Acquired perforating dermatosis

[1][2]: 1462 On the hair-bearing limbs of adults, acquired perforating dermatosis typically manifests as extremely itchy follicular hyperkeratotic papules, which can occasionally become umbilicated.

[3] It is common for acquired perforating dermatosis to be linked to either renal failure, diabetes mellitus, or both.

[3] Ten percent or so of dialysis patients develop acquired perforating dermatosis.

[6] Bright white clouds and structureless grey areas are visible on dermatoscopy during acquired perforating dermatosis, and these features may help differentiate the condition from prurigo nodularis.

Other strategies include destructive techniques like cryotherapy, laser therapy, and surgical debridement, as well as the use of antibiotics like doxycycline.