By Gary M. White, MD

Keratosis punctata Paring is always key to exclude verruca which would show black dots.

Keratosis punctata are small keratotic papules that develop on the palms and soles.


A fixed, hyperkeratotic papule may develop on the palms or soles. Paring the lesion helps exclude a corn (no translucent core) or a verruca (no black dots). No epidermal collarette is seen.


No treatment is needed. Routine paring may be done.

Additional Pictures

Keratosis punctata

Keratosis punctata


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