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May 1977

Hypopigmentation With Punctate Keratosis of the Palms and Soles-Reply

Author Affiliations

Tampa, Fla

Arch Dermatol. 1977;113(5):689. doi:10.1001/archderm.1977.01640050149039

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In Reply.—  I am indebted to Dr Pratt for pointing out to me the considerable visual similarities of my patient and those reported by Weary et al (Archives 100:413-422, 1969). In fact, the dyschromia present in any of the various poikilodermas shows some resemblance to that of my patient. However, the findings of atrophy, telangiectasia, and hyperpigmentation were completely lacking in my patient. In addition, Dr Weary's patients had sclerotic bands in their flexural areas that were absent in the patient I reported. My patient did not have more extensive involvement of the elbows and knees, clubbing of the fingers, or calcinosis cutis. Finally, the diffuse sclerotic changes in the palms and soles of Dr Weary's patients differed from the punctate keratoses of my patient. Despite the similarities, I believe there are enough differences to establish these cases as two separate entities.

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