Granular parakeratosis (also known as 'Axillary granular parakeratosis', 'Intertriginous granular parakeratosis', and more recently, 'Zombie Patch') is a cutaneous condition characterized by brownish-red keratotic papules that can coalesce into plaques. Granular parakeratosis (also known as 'Axillary granular parakeratosis', 'Intertriginous granular parakeratosis', and more recently, 'Zombie Patch') is a cutaneous condition characterized by brownish-red keratotic papules that can coalesce into plaques.