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Adam M. Rotunda, MD; Noah Craft, MD, PhD; Jennifer C. Haley, MD
The David Geffen School of Medicine at UCLA, University of California, Los Angeles

Arch Dermatol. 2004;140:1275-1280.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 69-year-old white man presented with a 1-month history of mildly pruritic lesions on his hands and feet. He had a medical history of hyperlipidemia, diverticulitis, and mild hypertension, for which he used aspirin, pravastatin sodium, calcium polycarbophil (FiberCon; Wyeth Consumer Healthcare, Madison, NJ), and ramipril. The ramipril therapy was initiated after the appearance of the skin lesions. There were no recent changes in medication or dosages. The patient denied a history of atopy, recent infection, chemical or arsenic exposure, and autoimmune disease. A review of systems was negative for fevers, chills, myalgias, arthralgias, headache, or weight change.

Examination of both palms and the plantar surfaces of both feet revealed firm, hyperkeratotic, slightly yellow, coalescing papules, several with a central punctum (Figure 1 and Figure 2). There was a mild violaceous rim at the base of . . . [Full Text of this Article]

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Hyperkeratotic Plaques on the Palms and Soles—Diagnosis
Arch Dermatol. 2004;140(10):1275-1280.
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