_:vb50940590 . _:vb50940590 . _:vb50940590 . _:vb50940590 "A punctate palmoplantar keratoderma that is characterized by multiple hyperkeratotic centrally indented papules that develop in early adolescence or later and are irregularly distributed on the palms and soles."^^ . _:vb50940590 "url:https://pubmed.ncbi.nlm.nih.gov/23000146/"^^ . _:vb50940590 .