“…Aberrant keratotic lesions may appear on the dorsum of the hands, feet, knees, and elbows 3,4 . Hyperhidrosis, 2,3 thickened nails, 2 clinodactyly, 15 low serum Vitamin A, 2 dermatophytosis, 16 cutaneous horns, 17 contractures, 10 and dyskeratosis congenita 18 are its other associated features. The incidence of dermatophytosis was found to be 35% with an almost complete therapeutic resistance, especially in Trichophyton rubrum 16 .…”