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  Indian J Med Microbiol
 

Figure 3: (a and b) Mal de Meleda PPK (mutilating PPK) showing severe hyperkeratotic, mutilating PPK with several constriction bands with nail dystrophy; (c and d) showing significant improvement in keratoderma and mutilation 6 weeks after treatment with acitretin (2 mg/kg/day). The patient did not improve with acitretin 1 mg/kg/day given for 8 weeks prompting dose escalation

Figure 3: (a and b) Mal de Meleda PPK (mutilating PPK) showing severe hyperkeratotic, mutilating PPK with several constriction bands with nail dystrophy; (<i>c and d)</i> showing significant improvement in keratoderma and mutilation 6 weeks after treatment with acitretin (2 mg/kg/day). The patient did not improve with acitretin 1 mg/kg/day given for 8 weeks prompting dose escalation