| • | small, round, firm papules over the dorsal hands |
| • | characterized by histologic feature: dermal elastorrhexis |
| • | ddx: focal acral hyperkeratosis, verruca plana, acrokeratosis verruciformis of Hopf, colloid milium |
Focal acral hyperkeratosis
| • | resembles acrokeratoelastoidosis but shows no elastorrhexis on biopsy |
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