Residents’corner August 2014. sQUIZ your knowledge!: Persistent papules on the lateral aspects of both palms

A 52 year-old woman, with no relevant past medical history, presented with asymptomatic cutaneous lesions (that had first been noticed fifteen years before). On examination, several 2-3 mm reddish-yellow, well-defined and firm papules were noted on the lateral aspects of both hands (figure 1).What is your diagnosis (figure 1)? The answer is on the next page.The answer to sQuiz: AcrokeratoelastoidosisA biopsy of one of the lesions showed orthokeratotic hyperkeratosis with a central area bearing a [...]