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Figure 1: (a) Multiple, punctate pits and keratotic papules with comedo-like plugs on thenar aspect of left palm. (b) A few keratotic papules on ulnar border of thumb extending proximally to the wrist joint. (c) Multiple, comedo-like plugged punctate pits overlying on violaceous papules and plaques on ulnar aspect of left thumb extending proximally to the wrist joint. (d) Multiple, comedo-like plugged pits present on thenar aspect of left palm

Figure 1: (a) Multiple, punctate pits and keratotic papules with comedo-like plugs on thenar aspect of left palm. (b) A few keratotic papules on ulnar border of thumb extending proximally to the wrist joint. (c) Multiple, comedo-like plugged punctate pits overlying on violaceous papules and plaques on ulnar aspect of left thumb extending proximally to the wrist joint. (d) Multiple, comedo-like plugged pits present on thenar aspect of left palm