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November 1996

Yellowish Papules on Lateral Aspect of Palms

Author Affiliations

USA; USA; Fitzsimons Army Medical Center, Aurora, Colo

Arch Dermatol. 1996;132(11):1365-1366. doi:10.1001/archderm.1996.03890350107017

REPORT OF A CASE  A 52-year-old healthy white woman presented to our clinic for evaluation of unrelated lesions and as an aside questioned us concerning lesions on her hands. Her dentist had first noticed the hand lesions 20 years previously. The lesions were asymptomatic. She was unaware of any family members with similar lesions. She had no history of chronic trauma or excessive sun exposure to the area, nor any history of arsenic exposure. She was in excellent general health and not taking any medications.Physical examination revealed multiple, smooth, flesh-colored to yellowish, discrete and confluent, firm, round, and polygonal papules on her hands. The lesions were accentuated at the ulnar border between the palmar and dorsal aspects of the hands (Figure 1). They were also more prominent at the base of the thenar eminence bilaterally (Figure 2). No lesions were noted anywhere else on her hands or feet. There

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