“…NBCCS or Gorlin syndrome is an autosomal dominant disorder with palmar and/or plantar pits as characteristic lesions in association with basal cell carcinomas, odontogenic keratocysts, abnormalities of the ribs and vertebrae, palmar and/or plantar pits, epidermoid cysts, milia, ectopic calcifications of the falx cerebri, and a variety of other, less common changes. 1 The skin manifestations may be present at birth or appear during early infancy but are usually first noticed during childhood or adolescence. The palms and soles show hyperkeratosis, diffuse or punctate, but the characteristic change is the presence of almost circular pits with perpendicular edges, measuring up to several millimeters.…”