of the fingers, with some fissuring, as well as irregular pitting of the right fifth fingernails.
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fig1
There was irregular pitting of the right fifth fingernails (Figure 1).
Acrokeratosis paraneoplastica. The bilateral plantar feet demonstrated hyperkeratosis extending to the lateral surfaces of the feet and toes.
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fig2
The bilateral plantar feet demonstrated hyperkeratosis extending to the lateral surfaces of the feet and toes (Figure 2).
Acrokeratosis paraneoplastica. Xerotic scaling and excoriations were present on the bilateral upper arms, lower legs, and lower back. The xerosis was accentuated on the lower legs with fine, polygonal cracks.
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fig3
The xerosis was accentuated on the lower legs with fine, polygonal cracks (Figure 3).