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The etiology and pathogenesis of CARP are exactly not known. Different theories described in literature include hereditary predisposition, exposure to ultraviolet rays, endocrine imbalance, disturbance of keratinization, and infection with pityrosporum ovale.[5] The hypopigmentation in our case could be due to the association of pityrosporum ovale or alteration in melanin synthesis but still remains unclear. Differential diagnosis of hypopigmented variant includes tinea vesicular, postinflammatory hypopigmentation, trichrome vitiligo, and progressive macular hypomelanoses. The characteristic clinical presentation of CARP can exclude other differential diagnosis.

Brunauer–Fuhs–Siemens palmoplantar keratoderma: A rare, striate type of focal palmoplantar keratoderma