Fig. 1

Upper panel: Hyperkeratosis of the palms with erythema, scaling, erosions and fissuring. Dystrophic finger nails with spooning. Lower panel: Hyperkeratosis of the soles with erythema, scaling, erosions and fissuring
Upper panel: Hyperkeratosis of the palms with erythema, scaling, erosions and fissuring. Dystrophic finger nails with spooning. Lower panel: Hyperkeratosis of the soles with erythema, scaling, erosions and fissuring