Keratoelastoidosis marginalis.
BACKGROUND: Keratoelastoidosis marginalis is a rare disease that is a variant of solar elastosis. Long-term ultraviolet radiation exposure and chronic trauma secondary to manual labor are considered to be inciting factors. OBJECTIVE: To outline the clinical and histological features of this disorder. METHODS: We report two cases and review the literature. RESULTS: Both patients had persistence of their disease despite multiple topical treatment regimens. CONCLUSION: Keratoelastoidosis marginalis is a chronic and progressive disease that is difficult to treat. The differential includes focal acral hyperkeratosis and acrokeratoelastoidosis.