By Gary M. White, MD
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.
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