38 year old lady . lesions of fingers since approximately one year slowly increasing. no pain no itching non diabetic. please provide diagnosis and appreciate treatment and oblige

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Palmoplantar keratoderma

Just to add, sir she is associated with animal husbandry. Her hands are always wet either dealing with milk or cow dung
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Porokeratosis of Palms ( Punctate & Verrucous.)? / Occuptional Keratoderma? Syphilis Cornee-Sec.Syphilis?

It's a case of palmoplantar keratoderma.

Is she working with chemicals / contact dermatitis/ if so wear gloves / rx salicylic acid ointment 20 percent apply at night after soaking hands in warm water / day emollient creams review in 2 weeks

Have tried salycilic but only 12 precent. Got partial results and then status quo. She works with cow dung and milking with hands. Any role of anti fungal?
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IT'S A..CASE OF.. PPKD..

Tnx Dr Ashok Leel sir
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Palmoplantar keratoderma

Palmoplantar keratoderma

Palmoplantar keratoderma.

Scleroderma

Plamoplantar keratoderma

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