SYMMETRICAL ACRAL KERATODERMA
By Gary M. White, MD
Symmetrical Acral Keratoderma (SAK) is a rare condition reported from China is characterized by symmetric brown to black hyperkeratotic patches on the acral regions. A whitish coloration occurs with water contact.
- The average age of onset is in the 20's to 30's.
- A history of ichthyosis vulgaris is common [J Am Acad Dermatol 2014;70:533-8].
Brown hyperkeratotic plaques are seen symmetrically over the dorsum of the hands, palms and feet, dorsal digits and wrists, elbows,knees, and ankles. The lesions became dramatically whitish with mild swelling immediately after soaking in water and resolved spontaneously in winter.
BJD Dec 2013 online.
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