punctate palmoplantar keratoderma focal acral hyperkeratosis https://github.com/monarch-initiative/mondo/issues/6749 https://www.malacards.org/card/focal_acral_hyperkeratosis Orphanet:308013 GARD:0021299 MEDGEN:724380 UMLS:C1302839 PPPK3 without elastoidosis punctate palmoplantar keratoderma type 3 without elastoidosis MONDO:0017677 PPKP3 without elastoidosis punctate palmoplantar hyperkeratosis type 3 without elastoidosis SCTID:400115004