Acquired keratoderma is a palmoplantar keratoderma that is NOT inherited as a primarygenetic condition. It may occur as part of a generalised skin condition (some of which may be inherited) or as a result of another illness.
How does acquired keratoderma present?
Acquired palmoplantar keratoderma is more likely to present in adulthood (compared with inherited keratodermas which usually present in childhood). It presents with thickening of the skin of the palms and/or soles which may be diffuse (involving most of the palms and soles) or focal (localised mainly to pressure areas).
Keratoderma of the palms due to psoriasis
Lichen planus on the palms producing a keratoderma (BLP-patient1)
Crusted scabies causing a keratoderma
Thickened dry skin on the heels arising at the menopause-keratoderma climactericum
Internal malignancy (cancer) has been associated with the development of acquired keratoderma
Miscellaneous
Keratoderma climactericum is a keratoderma or hyperkeratotic hand dermatitis that usually develops in middle-aged woman. It has been suggested that this is related to the menopause.
Treatment of acquired keratoderma
The following treatments soften the thickened skin and make them less noticeable.
