Empowering Patient Self-care in Plantar Hyperkeratotic/Palmoplantar Keratodermas Eczema: A Case Report

Abstract

Introduction: Palmoplantar keratodermas (PPKs) include a range of inherited or acquired skin disorders characterized by thickening of the skin on the soles. Hyperkeratotic dermatitis on the hands and feet is a chronic, challenging-to-treat condition that often results in pain, reduced mobility, and impaired functionality. Case Report: This study describes a 42-year-old man with idiopathic PPK and no prior dermatological history. He initially presented with recurrent eczema on his left foot, which gradually spread to both feet, particularly affecting the lateral borders. Despite the negative results for fungal and patch tests, as well as a biopsy, his hyperkeratosis and peeling skin have persisted for 5 years. Conclusion: Because plantar hyperkeratotic eczema is a chronic condition, effective management requires a combination of patient selfcare and medical treatment. Standard therapies, including antifungal, antibiotic, and steroid creams, keratolytic agents, acitretin tablets, and regular wound care, were insufficient in this case, with the patient experiencing recurrent symptoms that impacted his quality of life. A collaborative self-care approach is essential, focusing on minimizing adverse effects such as scarring, skin peeling, and hemorrhaging while considering personal and environmental factors contributing to the condition.

Keywords

• eczema
• hyperkeratosis
• injury care
• patient selfcare