Clinical aspects of palmoplantar dermatoses in patients attending tertiary health care centre


  • Yashodha Hassan Vasanthkumar Department of Dermatology, J.J.M. Medical College, Davangere, Karnataka, India
  • Mangala Hedne Chandrasekhar Department of Dermatology, J.J.M. Medical College, Davangere, Karnataka, India
  • Shamnur Basavrajappa Murugesh Department of Dermatology, J.J.M. Medical College, Davangere, Karnataka, India



Palmoplantar dermatoses, Clinical profile, Palm, Sole


Background: Dermatoses affecting palms and soles are among the most difficult of all dermatological therapeutic problems. Apart from diagnostic difficulties, few palmoplantar dermatoses cause great discomfort and disability and may also affect a person's livelihood. To evaluate demographic aspects like age and gender wise distribution and clinical profile of patients suffering from palmoplantar dermatoses.

Methods: This cross-sectional study was conducted between August 2018 to July 2019 in the Department of Dermatology, venereology and leprosy in tertiary care centre. Total 200 cases attending the department of dermatology primarily with complaints pertaining to palms and soles with or without body part involvement in patients of age group between 5-70 yrs. and both sexes were enrolled in the study. Investigations such as direct microscopic examination of scrapings, wet mount with potassium hydroxide, Wood’s lamp examination, patch testing and sample for biopsy was taken. After taking consent a detailed history and clinical examination pertaining to the aim of the study was recorded and analysed.

Results: A total of 200 patients were enrolled, among which 63% were males and 37% were females showing male predominance. The most common age group affected was 21-40 years. The most common chief complaint was itching (41.5%). Palmoplantar psoriasis was the most common dermatosis with 23.5% cases.

Conclusions: Palmoplantar dermatoses are frequently encountered in the dermatologic field. Early recognition of clinical symptoms and signs aids in diagnostic investigations and helps in appropriate and effective management of illness to improve the quality of life.


Nisa N, Qazi MA. Prevalence of metabolic syndrome in patients with psoriasis. Indian J Dermatol Venereol Leprol. 2010;76(6):662.

Masoro EJ. Handbook of Physiology: Section 11: Aging. An American Physiological Society Book; 1995.

Borkan GA, Norris AH. Assessment of biological age using a profile of physical parameters. J Gerontol. 1980;35(2):177-84.

Mea A. Weinberg. Diagnosis and Treatment of Acute Inflammatory Dermatoses. US Pharm 2009;34(4):1-6.

Errichetti E, Stinco G. Dermoscopy in general dermatology: a practical overview. Dermatol Therap. 2016;6(4):471-507.

Richmond JM, Harris JE. Immunology and skin in health and disease. Cold Spring Harbor Perspectives Med. 2014;4(12):015339.

Dash M, Sahu MK, Padhi T. Clinico-pathological correlation of acquired palmoplantar hyperkeratotic disorders. J Evidence-Based Med Healthcare. 2018;5(25):194-7.

Nair PA, Diwan NG, Singhal R, Vora RV. A prospective study of clinical profile in patients of palmoplantar dermatoses. Indian Dermatol. 2017;8(5):331.

Hay R, Bendeck SE, Chen S, Estrada R, Haddix A, Leod MT, et al. Skin Diseases. Disease Control Priorities in Developing Countries. 2nd Edition. Washington (DC): World Bank; 2006. Chapter 37.

Sharma VK, Sethuraman G, Garg T, Verma KK, Ramam M. Patch testing with the Indian standard series in New Delhi. Contact Dermatitis. 2004;51:319-21.

Kang BS, Lee JD, Cho SH. A clinicopathological study of palmoplantar dermatoses. Korean J Dermatol. 2006;44(6):714.

Khandpur S, Singhal V, Sharma VK. Palmoplantar involvement in psoriasis: A clinical study. Indian J Dermatol Venereol Leprol 2011;77(5):625.

Agarwal P, Nijhawan M, Mathur D. Clinicopathological study of hyperkeratotic lesions of palms and soles: an observational study. Int J Sci Study. 2014;1(5):19-23.

Rajababu KK. Indian Association of Dermatologists, Venerologists and Leprologists Textbook of Dermatology. 3rd edition. Vol. 1. Bhalani Publishing House. Disorders of sweat glands. In: Valia RG, Valia AR, editors; 2008: 806-812.

Hongal AA, Rajashekhar N, Gejje S. Palmoplantar dermatoses-A clinical study of 300 cases. JCDR. 2016;10(8):WC04.

Samanta BC, Banerjee BN, Panja RK. Etiology of Plantar Keratoderma. Indian J Dermatol Venereol Leprol. 1976;42(3):116.






Original Research Articles