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Hyperpigmented keratotic papules
Keywords: Acquired perforating collagenosis, Dorsal hand, End-stage renal failure, Hyperpigmented keratotic papules, Hyperpigmented macules, Skin of colour
Reactive perforating collagenosis is the most common type of primary perforating dermatosis. It is characterised by the transepithelial elimination of collagen from the dermis through the epidermis to the skin surface.
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Source: dermnetnz.org