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May 16, 2011

Unilateral Prickly Palmar Papules—Quiz Case

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Arch Dermatol. 2011;147(5):609-614. doi:10.1001/archdermatol.2011.88-a

A 61-year-old Hispanic woman presented with a 50-year history of prickly papules on her left palm, without involvement of her right hand, nails, or feet. The lesions had begun during childhood and had gradually increased in number. Though asymptomatic, the papules caused the patient frustration because of their tendency to catch on clothing and other objects. The patient denied having affected relatives. She was in good health, with the exception of type 2 diabetes mellitus. A review of systems revealed no abnormalities, and an up-to-date malignancy screen was negative for an underlying neoplasm.

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