Spiny Keratoderma

    January 2021
    Tatsiana Pukhalskaya, Bruce R. Smoller
    TLDR Spiny keratoderma is a rare skin condition with small spines on palms and soles, possibly linked to abnormal hair formation.
    Spiny keratoderma was a rare skin condition characterized by small keratin spines on the palms and soles, representing columns of hyperkeratosis. It was thought to result from enhanced epidermal proliferation in the basal layer. The condition had several forms, including familial, sporadic, postinflammatory, and paraneoplastic, with some patterns associated with malignancies. Treatment options included topical vitamin D, combinations of 5-fluorouracil or retinoids with ammonium lactate, and physical lesion removal. The condition might have been a form of ectopic hair formation, although abortive.
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