Diagnosis: Focal acral hyperkeratosis
Description: Preserved elastic fibers.
Clinical Features: Papules
Pathology/Site Features: Hyperplasia of the epidermis
Sex: F
Age: 27
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Differential DiagnosisHistory:
This 27 year-old female patient presented with progressively increasing asymptomatic umbilicated papules along the inner and the outer borders of both hands and feet. There was no history of trauma, hyperhydrosis or exposure to noxious substances. No family history of similar condition.