case_images: PMC3938365_01
case_images: A. Keratotic erythematous-violaceous papules, distributed on the
  umbilical and paraumbilical areas. B. Keratotic violaceous papules
  distributed on scrotum and penile body
case_images: abd-89-01-0141-g01.jpg
case_images: PMC3938365_01_abd-89-01-0141-g01.jpg
case_images: f01
case_images: At the dermatological exam he presented erythematous-violaceous papules of keratotic surface, grouped on the upper limbs, paravertebral, paraumbilical, inguinal, scrotum and penile regions, right thigh and knees (Figure 1).
case_images: Cornea verticillata: Yellowish lines that converge to a spot close to central
  cornea region
case_images: abd-89-01-0141-g02.jpg
case_images: PMC3938365_01_abd-89-01-0141-g02.jpg
case_images: f02
case_images: In the ophthalmological investigation the diagnosis was cornea verticillata (Figure 2).
case_images: A. Proliferation of capillary vases, ectasia and congestion of the
  lumen in the papillary dermis, thickening of epidermis (HE100X). B.
  Proliferation of capillary vases, ectasied, congested close to the dome of the
  papillary dermis (HE 400X)
case_images: abd-89-01-0141-g03.jpg
case_images: PMC3938365_01_abd-89-01-0141-g03.jpg
case_images: f03
case_images: The biopy of umbilical lesion resulted compatible with angiokeratoma (Figure 3).