“…FH is a rare disorder that has previously been referred to by different authors using a variety of different terms including hyperkeratotic spicules, 2,4 parakeratotic horns, follicular hyperkeratosis, 5 multiple minute digitate hyperkeratosis, minute aggregate keratosis, 3 punctate porokeratotic keratoderma and music box spine keratotic plugs. Multiple, thin, spiny, keratotic projections on the palms and soles or disseminated on various regions of the body are characteristic of the condition.…”