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Matthias Goebeler, MD; Eva-Bettina Bröcker, MD; Henning Hamm, MD
University of Würzburg, Würzburg, Germany

Arch Dermatol. 2006;142:1059-1064.

	Since this article does not have an abstract, we have provided the first 146 words of the full text and any section headings.

REPORT OF A CASE

A 67-year-old man presented with multiple brown-reddish lesions that had first been noted on the left side of his trunk during early childhood. Similar lesions developed on all extremities during adulthood. The patient's family history revealed that his mother also had hyperkeratotic papules disseminated on her extremities but his children were apparently free of skin disease.

Physical examination revealed that the lesions on the trunk were linearly arranged and showed central atrophy, while their borders were demarcated by a slightly elevated keratotic rim (Figure 1). Similar but less pronounced papules were found on the lower (Figure 2) and upper extremities. Punch biopsy specimens were obtained from the left side of the trunk (Figure 3) and the lower part of the leg.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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Keratotic Plaques on the Left Trunk Area and All Extremities—Diagnosis
Arch Dermatol. 2006;142(8):1059-1064.
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