PARANEOPLASTIC PALMO PLANTAR KERATODERMA: A CASE REPORT

CORRESPONDING AUTHOR:
Dr. Anoop T. V,
B 2 Quarters, F3,
Pariyaram Medical College,
Kannur-670503, Kerala.
Email: anooptvanoop@gmail.com

ABSTRACT: Palmoplantar keratodermas are a heterogeneous group of disorders characterized by hyperkeratosis of palms and soles. We report the case of a 65 year old male who presented with diffuse hyperkeratosis of palms and soles along with dystrophy and shedding of nails of six months duration. Investigations to detect an underlying malignancy were negative. He was treated symptomatically and kept under follow up. Three months later, he presented with generalized pruritus and hard jugulo digastric and axillary lymph nodes, which revealed metastatic deposits. Investigation failed to show the focus of malignancy and was given chemotherapy under “metastasis of unknown origin” category with which there was marked improvement of his cutaneous symptoms.

KEYWORDS: Acquired Palmoplantar Keratoderma, Internal malignancy.