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Mar Blanes, MD; Fernando Carnicer, MD; Rafael Botella, MD; Natalia Pastor, MD; Francisca M. Peiró, MD
Hospital General Universitario of Alicante, Alicante, Spain

Arch Dermatol. 2006;142:235-240.

	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 man presented with a 3-year history of an asymptomatic keratoderma that affected both palms. His medical history was notable for hepatic cirrhosis and hepatocellular carcinoma, which had been diagnosed 2 years earlier and for which he was undergoing chemoembolization, with good response. He had no history of skin diseases, local medication use, prolonged solar exposure, or radiation or arsenic exposure, and no other family members were affected.

Physical examination revealed multiple, spiny and filiform horny projections that were strictly limited to the palms. The individual lesions were skin-colored, approximately 0.8 mm in diameter and 3 mm in length, firmly attached at the base, and not easily removed (Figure 1 and Figure 2). A 4-mm punch biopsy specimen was obtained from the affected area for microscopic examination (Figure 3).

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RELATED ARTICLE

Filiform Horny Projections on the Palms of a 69-Year-Old Man—Diagnosis
Arch Dermatol. 2006;142(2):235-240.
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