Pigmented aqua‐exacerbated symmetrical acral hyperkeratosis (PASAH)

Abstract

We congratulate Chen et al for summarizing 'symmetrical acral keratoderma (SAK)' in an exhaustive review. We had recently reported the first non‐Chinese series of 5 patients of SAK from India. As observed by Chen and colleagues, and also reported by other authors, SAK rarely involves the palms and soles, but commonly affects the dorsal hands and feet, flexural surface of wrists and forearms and might also extend to involve the elbows and knees.

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