Skip to main content
Open Access Publications from the University of California

Disseminated punctate keratoderma: a rare case report and review of the literature

  • Author(s): Asemota, Eseosa
  • Markova, Alina
  • Ho, Jonathan
  • Lichtman, Michael K
  • et al.
Creative Commons 'BY-NC-ND' version 4.0 license

We report a rare case of a 53-year-old womanpresenting with diffuse, late-onset disseminatedhyperkeratotic papules. Biopsy showed massivehyperkeratosis overlying a crateriform epidermaldepression and hypergranulosis with mild epidermalhyperplasia. There was no parakeratosis, cornoidlamella, or dyskeratosis. Based on the clinical findingsand histopathological features, a diagnosis ofdisseminated punctate keratoderma was made. Thisis a rare subtype of palmoplantar keratoderma, whichhas a putative increased risk of malignancy. This casereport emphasizes the importance of identifyingthe clinical and histological presentation of this rarecondition; referral of the patient for age-appropriatemalignancy screening is appropriate. We also presenta concise review of treatment options.

Main Content
Current View