• Medicina · Jan 2024

    Case Reports

    [Thorns in hands, think in spiny keratoderma].

    • Debora Pellegrini, Daniel Padilla Salcedo, Gabriel Noriega, Paola Coisson, Félix Vigovich, and Pablo Young.
    • Servicio de Clínica Médica, Hospital Británico de Buenos Aires, Buenos Aires, Argentina. E-mail: debopellegrini@hotmail.com.
    • Medicina (B Aires). 2024 Jan 1; 84 (5): 979982979-982.

    AbstractSpiny keratoderma is a rare dermatological manifestation that occurs sporadically or hereditarily. These are millimetric hyperkeratotic lesions on the palms and/or soles, usually asymptomatic. Histopathologically, they consist of well-defined columns of parakeratosis on a thinned stratum corneum. Sporadic cases can be associated with chronic diseases or neoplasms. We present a case of palmar spiny keratoderma in a man in the seventh decade of life with cirrhosis due to primary sclerosing cholangitis, and hepatocellular carcinoma. He had remission of the skin lesions two months after performing a liver transplant. This behavior favors the interpretation of spiny keratoderma as a paraneoplastic manifestation of hepatocellular carcinoma. We have not found previous reports of spiny keratoderma from Argentina. We review the literature on this entity.

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