“…Most patients have relatively localized involvement of an acral site, with 24 of 39 reported cases involving the palms/hands, soles/feet, or both. 1,2,5,7,9,10,13,14,16,18,19,22,27,28,30,[32][33][34][35][36][37][38][39][40][41] The vast majority of PEODDN case reports (32 of 39) describe unilateral involvement, with 7 having bilateral distribution. 6 involving the proximal extremities, trunk, buttocks, neck, or a combination of these has been reported in 13 of 39 cases of PEODDN.…”