Type Age of onset Incidence (%) Clinical manifestations Prognosis
I (classical adult)   Adult 55 Confluent red-orange plaques with islands of sparing in generalized distribution. Follicular keratotic papules. Waxy palmoplantar keratoderma. Spontaneous resolution in 80% of cases with 3 years
II (atypical juvenile) Adult 5 Ichthyosiform scale in generalized distribution with areas of dermatitis and alopecia. Palmoplanter keratoderma with lamellated scaling. Chronic course
III (classical juvenile) 5-10 years 10 Similar to type I. Most resolve within 1 year
IV (circumscribed juvenile) 3-10 years 25 Follicular hyperkeratosis, mainly of the knees and elbows. Only type to be localized. Unclear
V (atypical juvenile) 0-4 years 5 Follicular hyperkeratosis in generalized distribution. Chronic course
VI (HIV-associated) Variable Unclear Similar to type I. Associated with acne conglobata and hidradenitis suppuritiva. Variable
Table 1: Modified Griffiths classification of PRP (adapted from Klein et al. [2] and Chan et al. [3]).