Multiple acrokeratotic papules

We present the case of a 58-year-old man, with no past history of interest, who was seen for skin lesions on the dorsum of the hands and feet, the legs, and the forearms. The lesions had been present for approximately 20 years and were completely asymptomatic; they became more prominent in the summer, due to pigmentation of the surrounding skin. Their number and the area affected had increased in recent years. There was no history of skin diseases in the patient’s family.