PMC7666700_01
hyperpigmented thickened and rough nails
PAMJ-36-380-g001.jpg
PMC7666700_01_PAMJ-36-380-g001.jpg
F1
On examination there is hyper-pigmented thickened rough nails with sand-paper like appearance in all nails (Figure 1, Figure 2).
hyperpigmented thickened and rough toe nails
PAMJ-36-380-g002.jpg
PMC7666700_01_PAMJ-36-380-g002.jpg
F2
On examination there is hyper-pigmented thickened rough nails with sand-paper like appearance in all nails (Figure 1, Figure 2).
solitary nodule on the elbow
PAMJ-36-380-g003.jpg
PMC7666700_01_PAMJ-36-380-g003.jpg
F3
There are 2-3 solitary non tender nodules in both elbows measuring about 1-2 cm each (Figure 3).
hyperkeratosis on the planter surface
PAMJ-36-380-g004.jpg
PMC7666700_01_PAMJ-36-380-g004.jpg
F4
There is hyperkeratosis of the medial sides of the planter surfaces of the feet (Figure 4).