| ORIGINAL ARTICLE |
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| Year : 2017 | Volume
: 18
| Issue : 3 | Page : 183-186 |
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A study on palmoplantar keratodermas in childhood in a district hospital
Neerja Puri
Department of Dermatology, Punjab Health Systems Corporation, Punjab, India
Correspondence Address:
Neerja Puri
House No. 626, Phase II, Urban Estate, Dugri Road, Ludhiana, Punjab
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2319-7250.206091
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Introduction: Palmoplantar keratodermas (PPKs) are a group of disorders in which there is marked thickening of the skin of palms and soles. The keratodermas can be diffuse, focal, or punctuate type.
Aims: The aim of this study was to study various types of PPKs, both hereditary and acquired in children up to 17 years of age.
Methods: A randomized controlled prospective study of twenty patients of PPK was taken up for the study. A detailed history, general physical examination, cutaneous examination with special examination of the oral mucosa, teeth, and nails along with routine investigations were done in all the patients.
Results: Most common causes of PPK were secondary to psoriasis and ichthyosis (25% each), followed by 15% cases secondary to pityriasis rubra pilaris. PPK due to pachyonychia congenita was seen in 5% patients and secondary to erythrokeratodermia variabilis in 5% patients. Monogenic PPKs including Vorners syndrome and Unna-Thost PPK were seen in 5% patients each and focal PPK seen in 15% patients.
Conclusion: It is important to note the age of onset of the keratodermas, severity of disease process, and the histopathological findings before reaching a diagnosis of PPKs. |
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