A young adult presents with this hyperkeratotis papule on the palm. You pare it to make sure no black dots. You reassure, no treatment needed. He can pare routinely if helps.
KERATOSIS PUNCTATA
Keratosis punctata (KP) are small keratotic papules that develop on the palms and soles.
Clinical
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.
Treatment
No treatment is needed. Routine paring may be done.
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