PMC9924831_01
Punctate palmoplantar keratoderma: pattern of inheritance. Black indicates affected individuals; arrow indicates proband.
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FIG1
Her paternal grandfather, father, and her three siblings all have similar lesions (Figure 1).
Palmar surface of patient's hands showing multiple punctate hyperkeratotic papules on the palms and fingers
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FIG2
Skin examination revealed multiple punctate hyperkeratotic papules, 0.3 to 0.4 cm in size, on the lateral aspects of her fingers, palms, and soles (Figures 2, 3).
Palmar surface of patient's left hand showing multiple punctate hyperkeratotic papules on the palms and fingers
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PMC9924831_01_cureus-0015-00000033769-i03.jpg
FIG3
Skin examination revealed multiple punctate hyperkeratotic papules, 0.3 to 0.4 cm in size, on the lateral aspects of her fingers, palms, and soles (Figures 2, 3).