Pityriasis rubra pilaris is a rare skin disease consisting of the appearance of palmoplantar keratoderma, keratotic follicular papules, and erythematous plaques covered with scales, all interspersed with islands of unaffected skin. Most cases are sporadic. Familial cases present an autosomal dominant inheritance with incomplete penetrance and variable expression. These cases usually appear congenitally or begin during the first years of life.
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