Blue-colored keratoelastoidosis marginalis-like lesions in two middle-aged females

A woman in her 40 s presented with bluish discoloration of palms for 4 years. She also had multiple large joint pains (shoulders and knees) and stiffness of back limiting her mobility. Another woman in her 40 s who presented with bluish discolouration of palms and soles, progressive backache and knee, ankle and shoulder joint pains for 9 years.