IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 3250 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   [PDF Not available] *
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Case Report
   Discussion
   References
   Article Figures

 Article Access Statistics
    Viewed3099    
    Printed38    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal

 


 
CASE REPORT
Year : 1997  |  Volume : 63  |  Issue : 4  |  Page : 246-247

Punctate palmoplantar keratoderma (Buschke-Fischer)




Correspondence Address:
George Abraham


Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 20944343

Rights and PermissionsRights and Permissions



How to cite this article:
Abraham G, Nadiga R. Punctate palmoplantar keratoderma (Buschke-Fischer). Indian J Dermatol Venereol Leprol 1997;63:246-7

How to cite this URL:
Abraham G, Nadiga R. Punctate palmoplantar keratoderma (Buschke-Fischer). Indian J Dermatol Venereol Leprol [serial online] 1997 [cited 2019 Oct 21];63:246-7. Available from: http://www.ijdvl.com/text.asp?1997/63/4/246/4583


Punctate palmoplantar keratoderma (Buschke-Fischer) is considered to be a rare keratoderma.[1] It is inherited in an autosomal dominant fashion, but frequent sporadic cases are encountered. Both the genetic[2] and nongenetic[3] link to internal malignancy have been reported. Punctate palmoplantar keratoderma appears between 10-45 years. It is characterised by numerous hard round or oval, yellow horny papules distributed on palms and soles. Their size varies from 2 to 10mm in a diameter and tend to be larger when subjected to trauma. The keratotic plug can be picked out without bleeding, leaving annular keratotic depressed lesion. The cause of the disorder is not known, but a dual influence of genetic and environmental factors may trigger off the disease in many cases.[4] A strong association between palmoplantar keratoderma and hard manual labourer has been postulated.[5] We report a case of punctate palmoplantar keratoderma.


  Case Report Top


A 55-year-old agricultural labourer developed asymptomatic keratoderma of palms and soles of 10 years duration. The patient noticed at the age of 45 years, 2-3 wart-like punctate projections arising on the palms and soles. The lesions increased in number over the next 3-4 years, spreading to involve the flexor aspect of the digits. The lesions were larger on the soles than those of palms and localized predominantly to the heels and to the thenar and hypothenar prominences. Lesions varied from 1 to 3mm in size. The dorsal aspect of hands and feet were not involved. Hyperhidrosis was not present. No other family member was affected with similar disease. Histology of the palmar lesions showed hyperkeratosis, parakeratosis, partially invaginating the epidermis and poor development of granular layer.


  Discussion Top


A few cases of punctate keratoderma have been described in the literature. The age of onset, clinical appearance, lack of peripheral extension, lack of hyperhidrosis couple with the histopathologic picture was compatible with the diagnosis of punctate palmoplantar keratoderma of Buschke-Fischer variety.



 
  References Top

1.Aderson WA, Moses DE, Elam MD, et al. Keratosis punctate and atopy, Arch Dermatol 1984;120:884-890.  Back to cited text no. 1    
2.Bennion SD, Patterson JW. Keratosis punctata palmaris et plantaris and adenocarcinoma of the colon, J Am Acad Dermatol 1984;10:587-591.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]
3.Fegueux S, Bilet S, Crickx B. Hyperkeratose palmoplantaire filiforme et cancer rectosigmoidien, Ann Dermatol 1988;115:1145-1146.  Back to cited text no. 3    
4.Bologa EJ. Le complexe geno-ecologigue dansle determinisme des keratoses palmoplantaire, Ann Dermatol Syphilol 1970;97:259-266.  Back to cited text no. 4    
5.Nielsen GP. Punctate palmoplantar keratoderma associated with Morbus Bechterew and HLA B27, Acta Derm Venereol 1988;68:346-350.  Back to cited text no. 5    


    Figures

[Figure - 1]



 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow