Chopra A, Gill S S
Department of Dermatovenereology, Rajindra Hospital, Patiala - 147001, India.
Indian J Dermatol Venereol Leprol. 1997 Mar-Apr;63(2):85-8.
Typical lesions of hyperkeratosis of palms and soles do not create any problem but when slight variation is there it becomes difficult to diagnose and that changes the line of treatment. For that we have studied 300 fresh cases of hyperkeratosis of palms and soles which included 110 cases of hyperkeratotic eczema. 42 cases of hyperkeratotic tinea, 64 cases of psoriasis of palms and soles and 84 cases of pustulosis palmaris et plantaris (PPP). To reach the final diagnosis alongwith the detailed history, general physical examination and routine investigations, help was taken of special investigations like pus for culture and sensitivity, KOH smear examination of skin scrapings and nail cutting and culture on Sabouraud's dextrose agar medium.
典型的掌跖角化病病变不会造成任何问题，但当出现轻微变化时，诊断就会变得困难，进而改变治疗方案。为此，我们研究了300例掌跖角化病新病例，其中包括110例角化性湿疹、42例角化性癣、64例掌跖银屑病和84例掌跖脓疱病（PPP）。为了得出最终诊断，除了详细的病史、全身体格检查和常规检查外，还借助了特殊检查，如脓液培养及药敏试验、皮肤刮屑和指甲剪的氢氧化钾涂片检查以及在沙氏葡萄糖琼脂培养基上进行培养。
