Figure Legends
Figure 1. Close-up view of the left plantar foot.
Figure 2. Microscopic sections of acral skin show papillary epidermal hyperplasia with alternating parakeratosis of the stratum corneum and orthokeratosis. Columns of parakeratosis in the troughs are associated with scant dyskeratotic keratinocytes, and loss of the granular cell layer beneath columns of parakeratosis reminiscent of a cornoid lamella.