Multiple large cell acanthomas

Large cell acanthoma is a benign keratosis which occurs as a generally hyperkeratotic, sharply demarcated patch on actinically exposed skin. Clinically, it is usually misdiagnosed as a seborrheic keratosis or solar keratosis. The first two reports of multiple large cell acanthomas are described here. Clinical and histologic features were identical to a control series of sixteen solitary large cell acanthomas. Large cell acanthomas should be considered in the differential diagnosis of solitary and multiple keratoses on sun-exposed skin.