Please wait for the figures to download
This is a 59-year-old white female who over the past 5 months noticed a progressive thickening and darkening of the skin of her palms, dorsal hands, and ventral wrists.. She has also noticed a texture change involving the roof of her mouth.
On full-body skin exam she had rugose thickening of the palms with dermatoglyphic
accentuation (Fig. A, B) and a velvety appearance. On the soft palate was
a velvety - appearing plaque (Fig. C).There were fine vellus hair growth
on the forehead, nose, and cheeks. She had otherwise been feeling well without
weight loss, fatigue, or other systemic complaints. She was on no medications.
Click here for the diagnosis
Click here for CME Credit