An 8-year-old Italian boy, born to consanguineous parents, with clinic
al, histopathologic, and ultrastructural findings of lipoid proteinosi
s is reported. The main signs of the syndrome-papulonodular, hyperkera
totic and verrucous lesions distributed over the skin of the head and
extremities, hoarseness, and dysphagia-were present in the child. The
mother had papulonodular lesions on her hands and also complained of s
lowness in healing.