A case report of palmoplantar keratoderma in a 3-year-old girl: a structured approach in primary care settings

Mohd Noor, Asma Amirah and Abdul Hadi, Azwanis and Che Abdul Rahim, Abdul Rahman (2025) A case report of palmoplantar keratoderma in a 3-year-old girl: a structured approach in primary care settings. Malaysian Family Physician, 20 (42). pp. 1-6. ISSN 1985-207X E-ISSN 1985-2274

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Abstract

Palmoplantar keratoderma (PPK) is a dermatological disorder characterised by excessive thickening of the palms and soles, encompassing more than 20 conditions. The disease is often misdiagnosed in primary care settings, leading to unnecessary treatments and delays. We present the case of a 3-yearold girl with skin thickening on both her palms and soles persisting for 2 years, initially believed to be an acquired condition. Subsequent evaluation revealed a family history of similar skin lesions. This case report highlights the crucial role of family physicians in differentiating hereditary from acquired PPK, especially in settings where advanced testing is unavailable. Implementing a structured diagnostic approach at the primary care level can significantly improve patient management and reduce morbidities and healthcare costs. This case contributes to the existing knowledge in this field, where hereditary PPK remains underexplored.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Palmoplantar keratoderma, genetic disease, diagnosis, primary health care
Subjects:	R Medicine > RL Dermatology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	Dr Azwanis Abdul Hadi
Date Deposited:	26 Aug 2025 09:03
Last Modified:	26 Aug 2025 09:03
URI:	http://irep.iium.edu.my/id/eprint/122872

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