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A patient with keratoma hereditaria mutians, 20 years old Korean girl, presented the following classic features of this rare disease; palmar and plantar hyperkeratosis beginning early in life, starfishlike keratosis of the -dorsa of the hands, hyperkeratotic patches of dorsa of the feet with thickening of the toe nails, keloid-like keratoma of the elbows and knees, and constriction of the all fingers begining in early life and spontaneous amputation of the left 5th finger. No family history was demonstrated in this patient.
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