Sporadic Case of Acrokeratosis Verruciformis of Hopf With Unusual Clinical Presentation: A Case Report and Review of the Literature

AKV should be suspected in patients presenting with numerous flat, skin-colored, polygonal papules on acral areas and long-standing onychopathy. This case emphasizes the critical role of comprehensive clinical assessment and histopathological study for accurate diagnosis, especially given its unusual manifestations.