MGMJMS
10.5005/jp-journals-10036-1102
Clinical Picture
Peeling Palmar Skin
A 20-year-old male presented with asymptomatic peeling of
palmar skin of 1 month duration ( Fig. 1). He gave history of
similar episodes since 3 years, all of which occurred during the
winter season and subsided without treatment in a period of 2 to
3 months. He also complained of excessive sweating over palms.
There was no personal or family history of atopy. Cutaneous
examination revealed exfoliation of skin over the volar aspect of
the palms and fingers. Soles were spared. Palmar hyperhidrosis
was also noted. Onset in adulthood, absence of itching and/
or fluid-filled blisters, and negative KOH mount excluded
dyshidrotic eczema, acral peeling skin syndrome, epidermolysis
bullosa simplex, and dermatophytid and convened the diagnosis
of keratolysis exfoliativa. Keratolysis exfoliativa is characterized
by annular erythema with an air-filled blister arising in the
center, followed by superficial collarette and lamellar peeling
of glabrous palmoplantar skin. Synonyms include dyshidrosis
lamellosa sicca and lamellar dyshidrosis. Emollients, urea, and
lactic acid may be used; however, treatment is not necessary
as the condition is asymptomatic.
Keywords: Keratolysis exfoliativa, Palmer, Peeling.
Shaurya Rohatgi
1
Hemangi R Jerajani
Vandana Verma
Assistant Professor, 2Junior Resident, 3Professor and Head
1-3
Department of Dermatology, Venereology and Leprosy, MGM
Medical College & Hospital, Navi Mumbai, Maharashtra, India
Fig. 1: Asymptomatic peeling of Palmar skin
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Corresponding Author: Shaurya Rohatgi, Assistant Professor
Department of Dermatology, Venereology and Leprosy, MGM
Medical College & Hospital, Navi Mumbai, Maharashtra, India
Phone: +918424020499, e-mail: [email protected]