Derm Dx: History of basal cell carcinomas with pitting on the palms and soles

A patient, aged 15 years, presented for a skin check. Her past medical history is significant for several basal cell carcinomas on her face. She developed the first basal cell carcinoma at age 12 years.

On exam, a benign-appearing papule near the eyelid was noted, but biopsy proved the liaison to be a basal cell carcinoma. Pits on the ...