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What Causes Thickened Skin On Palms?

Posted on Sat, 12 Dec 2015

Question: female 45years old( has pcos..).uses computer alot . she has noticed hard callus area on side of palm between wrist bone and top of little finger....she is a brunette....this sudden callused area has sprouted dark fair...is this a hormone or derm problem thanks

Answered by Dr. Dr. Kakkar (27 minutes later)

Brief Answer:
possibility of palmar keratoderma; Kindly upload an Image

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have noted down your concern.
She seems to have developed 'keratoderma', which is thickening of the skin of palms and sometimes soles.
I request you to kindly upload an Image so that I am able to guide you better.
You may upload an Image either at "Reports Section" Or You may mail me at YYYY@YYYY with the subject line of this mail as Attention:Dr.Kakkar.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (24 hours later)

As per your request, please see attached pictures. They aren't perfect, but it's the best we could do.
Thank you!!!!

Answered by Dr. Dr. Kakkar (12 hours later)

Brief Answer:
I suggest her to use a moisturiser and a potent topical steroid

Detailed Answer:
Hi. Thank you. I have reviewed the images.

I can make out there is a patch of dry, red patch on side of hand. It is not due related to computer use. This seems like a patch of dermatitis.. it could be either due to underlying dryness of skin leading on to eczematous dermatitis Or it could be a patch of psoriasis.
If I was the treating doctor I would suggest that she uses a mosituriser for her whole hand, specially a urea Or ammonium lactate based moisturiser (Am-lactin lotion), twice daily and everytime she washes her hands with soap.
Specifically for the patch I would suggest that she uses potent topical steroid cream e.g clobetasol propionate 0.05% cream Or halobetasol propionate 0.05% cream, twice daily, over and above the moisturiser. These are prescription steroids.
She may also take a tablet of cetrizine 10 mg once daily for symptomatic relief from itching.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (13 hours later)

Thank you so much. I am so appreciative. This was very thorough and I am going to use this service again. Thanks again!

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar