IntroductionPalmoplantar dermatoses are skin diseases affecting specifically palms and soles is a common clinical entity encountered by dermatologists. This may cause discomfort and embarrassment to the patients because its location interferes significantly with normal day-to-day activities. Palmoplantar dermatosis affects a heterogeneous population, ranging from bare-handed workers in the slaughterhouse to medical personnel wearing gloves in the operating room. The present study endeavors to classify palmoplantar dermatoses based on their morphology and the clinical distribution pattern. Materials and methodsThe present study is a descriptive cross-sectional study conducted for six months at Osmania General Hospital, India. A total number of 80 patients having palmoplantar dermatoses who met the study inclusion criteria were included. After taking proper informed consent, data were collected from patients on a fixed proforma sheet. ResultsThe study comprised 44 (55%) male and 36 (45%) female patients. The mean duration of palmoplantar dermatoses was 2.92 years. Itching and painful fissures are the most common symptoms patients complained of and psoriasis is the most common clinical type seen in 32 (40%) patients followed by eczemas in 30 (37.5%) patients and fungal infections in 10 (12.5%) patients. ConclusionThe term palmoplantar dermatoses includes a heterogeneous group of skin disorders but no exact classification is present and classes differ based on the diseases to be kept in a group. Physicians should be well aware of the clinical features of these dermatoses and diagnosis is very important for early intervention and correct management, thereby helping improve patients' quality of life.

Pfeiffer syndrome (PS) is a rare autosomal dominantly inherited disorder occurring in approximately 1:100,000 live births. Mutations of the fibroblast growth factor receptor 1(FGFR1) or FGFR2 gene can cause Pfeiffer syndrome. Craniosynostosis, brachycephaly, midfacial hypoplasia, broad deviated thumbs and great toes characterize the syndrome. Pfeiffer syndrome depending on severity of the phenotype is of three types. The types 2 and 3 occur as sporadic cases and have poor prognosis. We report a case of Pfeiffer Syndrome type 2 having polydactyly, which to the best of our knowledge is first case of such an association.

<p class="abstract"><strong>Background:</strong> Diaper area dermatoses is a broad term used to describe various skin conditions that can occur in diaper area.<strong> </strong>Dermatoses in diaper area can occur as primary disease, as part of a generalised inflammatory skin disease, or as part of a systemic disease.</p><p class="abstract"><strong>Methods:</strong> One hundred and thirty children below five years with eruptions involving the diaper area were enrolled in the study. A detailed history, general physical examination and dermatological examination was done and recorded in a proforma. Tests such as Tzanck smear, skin biopsy, KOH preparation, culture sensitivity, Gram staining and appropriate hematological investigations were done whenever necessary depending on the presenting condition.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of twenty three (23) various dermatoses were encountered. Irritant contact dermatitis (22.3%) was the most common dermatoses, followed by scabies (14.6%), impetigo (13.8%) and papular urticaria (11.5%). Aetiological analysis revealed that majority (28.5%) of dermatoses belonged to infection group followed by inflammatory (26.15%) and arthropod bite (26.15%) groups. Amongst the infective dermatoses, bacterial infection (14.61%) was most common entity followed by viral (10.76%) and fungal infection (3.1%).</p><p class="abstract"><strong>Conclusions:</strong> Our study emphasizes various dermatoses in diaper area in paediatric population and proves that aetiology is multifactorial and is not because of diaper alone.</p>