Patient History: A 35-year-old woman who presented with pruritic lesions on the dorsum of the hands that had appeared 6 months earlier. After she started working as a baker and received small burns, the patient experienced more intense symptoms and the lesions worsened. She reported a lifelong history of anomalous scarring from minor injuries, taking the form of papular and erosive lesions that regressed after 6 weeks. The patient has 2 brothers who have similar symptoms.
Physical Examination: On examination, lesions at various stages of development were observed on the dorsum of the hands and the arms (image attached). These round, skin-colored, and in some cases umbilicated papules measured from 2 to 5 mm in diameter and contained a small central keratotic plug (image attached). The older lesions were macular, light brown, and infiltrated. Histopathology findings revealed thickened…
