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Acrokeratosis verruciformis of Hopf

A genetic disorder with multiple, flat-topped, skin-colored, wart-like papules on the backs of the hands and feet.

Dyshidrotic eczema

Chronic vesicular hand eczema can lead to a secondary hyperkeratotic and fissured dermatitis.

Hand dermatitis

Chronic irritant or allergic hand dermatitis often results in a diffuse or patchy pattern of hyperkeratosis, lichenification, and painful fissures.

Keratoderma

A general term for marked thickening of the palms and soles, which can be inherited or acquired, and diffuse, focal, or punctate.

Keratosis punctata

A form of punctate keratoderma with multiple, tiny, "raindrop" or "seed-like" hyperkeratotic papules scattered across the palms.

Knuckle pads

Benign, well-circumscribed, hyperkeratotic, fibrous plaques located over the knuckle joints.

Mal de Meleda

A severe, progressive, diffuse keratoderma with a characteristic erythematous ("transgradiens") border extending onto the tops of the hands.

Papillon-Lefevre syndrome

A diffuse palmoplantar keratoderma associated with severe, early-onset periodontitis leading to premature loss of teeth.

Pityriasis rubra pilaris

A papulosquamous disorder that causes a characteristic orange-red, waxy keratoderma of the palms and soles.

Psoriasis

Palmar psoriasis presents as well-demarcated, erythematous plaques with thick, yellowish, hyperkeratotic scale on the palms.

Punctate keratoderma

An inherited keratoderma characterized by multiple, small, discrete, "hard as a nail" keratotic plugs on the palms and soles.

Tinea manuum

A fungal infection of the hand, often presenting as unilateral, diffuse, fine scaling and hyperkeratosis in the palmar creases ("one hand, two feet" syndrome).

Unna-Thost syndrome

The classic non-epidermolytic diffuse palmoplantar keratoderma, presenting as uniform, waxy, or ivory-colored diffuse thickening of the palms and soles.

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