Acrokeratoelastoidosis of Costa is a rare dermatosis characterized by small, firm papules or plaques (resembling warts) on the sides of the hands and feet. These stationary and asymptomatic lesions appear generally at puberty, or sometimes later. The disease is punctate palmoplantar keratoderma type III (MONDO_0007047). Also known as: AKE, PPKP3, acrokeratoelastoidosis of Costa, ake, keratoderma, palmoplantar, punctate type 3, punctate palmoplantar hyperkeratosis type 3, punctate palmoplantar keratoderma type 3.