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Year : 2010  |  Volume : 76  |  Issue : 4  |  Page : 449

Punctate keratotic papules and plaques over palm

Department of Dermatology, Kasturba Medical College, Manipal, India

Date of Web Publication21-Jul-2010

Correspondence Address:
H Sripathi
Department of Dermatology, Kasturba Medical College, Manipal - 576 104, Udupi Dist, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.66614

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How to cite this article:
Sripathi H, Kudur MH, Prabhu S, Pai SB. Punctate keratotic papules and plaques over palm. Indian J Dermatol Venereol Leprol 2010;76:449

How to cite this URL:
Sripathi H, Kudur MH, Prabhu S, Pai SB. Punctate keratotic papules and plaques over palm. Indian J Dermatol Venereol Leprol [serial online] 2010 [cited 2020 Nov 25];76:449. Available from:

A 56-year-old male agriculturist presented with asymptomatic papules and plaques over bilateral palms of three months duration. These lesions were gradual in onset and progressive in nature. They started with keratotic papules and later coalesced to form plaques. There was no history of vesiculation or oozing or of similar lesions elsewhere in the body. Examination revealed multiple hyperpigmented, hyperkeratotic papules and plaques with pitting on the thenar and hypothenar eminences of bilateral palms [Figure 1] and [Figure 2]. No other skin lesions were seen on the body. Nails and oral mucosa were normal. Characteristic findings were seen on histopathological examination of skin biopsy from the plaque [Figure 3],[Figure 4],[Figure 5].

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1.Lestringant GG, Berge T. Porokeratosis punctata Palmaris et plantaris. A new entity? Arch Dermatol 1989;125:816-9.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]  
2.Gupta R, Mehta S, Pandhi D, Singal A. Hereditary punctate palmoplantar keratoderma (PPK) (Brauer-Buschke-Fischer Syndrome). J Dermatol 2004;31:398-402.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]  
3.Khandpur S, Malhotra AK, Bhatia V, Gupta S, Sharma VK, Mishra R, et al. Chronic arsenic toxicity from Ayurvedic medicines. Int J Dermatol 2008;47:618-21.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]  
4.Sait MA, Garg BR. Punctate keratoses of palms in lichen planus. Int J Dermatol 1986;25:592-3.  Back to cited text no. 4  [PUBMED]    
5.Fox GN. Puzzling palmar papules and pits. J Fam Pract 2005;54:227-30.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]  


  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]

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1 Punctate keratotic papules and plaques over palm
Sripathi, H., Kudur, M.H., Prabhu, S., Pai, S.B.
Indian Journal of Dermatology, Venereology and Leprology. 2010; 76(4): 449


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