Symmetric hyperkeratotic plaques with well-defined outlines on the dorsum of the hands. Figure 2.
[cyberleninka.org]
Skin lesions are characterized by erythematous, symmetrical, well-defined, hyperkeratotic plaques commonly seen over the elbows, knees, buttocks, face, palms, and soles.
[journals.lww.com]
Symmetric hyperkeratotic plaques with erythematous outlines on the elbows and forearms. Figure 4.
[cyberleninka.org]