History:

A 42- year-old female, presented with persistent greasy,rough scaly papules mainly over seborrhoeic areas and flexures since last 8 years. The lesions are skin coloured to yellow-brown papules with periods of exacerbations in summer times. Keratotic flat-topped papules were seen over dorsum of hands and feet. The fingernails are partially dstructed with many v-shaped nicks at their free edges. The patient has family history of the same condition and she is newly diagnosed with type II DM.

The case was submitted by Dr. Mahdi Khaleel (Halabja outpatient clinic, Kurdistan, Iraq)