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A 7-year-old boy, of non-consanguineous parentage and developing normally, presented with painful lesions on the soles from the time he learnt to walk, even with proper footwear. There was no relevant family history. Cutaneous examination revealed focal, tender hyperkeratotic plaques on the pressure-bearing areas of the soles (figure 1). Thickened toenails, along with subungual hyperkeratosis, producing a distal elevation of nail plates, were observed (figure 2). Multiple keratotic follicular papules …
Contributors DBB and AS contributed to conception, initial drafting of the manuscript, critical revision of content and final approval of the manuscript. AP, SM and SC contributed to conception, critical revision of content and final approval of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parental/guardian consent obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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