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palmoplantar keratoderma

Causes of Palmoplantar Keratoderma

A palmoplantar keratoderma (PPK) is a group of skin disorders characterized by thickening of the skin on the palms and soles.

  • Mutations in specific genes inherited from parents.

  • Associated with other skin or systemic conditions.

  • Pressure and friction caused by walking or manual labor are environmental factors.

Symptoms of Palmoplantar Keratoderma

A variety of symptoms may occur, including:

  • There is a noticeable hardening of the skin on the palms and soles.

  • Especially during movement, there may be pain or discomfort.

  • Secondary infections can result from fissures or cracks.

  • Excessive buildup of skin called hyperkeratosis.

Diagnosis of Palmoplantar Keratoderma

Diagnosis involves:

  • Physical examination of the affected areas is the clinical examination.

  • Identifying genetic links in the family history.

  • An examination of skin tissue under a microscope is called a skin biopsy.

  • Hereditary forms can be confirmed through genetic testing.

Treatment of Palmoplantar Keratoderma

Symptom management is the focus of treatment:

  • Salicylic acid or urea creams are used to soften thickened skin.

  • Apply moisturizer regularly to prevent dryness and cracking.

  • Topical or oral retinoids are used to reduce thickening of the skin.

  • Skin hydration is maintained by emollients.

  • Wearing padded gloves or cushioned insoles offers physical protection.

Prevention of Palmoplantar Keratoderma

Preventive measures include:

  • Maintaining the skin barrier requires daily moisturizing.

  • To reduce friction, wear gloves and proper footwear.

  • Minimize the use of harsh chemicals and soaps to avoid irritants.

  • Monitor and intervene early if skin changes occur with regular check-ups.

Treatments for palmoplantar keratoderma are tailored to individual needs, aiming to reduce symptoms and improve quality of life. Regular dermatological consultations are recommended for optimal results.

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