This patient presented with lesions resembling warts on the palms. However lesion 1 near the wrist had the typical features of Lichen Planus. This is probably Lichen planus presenting as palmar keratoderma. There is a report of Clenched Fist Syndrome in a 16 year old girl with palmar lichen planus.

Bell Eapen
AI, machine learning & digital health consultant at SkinHelpDesk
Techie Dermatologist, Information Systems PhD, Supporter of Open-Source Software, Machine Learning and AI geek,loves cricket, Canadian wine and beer. [Resume]
Latest posts by Bell Eapen (see all)
- Skinmesh: Machine learning for facial analysis - November 10, 2020
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- Does your dermatology practice website talk to your patients? - September 1, 2016
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