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Case for diagnosis * * Work performed at Padre Bento of Guarulhos Hospital Complex (CHPBG) - Guarulhos (SP), Brazil.

Focal acral hyperkeratosis is a rare genodermatosis with an autosomal dominant pattern of inheritance. It is characterized by usually asymptomatic keratotic papules along the borders of the hands and/or feet. The main differential diagnosis is acrokeratoelastoidosis of Costa, which differs from the former only by not presenting elastorrhexis in histopathological examination, thus requiring this exam for a correct diagnosis.

Biopsy; Hand Dermatoses; Keratoderma, Palmoplantar; Keratosis


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