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Juvenile plantar dermatosis - Skin
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Juvenile plantar dermatosis - Skin

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Contributors: Sarah Stein MD, Karen Wiss MD, Sheila Galbraith MD, Craig N. Burkhart MD, Dean Morrell MD, Lynn Garfunkel MD, Nancy Esterly MD
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Synopsis

Juvenile plantar dermatosis is a localized scaling and fissuring dermatitis of the plantar surface seen in pre-pubertal and early teenage children. The condition is more frequently encountered in atopic children. It is thought to be caused by repeated maceration followed by drying, inducing impairment of the superficial epidermis.

Codes

ICD10CM:
L98.8 – Other specified disorders of the skin and subcutaneous tissue

SNOMEDCT:
238590000 – Juvenile plantar dermatosis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Tinea pedis – May present similarly but can be easily differentiated by demonstrating fungal elements using a KOH preparation from scale.
  • Dyshidrotic dermatitis
  • Allergic contact dermatitis– To shoes more commonly involves the dorsal surface of the foot.
  • Psoriasis – Can also affect the bilateral soles. Additional pertinent skin and nail findings can help make this diagnosis.
  • Pitted keratolysis
  • Keratoderma – Often involves the palms as well, and patients may report a family history of similar findings.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 05/31/2013
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Juvenile plantar dermatosis - Skin
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Juvenile plantar dermatosis : Plantar feet, Thick scaly plaques
Clinical image of Juvenile plantar dermatosis
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