Nagashima-Type Palmoplantar Keratosis: A Common Asian Type Caused by SERPINB7 Protease Inhibitor Deficiency  Akiharu Kubo  Journal of Investigative Dermatology  Volume 134, Issue 8, Pages 2076-2079 (August 2014) DOI: 10.1038/jid.2014.156 Copyright © 2014 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Clinical appearance of Nagashima-type palmoplantar keratosis. (a, b) “Transgrediens” of the reddish mild hyperkeratosis on the dorsal surfaces of the feet and Achilles tendon area. (c, d) Whitish spongy changes on the hands after 10 minutes of water exposure. (d) “Transgrediens” on the dorsal surfaces of the hands. Journal of Investigative Dermatology 2014 134, 2076-2079DOI: (10.1038/jid.2014.156) Copyright © 2014 The Society for Investigative Dermatology, Inc Terms and Conditions