Kanchana LeerunyakulPhatcharawat ChirasuthatPoonkiat SuchonwanitFaculty of Medicine, Ramathibodi Hospital, Mahidol University2020-01-272020-01-272019-09-01Case Reports in Dermatology. Vol.11, No.3 (2019), 278-285166265672-s2.0-85073117059https://repository.li.mahidol.ac.th/handle/20.500.14594/51426© 2019 The Author(s). Published by S. Karger AG, Basel. Follicular hyperkeratotic spicules is a rare skin disorder that is usually associated with multiple myeloma. The condition typically presents with tiny hyperkeratotic spicules in follicular distribution and predominantly on the face. To our knowledge, there has been one reported case of this condition without underlying disease. We herein report the second case of idiopathic follicular hyperkeratotic spicules in a 54-year-old Thai woman presenting with multiple follicular horn-like spicules on her face and neck.Mahidol UniversityMedicineArticleSCOPUS10.1159/000503272