Clinico-epidemiological profile of palmoplantar dermatoses in northeast India
Keywords:Palmoplantar dermatoses, Eczema, Psoriasis
Background: Palmoplantar dermatoses are skin diseases affecting palms and soles and are commonly seen in the dermatology practice. It can cause significant discomfort to the patients, affecting their daily activities and also is a diagnostic dilemma to the physician. The aim of this study is to determine the clinico-epidemiological profile of palmoplantar dermatoses among patients attending the outpatient department (OPD).
Methods: Hospital based cross sectional study carried out from September 2018 to August 2020 in patients attending outpatient department of dermatology in Regional Institute of Medical Sciences (RIMS) Hospital, Imphal, Manipur.
Results: Of the total 200 patients, nearly half were males (50.5%). Most common age group involved was 26-45 years. Itching was the most common symptom (60%). Multiple lesions with palm alone involvement accounted for higher percentage with 39.5% followed by palmoplantar involvement. Most common palmoplantar dermatosis in the study was eczema with 23% followed by psoriasis (7.5%), dermatophytosis (7%), verruca vulgaris (6.5%), and keratolysis exfoliativa (6%).
Conclusions: Eczema was the most common palmoplantar disorder followed by psoriasis. Diagnosis of palmoplantar dermatoses is important at the earliest for appropriate management which helps in improving the patient’s quality of life.
Nair PA, Diwan NG, Singhal R, Vora RV. A prospective study of clinical profile in patients of palmoplantar dermatoses. Indian Dermatol Online J. 2017;8(5):331-5.
Kang BS, Lee JD, Cho SH. A clinicopathological study of palmoplantar dermatoses. Korean J Dermatol. 2006;44(6):714-20.
Rathoriya SG. Clinical profile of palmoplantar dermatoses in patients attending tertiary health center in central India. Int J Res Dermatol. 2018;4:514-7.
Hongal AA, Rajashekhar N, Gejje S. Palmoplantar dermatoses- a clinical study of 300 cases. J Clin Diagn Res. 2016;10(8):4-7.
Khandpur S, Singhal V, Sharma VK. Palmoplantar involvement in psoriasis: A clinical study. Indian J Dermatol Venereol Leprol. 2011;77(5):625.
Kumar B, Saraswat A, Kaur J. Palmoplantar lesions in psoriasis: A study of 3065 patients. Acta Derm Venereol. 2002;82(3):192-5.
Pankajalakshmi VV, Saichand T. Incidence of tinea pedis among the local population in Madras. Indian J Dermatol Venereol Leprol. 1980;46(4):209-16.
Chu AC, Teixeira F. Acquired disorders of epidermal keratinization. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D, editors. Rook’s Textbook of Dermatology. 9th edition. UK: Wiley – Blackwell Publication. 2016;87.24-5.
Roujeau J, Allanore L, Liss Y. Severe cutaneous adverse reactions to drugs (SCAR): Definitions, diagnostic criteria, genetic predisposition. N Engl J Med. 1994;331(19):1272-85.
Agrawal A, Ghate S, Gupta AK, Dhurat R. Clinical spectrum of cutaneous adverse drug reactions. Indian J Drugs Dermatol. 2018;4:61-6.
Kar B, Dwibedi B, Kar S. An outbreak of hand, foot and mouth disease in Bhubaneswar, Odisha. Indian Pediatr. 2013;50(1):139-42.