A 40-year-old woman presented with numerous, asymptomatic, skin-colored to brownish flat papules on the dorsal surface of both hands with similar lesions on the elbows, forearms and legs. Skin biopsy showed hyperkeratosis, thickening of the granular layer, acanthosis and church spire papillomatosis.

For more details you van visit www.globalskinatlas.com (Index: Acrokeratosis verruciformis of Hopf).