Spiny keratoderma of the palms in a patient with diabetes mellitus type 1: what came first, the chicken or the egg?

Spiny keratoderma of the palms in a patient with diabetes mellitus type 1: what came first, the chicken or the egg? G Ital Dermatol Venereol. 2018 Oct;153(5):734-735 Authors: Didona D, Ruggeri S, Paolino G, Cantisani C, Caposiena Caro RD, Moliterni E, Didona B PMID: 30246957 [PubMed - in process]
Source: Giornale Italiano di Dermatologia e Venereologia - Category: Dermatology Tags: G Ital Dermatol Venereol Source Type: research