Vohwinkel Syndrome, Keratoderma, Palmoplantar, Mutilating, Keratoderma, Palmoplantar - DermAtlas

Contributor

Lanka Padmavathy, PhD

Diagnosis

Vohwinkel syndrome keratoderma, palmoplantar, mutilating keratoderma, palmoplantar

Body Site

foot toe

Age

65 years

Pigmentation

dark

Organization

discrete confluent

Color

purple brown

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 65-year woman, who was born of nonconsanguineous parents, was noted an to have hyperkeratosis of the hands and feet at birth which gradually progressed resulting in autoamputation of fifth fingers and toes. On examination she had a symmetric keratoderma of the palms and soles extending onto the dorsal aspect of the hands and feet and distal parts of the legs.She pared the soles in some areas to reveal the erythematous base beneath. Nail dystrophy and autoamputation of the fifth toes and fingers was noted bilaterally.

Description

Image Added

11/22/2009 13:03:32

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Other Resources

PubMed Medline Plus Medscape

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