Descriptive Study of the Clinical and Etiological Profiles of Palmoplantar Dermatoses in Patients Attending a Tertiary Care Hospital in Southern India

Abstract

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.

A Clinico-Epidemiological Study of Hyperkeratotic Palmoplantar Lesions and Its Correlation With Dermoscopy and Histopathology in a Tertiary Care Center

“…In the present study, palmoplantar psoriasis was found to cause hyperkeratotic lesions of the hands and feet in 40% of patients (Figure 5A ), hyperkeratotic hand and foot eczema in 31% (Figure 6A ), acquired palmoplantar keratoderma in 15%, dermatophytosis in 6% (Figure 7A ), and palmoplantar LP in 6% (Figure 8A , 8C ). These findings are in concordance with those of the study by Vijay Sekhar et al [ 7 ], where a diagnosis of psoriasis was made in 32 (40%) out of 80 patients and that of various types of eczema was made in 30 (37.5%). The number of cases diagnosed as fungal infections (tinea manuum, tinea pedis, or both) was 10 (12.5%); this is slightly greater than that in the present study, in which there were four (6%) out of 60.…”

“…Bilateral symmetry was most common in cases of palmoplantar psoriasis (Figure 5A ), found in 75% of patients in the present study. A similar trend was observed in the study by Vijay Sekhar et al [ 7 ], where more than 75% of cases of palmoplantar psoriasis showed bilateral lesions.…”

“…In the present study, lesions were bilateral in 52 of the 60 (86%) patients, which is lower than those in the study conducted by Vijay Sekhar et al [ 7 ], where bilateral lesions were seen in 76 of 80 (92%) cases. Bilateral symmetry was most common in cases of palmoplantar psoriasis (Figure 5A ), found in 75% of patients in the present study.…”

“…In the present study, itching was the predominant symptom, present in 43 (71%) of the 60 patients, irrespective of the diagnosis. This value is slightly lower than that found in a study conducted by Vijay Sekhar et al [7], where itching was the predominant symptom in 64 (80%) of 80 patients, but similar to the findings of the study by Kumar et al [8].…”

Impact of Hyperkeratotic Palmoplantar Dermatoses on Dermatology Life Quality Index, in a Tertiary Care Centre in Eastern India: A Cross-Sectional Study.

“…[1] Palmoplantar dermatoses are skin conditions that affect the skin of the palms and soles, causing significant discomfort and embarrassment to patients due to their location and interference with daily activities. [2] Palmoplantar dermatoses are a common concern in dermatology as they affect visible areas of the body. [3] Palms and soles are involved in almost all daily activities, exposed to various allergens, infectious agents, friction, and mechanical trauma more frequently than other body parts of the body.…”