Keratotic Papules and Scars in a Young Boy

DOI: 10.4103/0019‐5154.190112 A 7-year-old, Indian boy, born out of consanguineous parentage, presented with multiple scars on his face for the past 2 years and a few raised pruritic skin eruptions over different parts of his body for the same duration. His grandfather reportedly had similar kind of lesions. On examination, we found multiple well-defined, shallow, atrophic scars over his face. Some of these scars were arranged in a linear fashion. In addition, multiple skin-colored, discrete keratotic papules with a central adherent keratinous plug were located over the face, dorsum of hands, lower legs, and feet [Figures 1 and 2]. The skin was otherwise normal in appearance. Examination of the nails and mucosae showed no abnormality. Systemic examination was unremarkable. Routine laboratory investigations were within normal limits. We did 4-mm lesional punch biopsies from two representative lesions and histopathological examination was done subsequently.