The hand-foot syndrome, also known as Palmar-Plantar Erythrodysesthesia (PPE), is a dermatological condition associated with certain chemotherapeutic agents. From a forensic perspective, understanding the manifestations of PPE becomes crucial in cases involving drug-related exposures or poisoning. This abstract explores the dermatological aspects of handfoot syndrome, its potential forensic implications, and the importance of recognizing and documenting such findings in medicolegal investigations. Additionally, the abstract discusses the relevance of PPE in establishing a link between a specific chemotherapeutic drug and its adverse effects, aiding forensic experts in determining the cause of morbidity or mortality in relevant cases. Hand-Foot Syndrome (HFS), a dermatological condition commonly associated with chemotherapy, presents a unique avenue for forensic investigation. This study endeavors to unravel the forensic implications of HFS, shedding light on its potential significance in post-mortem examinations. Characterized by erythematous and desquamative changes on the palms and soles, HFS has distinct clinical manifestations that may serve as valuable markers in forensic pathology. Our research employs a comprehensive approach, integrating dermatological analysis with forensic perspectives. Through an extensive review of case studies and medical records, we aim to establish a nuanced understanding of HFS patterns and their correlation with diverse forensic scenarios. By identifying and documenting these distinctive dermatological features, forensic professionals can potentially utilize HFS as an additional tool in their investigative arsenal. Furthermore, this study explores the temporal aspects of HFS progression, seeking to determine the reliability of its manifestation timeline in forensic reconstructions. By elucidating the chronological patterns of HFS development, forensic experts may enhance their ability to establish a timeline of events in cases involving suspicious or unexplained deaths. In conclusion, this research contributes to bridging the gap between dermatology and forensic science, offering insights into the forensic relevance of Hand-Foot Syndrome. The findings presented here aim to empower forensic practitioners with an additional layer of diagnostic precision, ultimately aiding in the pursuit of justice and accurate cause-of-death determinations