RT Journal Article SR Electronic T1 Cowden syndrome. Early presentation, late diagnosis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 562 OP 564 VO 33 IS 5 A1 Al-Khenaizan, Sultan H. A1 Mohajer, Khaled A. YR 2012 UL http://smj.org.sa/content/33/5/562.abstract AB Cowden syndrome is a rare genodermatosis characterized by the formation of hamartomas in various organs and increased risk of malignancy. This disease has variable expression and often presents with subtle skin signs, which can be missed. We report a 39-year-old Saudi male who presented with acral keratoses of Cowden syndrome, and misdiagnosed and treated by many dermatologists as viral wart. We aim to increase awareness of Cowden syndrome among health care workers.