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A young girl developed numerous, tiny, depressed, pigmented, atrophic macules on the palmo-plantar and dorsal aspects of both hands and feet since the age of 4. Her brother also was found to have similar skin disease. The lesions were strictly confined to the hands and feet only suggesting the diagnosis of reticulate acropigmentation of kitamura. Its differentiating features from acropigmentation of Dohi and acromelanosis are described.