Abstract REPORT OF A CASE A 39-year-old black woman requested a dermatology consultation while hospitalized at Parkland Memorial Hospital, Dallas, with idiopathic cardiomyopathy. She was concerned about the asymptomatic "bumps" along the edges of her hands and feet that had been present since early childhood. She could not recall seeing similar lesions on the skin of family members. This patient was an intravenous drug abuser, but had been taking no prescription medications. Her VDRL result was negative.Physical examination revealed numerous round to polyglonal papules distributed along the medial and lateral aspects of the hands and feet (Figs 1 and 2). The papules were discrete, firm, and flesh-colored. In addition, there were hyperpigmented papules on the dorsal aspect of her finger joints (Fig 3). The palms and soles appeared normal.A punch biopsy specimen was obtained from the radial edge of one hand, and a hematoxylin-eosin-stained section revealed a focal area References 1. Dowd PM, Harman RRM, Black MM: Focal acral hyperkeratosis . Br J Dermatol 1983;109:97-103.Crossref 2. Costa OG: Acrokeratoelastoidosis . Dermatologica 1953;107:164-168.Crossref 3. Highet AS, Rook A, Anderson JR: Acrokeratoelastoidosis . Br J Dermatol 1982;106:337-344.Crossref 4. Lever WF, Schaumburg-Lever G: Histopathology of the Skin , ed 6. Philadelphia, JB Lippincott, 1983, pp 61-62.
Archives of Dermatology – American Medical Association
Published: Sep 1, 1987