Atypical Mal de Meleda in a Hispanic Patient

Figure 1

Mal de Meleda clinical features of hands and elbows: (a) hyperkeratotic plaque in left hand and desquamation in right hand, (b) keratoderma on the dorse of hands was limited to proximal phalanges and nail involvement characterized by koilonychia, onycholysis, yellowish chromonychia, and dystrophy, and (c) hyperkeratotic-lichenified plaques on elbows with slight desquamation.

(a)

(b)

(c)