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The Papillomatous Keratoses

Stucco keratosis is one form of the numerous papular papillomatous keratoses. It is a condition diagnosed with case if its essential clinical and histological characteristics are considered together. However, the clinical features taken alone or the histoiogical features taken alone are not diagnostic. Clinically similar lesions are seen over the ankle region of some patients with lchthyosis vulgaris or acquired ichthyosis. The histology in these cases does not show papillomatosis, but ichthyosiform atrophy of the epidermis. The histology of the skin of the ankle region of elderly male patients in Australia shows a high proportion of ichthyosis‐like features. The papillomatous keratoses should be distinguished from papillomatous seborrhoeic keratoses by the lack of horn cysts and lack of basaloid cells. This distinction is important because the papillomatous keratoses may be of precancerous nature, while seborrhoeic keratoses are not. There is good indication that some of the papilomatous keratoses, including stucco keratosis, are reversible.