A Clinical Study of Palmoplantar Dermatoses in a Tertiary Care Teaching Hospital
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 1334-1341
AbstractBackground: Palms and soles are affected by various dermatological diseases. There is no universally approved classification for palmoplantar dermatoses. They can be classified based on the causes into inflammation, infection, papulosquamous, and keratinization disorders. The current study aimed to evaluate various palmoplantar dermatoses presented to our tertiary care teaching institute in South India.
Methods: A total of n=60 cases of palmoplantar dermatoses were included in the study based on the inclusion and exclusion criteria. A thorough medical history was also taken, including information on the length of the disease, previous treatments, illnesses that ran in the family, and any pertinent co-morbidities. Each person underwent a general and dermatological check-up. The soles and palms were carefully inspected. Wet mount and 10% potassium hydroxide mount were used for scaly lesions, and Gram stain was used for pustular lesions.
Results: Eczema was seen in n=28(35%) of cases followed by fungal infection in n=18(22.5%) cases. Psoriasis in n=12(15%) of cases warts in n=7(8.75%) cases, palmoplantar hyperhidrosis in n=6(7.5%) cases, Pitted keratolysis in n=5(6.25%) cases, Callosity in n=4(5.00%) cases. Pruritus was present in n=45(56.25%) cases and was the most commonest symptom followed by pain in n=38(47.5%) cases some patients were having both the symptoms and n=22(27.5%) cases were without any symptoms. Based on seasonal variations n=16(20.0) cases were exacerbation in the winter season, followed by n=12(15.0) cases in the summer season and n=10 (12.5%) cases found exacerbation in the monsoon season and no relation to the season was found in n=42(52.5%) cases.
Conclusion: The diverse range of illnesses known as palmoplantar dermatoses has many different forms. These conditions cannot be categorized according to any accepted criteria. The majority of research on palmoplantar dermatoses concentrated on particular illnesses. There aren't many thorough investigations on palms and soles that are available in the medical literature. This study emphasizes the need for extensive research in palmoplantar dermatoses with a large population.
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