case_images: PMC9924831_01
case_images: Punctate palmoplantar keratoderma: pattern of inheritance. Black indicates affected individuals; arrow indicates proband.
case_images: cureus-0015-00000033769-i01.jpg
case_images: PMC9924831_01_cureus-0015-00000033769-i01.jpg
case_images: FIG1
case_images: Her paternal grandfather, father, and her three siblings all have similar lesions (Figure 1).
case_images: Palmar surface of patient's hands showing multiple punctate hyperkeratotic papules on the palms and fingers
case_images: cureus-0015-00000033769-i02.jpg
case_images: PMC9924831_01_cureus-0015-00000033769-i02.jpg
case_images: FIG2
case_images: Skin examination revealed multiple punctate hyperkeratotic papules, 0.3 to 0.4 cm in size, on the lateral aspects of her fingers, palms, and soles (Figures 2, 3).
case_images: Palmar surface of patient's left hand showing multiple punctate hyperkeratotic papules on the palms and fingers
case_images: cureus-0015-00000033769-i03.jpg
case_images: PMC9924831_01_cureus-0015-00000033769-i03.jpg
case_images: FIG3
case_images: Skin examination revealed multiple punctate hyperkeratotic papules, 0.3 to 0.4 cm in size, on the lateral aspects of her fingers, palms, and soles (Figures 2, 3).