[Palmoplantar dermatoses: Diagnostic approach in primary care]

I Alarcón; J Arellano

doi:10.1016/j.semerg.2024.102285

[Palmoplantar dermatoses: Diagnostic approach in primary care]

Semergen. 2024 Nov-Dec;50(8):102285. doi: 10.1016/j.semerg.2024.102285. Epub 2024 Jun 26.

[Article in Spanish]

Authors

I Alarcón¹, J Arellano²

Affiliations

¹ Escuela de Medicina, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
² Servicio de Dermatología/UNACESS, Hospital Clínico San Borja Arriarán, Santiago, Chile; Departamento de Dermatología, Facultad de Medicina, Universidad de Chile, Santiago, Chile. Electronic address: [email protected].

PMID: 38936099
DOI: 10.1016/j.semerg.2024.102285

Abstract

This article addresses the diagnostic challenges of palmoplantar dermatoses (PPD) within the scope of Primary Health Care (PHC). These common skin conditions, encountered in daily practice, exhibit a diverse range of symptoms and morphologies, complicating their diagnosis. They are etiologically classified into infectious inflammatory, non-infectious inflammatory, and hereditary keratodermas. While various dermatoses may affect the palms and soles, few are specific to this area. Notable examples include palmoplantar pustulosis, dyshidrosis, erythema pernio, and Bazex syndrome. Given the high prevalence of dermatological consultations in PHC, this article underscores the significance of PHC professionals' knowledge regarding these conditions. It proposes a diagnostic algorithm to facilitate their management and timely referral.

Keywords: Algoritmo diagnóstico; Atención primaria; Dermatology; Dermatología; Dermatosis palmoplantar; Diagnostic algorithm; Palmoplantar dermatoses; Palmoplantar keratoderma; Primary care; Queratodermia palmoplantar; Syphilis; Sífilis.

Publication types

English Abstract
Review

MeSH terms

Algorithms*
Foot Dermatoses / diagnosis
Foot Dermatoses / therapy
Hand Dermatoses / diagnosis
Hand Dermatoses / therapy
Humans
Prevalence
Primary Health Care*
Referral and Consultation