About 70% will also have keratoderma
. "The Achilles tendon involvement is considered to be fairly pathognomonic for this condition and helps differentiate it from psoriasis, as well as an orange to yellow color of the keratoderma
Various aetiological hypotheses are notified which include infections (Mycosis, mycobacteria), trauma (Plants), vascular (dysplasia), neurological (Polyneuritis), and genetic (keratoderma
Differential diagnosis includes epidermolysis bullosa, cystic fibrosis, glucagonoma syndrome, widespread candidiasis, pellagra, seborrheic dermatitis, hypovitaminoses, atopic dermatitis, celiac disease, and congenital periorificial and palmo-plantar keratoderma
Specifically, you'll see keratoderma
blenorrhagicum (FIGURE 4), brown and red macules/papules with pustular or hyperkeratotic features, on the palmar and plantar surfaces.
(PPK) is made of a group of benign disorders that cause thickening of the palms and soles.
Characteristic clinical features are diffuse palmoplantar keratoderma
, premature loss of deciduous and permanent teeth and a tendency to recurrent pyogenic infections of the skin.9
* Pale, cold, scaly and wrinkled skin xerosis, asteatotic eczema, itch, palmoplantar keratoderma
KPPC has also referred to as keratotic pits of the palmar creases, punctate keratoses of the palmar creases, keratoderma
punctata, hyperkeratosis penetrans, lenticular atrophia of the palmar creases, and hyperkeratosis punctata of the palmar creases.
She described a patient who had these signs as well as a palmoplantar keratoderma
with central sparing, an eruption that was moving up the leg, and extensive nail dystrophy.
AQUAGENIC KERATODERMA--also known as aquagenic wrinkling of the palms, aquagenic syringeal keratoderma
, and aquagenic palmoplantar keratoderma--is a rare disorder clinically characterized by transient excessive wrinkling of the palms shortly after immersion in water.