Brown reported the first case of Spiny Keratoderma in 1971 when he described punctate keratotic projections on the palms of a 20-year-old male.  Commonly referred to as “Music Box Spines Keratosis” it has also been referred to as punctate keratoses of the palms and soles, spiny keratoderma, punctate porokeratotic keratoderma, multiple minute palmar-plantar digitate hyperkeratosis,… Read more »