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Figure 1: (A) Multiple discrete keratotic papules with peripheral scaling and central umbilication in the lower extremities (male patient). (B) Similar lesions in the dorsum of the hand with a central keratotic plug (female patient)

Figure 1: (A) Multiple discrete keratotic papules with peripheral scaling and central umbilication in the lower extremities (male patient). (B) Similar lesions in the dorsum of the hand with a central keratotic plug (female patient)