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Diffuse epidermolytic palmoplantar keratoderma (Unna-Thost-)
  1. Louisa Hinterberger,
  2. Claudia Pföhler,
  3. Thomas Vogt,
  4. Cornelia S L Müller
  1. Department of Dermatology, Saarland University, Homburg/Saar, Germany
  1. Correspondence to Dr Cornelia S L Müller, cornelia.mueller{at}

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We report the case of a 28-year-old man presenting to our hospital with refractory diffuse hyperkeratosis of palms and soles. He reported first appearance in early childhood. His first-born daughter also developed hyperkeratosis on palms and soles directly after birth. No other family member seems to be affected by similar skin lesions.

Clinically, our patient presented diffuse hyperkeratotic palms and soles with sharp …

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