CLINICO-PATHOLOGICAL CORRELATION OF ACQUIRED PALMOPLANTAR HYPERKERATOTIC DISORDERS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 25
Abstract
BACKGROUND Acquired hyperkeratotic disorders of the palms and soles constitute a large majority of outdoor visits in Dermatology practice. Even though they can easily be identified from their morphological appearance, treating them properly needs accurate clinical diagnosis corroborated by histopathological examination. The objectives of the present study were to find out the clinical features of patients presenting with acquired hyperkeratosis over palms and soles and to correlate the findings with that of histopathological examination. MATERIALS AND METHODS It was a hospital based study where 100 patients presenting with acquired hyperkeratosis over palms and soles were included. Clinical examination was done followed by biopsy in all cases. RESULTS Male agricultural workers in their 4th and 5th decade were the most common group of patients. Eczema comprised the maximum number of cases (45%), followed by psoriasis (37%). Hyperkeratosis, parakeratosis, and acanthosis were present in all cases of psoriasis while Munro’s microabscess, pustule of Kogoj and suprapapillary thinning were found specific in 13%, 13% and 64.8% case of psoriasis respectively. Hyperkeratosis and acanthosis were seen in all cases of eczema whereas elongation of rete ridges and spongiosis were seen in 93.3% and 84.4% of cases respectively. The clinical findings matched with the histopathological findings in 75.6 % cases of psoriasis and 73.6% cases of eczema whereas the concordance was 100% in warts and callosity. CONCLUSION Hyperkeratotic lesions of palm and sole often present with typical clinical features and in cases in which they are absent, skin biopsy and special tests has to be done to aid diagnosis.
Authors and Affiliations
Manjulata Dash, Manish Kumar Sahu, Tanmay Padhi
Keywords
Related Articles
- EP ID EP567099
- DOI 10.18410/jebmh/2018/404
- Views 69
- Downloads 0
DHS VERSUS PFN IN STABILIZATION OF INTERTROCHANTERIC FRACTURES- A COMPARATIVE STUDY
BACKGROUND Inter trochanteric fracture is the extra capsular fracture of the proximal femur, involving the two trochanters. It is most commonly seen in the older age group due to trivial injury, resulting in hip fracture...
A RARE CASE OF CAVERNOUS HEMANGIOMA OF THE CONJUNCTIVA
Cavernous hemangioma of the conjunctiva is a rare benign tumour and has been reported previously only in a few cases, In this report, a 23 year-old male presented with vascularized swelling in the right eye since 3 month...
TUMOR MARKERS: A REVIEW
During the last decade, there has been increasing interest in the use of biomarkers in cancer epidemiology to enhance exposure assessment, to gain insight into disease mechanism, and to understand acquired or inherited s...
CLINICAL PROFILE AND ONE YEAR FOLLOW UP OF PATIENTS WITH CARDIAC TAMPONADE
BACKGROUND Cardiac tamponade is a medical emergency that requires pericardiocentesis. Most of the cases may be tuberculosis or malignant in aetiology. We wanted to assess the clinical profile and aetiology of pericardial...
A PROSPECTIVE STUDY ON DIAGNOSIS AND MANAGEMENT OF LIVER ABSCESS
BACKGROUND Though Liver abscess was described as early as 460-377 B.C. by Hippocrates, it still remains a challenging situation. India has 2 nd highest incidence of liver abscess in the world. The rising incidence in alc...