Focal Palmoplantar Keraoderma without Associated Features
Punctate Palmoplantar Keratoderma with Associated Features Syndromic
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Keratoderma Climactericum

  • Commonly females above age of 45 years
  • Associated with obesity, cold / dry climate, use of backless shoes
  • Unknown
  • Focal plantar hyperkeratosis at pressure sites
  • Fissures
  • Also described post bilateral oopherectomy
  • Low-dose oral retinoid
  • Topical estradiol 0.05% ointment
  • Keratolytics (25–40% urea)