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