DOI: 10.1093/bjd/ljag476 ISSN: 0007-0963

Punctate Plantar Keratoses in Cowden Disease

Yaxuan Lv, Zhimiao Lin

A 9-year-old girl presented with multiple punctate plantar keratoses and was diagnosed with Cowden disease following the identification of a de novo PTEN variant. This case highlights acral keratoses as a clinical manifestation of Cowden disease and emphasizes the importance of differentiating them from palmoplantar keratoderma.

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