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A 25-Year Struggle Finally Diagnosed: A Rare Case of Palmoplantar Porokeratosis by Dr. Girishkumar Chalawadi

A 25-Year Struggle Finally Diagnosed: A Rare Case of Palmoplantar Porokeratosis by Dr. Girishkumar Chalawadi

Published

For nearly 25 years, a 45-year-old patient silently suffered from painful and persistent skin lesions affecting both the hands and feet. Despite consulting multiple doctors and trying various treatments over the years, the condition continued to worsen—without a definitive diagnosis.

 

 

Understanding Palmoplantar Porokeratosis

Palmoplantar porokeratosis is a rare chronic keratinization disorder involving the palms and soles.

Patients may develop:

  • Thickened scaly plaques
  • Hyperpigmentation and dryness
  • Painful cracking of the skin
  • Long-standing lesions resistant to routine treatment

Because of its rarity, the condition is often mistaken for more common disorders such as:

  • Psoriasis
  • Eczema
  • Fungal infections
  • Keratoderma

As a result, many patients remain undiagnosed for years.

 

The Turning Point: Biopsy-Proven Diagnosis

 

At G Square Skin & Aesthetics Clinic, the patient underwent:

  • Detailed dermatological assessment
  • Clinical correlation
  • Skin biopsy for histopathological confirmation

Final Diagnosis:

Palmoplantar Porokeratosis

This biopsy-confirmed diagnosis finally provided clarity to a disease that had troubled the patient for over two decades.

 

Why Accurate Diagnosis Matters

Porokeratosis is not merely a cosmetic issue.

Certain variants may carry a small risk of malignant transformation over time, making:

✔ Early diagnosis
✔ Long-term monitoring
✔ Proper treatment planning

…extremely important.

This case highlights:

  • The value of clinicopathological correlation
  • The importance of skin biopsy in resistant dermatoses
  • How rare skin disorders may remain overlooked for years

 

Expert Dermatology Care at G Square Clinic

At G Square Skin & Aesthetics Clinic, our focus is on:

  • Accurate diagnosis of complex skin disorders
  • Evidence-based dermatology care
  • Advanced diagnostic procedures including skin biopsy
  • Personalized long-term management plans

Many chronic skin conditions that fail to improve with repeated symptomatic treatment may require a deeper clinical evaluation.

 

📞 Take the First Step Toward Healthy Skin

Don’t let facial scars affect your confidence.

📞 Call/ WhatsApp: +91 91106 10004
📍 Visit: G Square Skin, Hair and Plastic Surgery Clinic, Hubli

🌐 Website: www.gsquareskinandaesthetics.in
👨‍⚕ Consult with Dr. Girish Kumar M Chalawadi