Candace Larson

Are You Confident of the Diagnosis? What should be alert for in the history A family history should be elicited, as well as any history of recurrent trauma or hobby-related chronic use of the hands and feet. Painful callusing on the feet is almost pathognomonic in a patient with keratoderma and thickened nails. Morning/starting pain…

Are You Confident of the Diagnosis? Palmoplantar keratodermas (hereby referred to as PPKs) represent a large, varied group of syndromes that are vastly different with respect to symptoms and clinical presentation. Please refer to Table I for syndrome names, synonyms. Images for the syndromes discussed are cited in the Evidence section at the end of…