PMC3481936_01
PMC3481936_02
Symmetrical hyperkeratosis with scaling over both hands extending medially up to the elbows
IDOJ-3-54-g001.jpg
PMC3481936_02_IDOJ-3-54-g001.jpg
F1
On examination the skin over both his hands and forearms was scaly and thickened in a well-demarcated manner, almost like gloves and socks, with the hyperkeratosis and scaling extending along the medial aspect of the forearm up to the elbows, where it abruptly ended [Figures 1-3].
Symmetrical hyperkeratosis with fine scales over both feet, up to the ankle, in the 'socks' area
IDOJ-3-54-g002.jpg
PMC3481936_02_IDOJ-3-54-g002.jpg
F2
On examination the skin over both his hands and forearms was scaly and thickened in a well-demarcated manner, almost like gloves and socks, with the hyperkeratosis and scaling extending along the medial aspect of the forearm up to the elbows, where it abruptly ended [Figures 1-3].
Symmetrical hyperkeratosis with accentuated creases over both knees
IDOJ-3-54-g003.jpg
PMC3481936_02_IDOJ-3-54-g003.jpg
F3
On examination the skin over both his hands and forearms was scaly and thickened in a well-demarcated manner, almost like gloves and socks, with the hyperkeratosis and scaling extending along the medial aspect of the forearm up to the elbows, where it abruptly ended [Figures 1-3].
Lamellated hyperkeratosis, intact granular layer, acanthosis, and mild spongiosis, with mild perivascular lymphocytic infiltrate
IDOJ-3-54-g004.jpg
PMC3481936_02_IDOJ-3-54-g004.jpg
F4
The epidermis showed acanthosis in some areas, mild focal spongiosis with an intact granular layer and a moderately thickened stratum corneum showing lamellated hyperkeratosis, with parakeratosis being visible only in some fields [Figure 4].