Volume 4, Issue 1, Pages (January 2018)

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Volume 4, Issue 1, Pages 41-43 (January 2018) Palmoplantar keratoderma as a presenting sign of primary biliary cirrhosis Kumar S. Nadhan, BS, Catherine Gupta Warner, MD, Mary van den Berg-Wolf, MD, Jesse M. Civan, MD, Shefali Ballal, MD, Christina Lee Chung, MD JAAD Case Reports Volume 4, Issue 1, Pages 41-43 (January 2018) DOI: 10.1016/j.jdcr.2017.07.002 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Palm and sole prior to treatment for primary biliary cirrhosis. JAAD Case Reports 2018 4, 41-43DOI: (10.1016/j.jdcr.2017.07.002) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 High-powered histologic view highlighting hyperkeratosis and acanthosis of the palm. JAAD Case Reports 2018 4, 41-43DOI: (10.1016/j.jdcr.2017.07.002) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Partial response (left) while on treatment prior to diagnosis of primary biliary cirrhosis and resolution (right) postdiagnosis after initiation of ursodeoxycholic acid. JAAD Case Reports 2018 4, 41-43DOI: (10.1016/j.jdcr.2017.07.002) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions