Palmoplantar keratodermas are a heterogeneous group of disorders characterized by abnormal thickening of the palms and soles.Diffuse keratodermas affect most of the palms and soles.Focal keratodermas mainly affect pressure areas.Punctate-type keratodermas result in tiny bumps on the palms and soles.
HOW IS PALMOPLANTAR KERATODERMA DIAGNOSED?
Diagnosis is done by a general physician who would do a tissue test and also some genetic testing.
HOW IS PALMOPLANTAR KERATODERMA TREATED?
Treatment of both hereditary and non hereditary palmoplantar keratodermas is difficult. Treatment usually only results in short-term improvement and often has adverse side effects. The goal of treatment is usually to soften the thickened skin and makes it less noticeable. Treatment may include simple measures such as saltwater soaks, emollients, and paring. More aggressive treatment includes topical keratolytics, topical retinoids, systemic retinoids (acitretin), topical vitamin D ointment (calcipotriol), or surgery to remove the skin, following by skin grafting.
DID YOU KNOW?
Keratoderma’ is a term that means marked thickening of the skin. ‘Palmoplantar’ refers to the skin on the soles of the feet and palms of the hands, these are the areas keratoderma affects most often. Palmoplantar keratoderma is also sometimes known as ‘keratosis palmaris et plantaris’.