Palmoplantar keratodermas (PPKs) are a diverse entity of disorders that are characterized by abnormal thickening of the skin on the palms and soles. What are the other Names for this Condition? (Also known as/Synonyms). Acquired Palmoplantar Keratoderma; Acquired PPK. Paraneoplastic palmoplantar keratoderma (PPK) is an acquired dermatosis that presents with hyperkeratosis of the palms and soles in association with visceral.

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They can be very effective for some patients, but cannot be used in fertile women due to their teratogenicity. Palmoplantar keratodermas PPKs are a diverse entity of disorders that are characterized by abnormal thickening of the skin on the palms and soles.

Keratoderma can be inherited, acquired, and rarely, paraneoplastic ie secondary to an internal malignancy. To facilitate such evaluations, this review categorizes the acquired PPKs as: A painful paronychia develops with no evidence of bacterial or fungal infection.

Please follow this link if you have any high-quality images that you can contribute to the website. Please click on images to enlarge or download. Three stages have been described: Any findings suggestive of underlying conditions should be aggressively evaluated and treated. Web Design – Mode Ten Designs. This chapter provides a practical overview of keratoderma, and is set out as below: Aetiology Clinical findings Images Investigations Management.

If no pertinent findings are identified after a history and a physical examination, laboratory and radiology studies should be undertaken in a systematic, logical fashion. If findings are consistent with a hereditary keratoderma, then a genetics consultation should be considered.

Website author — Dr Tim Cunliffe read more. Clinical classification Keratoderma can be defined by its clinical appearance, although there is often overlap: Some people with focal palmoplantar keratoderma also have abnormalities of the fingernails and toenails There are several inherited typeswhich are all rare.

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Axial CT images showing multiple polypoidal enhancing mass lesions with surface calcifications, in the urinary bladder. In terms of treatment, the most successful results occur when the underlying etiology is diagnosed and treated.

Keratoderma may be hereditarywith symptoms presenting kerqtoderma early childhood, or acquired when it presents in later life. There is usually a well-defined erythematous border The two conditions vary in their histological features Several others types have been described. The first step should include a comprehensive history and a physical examination, including a complete skin examination.

Acquired palmoplantar keratoderma.

The palms of the hands may be affected with discrete, centrally placed lesions. All named individuals and organisations maintain copyright for the relevant images.

It is often associated with acanthosis nigricans AN. If no such etiology is evident, then conservative treatment options include topical keratolytics urea, salicylic acid, lactic acidrepeated physical debridement, topical retinoids, topical psoralen plus UVA, and topical corticosteroids.

Acquired keratoderma | DermNet NZ

The cutaneous features usually pre-date the diagnosis of the cancer. Occasionally keratoderma can affect other parts of the body It can be difficult to differentiate between the different types of keratoderma, however, the management principles are similarand as such the acquirdd diagnostic elements are to exclude the rare malignant or other systemic causes.

Keratoderma of the soles and acanthosis nigricans of the hands in a patient with bladder carcinoma. Any image downloaded must wcquired be used for teaching purposes and not for commercial use. Etretinate and acitretin have also shown some success as alternative treatments in recalcitrant cases.

Notice and credit must be given to the PCDS or other named contributor. The vast majority are associated with adenocarcinoma of the stomach, but other malignancies sometimes found include other GI tract tumours, lung, uterus, ovaries, palmoplantat urinary tract Tripe palms – the appearance differs to that of keratoderma with thickened velvety palms that have the appearance of tripe.


All are rare Epidermolytic keratoderma Vorner’s keratoderma and non-epidermolytic keratoderma Thost-Unna keratoderma are two of the best described forms Both are autosomal dominant Clinically the features can be indistinguishable with the development, usually in infancy, of diffuse, yellow, thickened skin affecting the palms and soles.

Zcquired is associated with squamous cell carcinoma of the upper aerodigestive tract oral cavity, pharynx, larynx, oesophagus. Palmoplantar keratoderma is a term used to define a marked thickening of the skin on the palms and soles, either as a focal entity, or diffuse. In cases where tripe palms occur without AN, lung cancers are usually responsible. It usually affects the sole of the feet around acquored margins of the heel and under the metatarsal heads. This website is non-profit and holds the images for educational purposes only.

In order to avoid the possibility of overlooking an underlying etiology and to eliminate excessive testing, we present an algorithm for assessing patients presenting with acquired PPK. Rarely keratoderma can be associated with malignancy.

Given the numerous possible underlying causes for acquired PPKs, evaluation of patients presenting with keratoddrma PPK can be a perplexing keratoderam.