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Disseminated Hypopigmented Keratoses

Disseminated Hypopigmented Keratoses Abstract • We present two cases of asymptomatic, widespread keratotic eruptions in young female patients. Clinically, the lesions are well-demarcated, small, hypopigmented, flattopped papules occurring on the trunk and extremities in a uniform distribution. Skin biopsy specimens from one patient revealed hyperorthokeratosis, papillomatosis, and a normal amount of melanin. We suggest that this is a newly recognized dermatologic entity that may be descriptively termed disseminated hypopigmented keratoses. Disseminated hypopigmented keratoses may be distinguished by clinical and histologic criteria from similar keratotic eruptions. Since the lesions of disseminated hypopigmented keratoses are both inconspicuous and asymptomatic, it is likely that the disorder is more prevalent than our two cases would suggest. (Arch Dermatol. 1991;127:848-850) References 1. Green A. Verruca dorsi manus et pedis . Aust J Dermatol. 1959;5:10-14.Crossref 2. Kocsard E, Ofner F. Keratoelastoidosis verrucosa of the extremities (stucco keratoses of the extremities) . Dermatologica . 1986;133:225-235.Crossref 3. Willoughby C, Soter NA. Stucco keratosis . Arch Dermatol. 1972;105:859-861.Crossref 4. Berth-Jones J, Hutchinson PE. Darier's disease with perifollicular depigmentation . Br J Dermatol. 1989;120:827-830.Crossref 5. Gupta AK, Siegel MT, Noble SC, Dirkby S, Rasmussen JE. Keratoses in patients with psoriasis: a prospective study in 52 patients . J Am Acad Dermatol. 1990;23:52-55.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1991.01680050092010
Publisher site
See Article on Publisher Site

Abstract

Abstract • We present two cases of asymptomatic, widespread keratotic eruptions in young female patients. Clinically, the lesions are well-demarcated, small, hypopigmented, flattopped papules occurring on the trunk and extremities in a uniform distribution. Skin biopsy specimens from one patient revealed hyperorthokeratosis, papillomatosis, and a normal amount of melanin. We suggest that this is a newly recognized dermatologic entity that may be descriptively termed disseminated hypopigmented keratoses. Disseminated hypopigmented keratoses may be distinguished by clinical and histologic criteria from similar keratotic eruptions. Since the lesions of disseminated hypopigmented keratoses are both inconspicuous and asymptomatic, it is likely that the disorder is more prevalent than our two cases would suggest. (Arch Dermatol. 1991;127:848-850) References 1. Green A. Verruca dorsi manus et pedis . Aust J Dermatol. 1959;5:10-14.Crossref 2. Kocsard E, Ofner F. Keratoelastoidosis verrucosa of the extremities (stucco keratoses of the extremities) . Dermatologica . 1986;133:225-235.Crossref 3. Willoughby C, Soter NA. Stucco keratosis . Arch Dermatol. 1972;105:859-861.Crossref 4. Berth-Jones J, Hutchinson PE. Darier's disease with perifollicular depigmentation . Br J Dermatol. 1989;120:827-830.Crossref 5. Gupta AK, Siegel MT, Noble SC, Dirkby S, Rasmussen JE. Keratoses in patients with psoriasis: a prospective study in 52 patients . J Am Acad Dermatol. 1990;23:52-55.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Jun 1, 1991

References