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Juvenile Plantar Dermatosis: A Clinicopathologic Study

Juvenile Plantar Dermatosis: A Clinicopathologic Study Abstract • Fifty-six patients had juvenile plantar dermatosis (JPD). The plantar surface of the toes and the anterior third of the sole were the sites most commonly affected. Less commonly affected were the dorsal surface of the toes and the fingertips. No seasonal variation was found, and treatment was generally ineffective. Preventative measures had no influence on the course of the condition. Histopathologic features included psoriasiform acanthosis, with focal loss of granular cell layer, and uniform parakeratosis. Distinctive features included a tendency for the dermal infiltrate to localize around sweat ducts at their point of entry into the epidermis. In addition, inflammatory changes within the epidermis were localized mainly to the acrosyringium and included paranuclear vacuolization of epidermal keratinocytes, spongiosis, and slight spongiotic vesiculation. These changes are similar to those described in other eczematous conditions, and there is little evidence to suggest that disordered sweating plays a primary role in the pathogenesis of JPD. (Arch Dermatol 1985;121:225-228) References 1. Enta T: Peridigital dermatitis in children . Cutis 1972;10:325-328. 2. Moller H: Atopic winter feet in children . Acta Derm Venereol 1972;52:401-405. 3. Schultz H, Zachariae H: The Trafuril test in recurrent juvenile eczema of the hands and feet . Acta Derm Venereol 1972;52:398-400. 4. Mackie RM, Husain SL: Juvenile plantar dermatosis: A new entity? Clin Exp Dermatol 1976;1:253-260.Crossref 5. Millard LG, Gould DJ: Juvenile plantar dermatosis . Clin Exp Dermatol 1977;2:186-187.Crossref 6. Neering H, van Dijk E: Juvenile plantar dermatosis . Acta Derm Venereol 1978;58:531-534. 7. Silvers SH, Glickman FS: Atopy and eczema of the feet in children . AJDC 1968;116:400-401. 8. Mackie RM: Juvenile plantar dermatosis . Semin Dermatol 1982;1:67-71. 9. Verbov J: Atopic eczema localised to the forefoot: An unrecognised entity . Practitioner 1978;220:465-466. 10. Friis B: Dermatitis plantaris sicca bei Kindern . Dermatol Monatsschr 1974;160:614-620. 11. Shrank AB: The aetiology of juvenile plantar dermatosis Br J Dermatol 1979;100:641-648.Crossref 12. Stewart WM: `Digito-pulpite keratosique et fissuraire' et retention sudorale . Ann Dermatol Venereol 1971;98:49-52. 13. Russell Jones R: The histogenesis of eczema . Clin Exp Dermatol 1983;8:213-226.Crossref 14. Kutzner H, Wurzel RA, Wolff HH: Are acrosyringia involved in the pathogenesis of dyshydrotic eruptions? abstracted . Program and abstracts of the joint meeting of the Society for Cutaneous Ultrastructure Research and the International Society of Dermatopathology, Berlin, June 15-18, 1983. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Juvenile Plantar Dermatosis: A Clinicopathologic Study

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660020083023
Publisher site
See Article on Publisher Site

Abstract

Abstract • Fifty-six patients had juvenile plantar dermatosis (JPD). The plantar surface of the toes and the anterior third of the sole were the sites most commonly affected. Less commonly affected were the dorsal surface of the toes and the fingertips. No seasonal variation was found, and treatment was generally ineffective. Preventative measures had no influence on the course of the condition. Histopathologic features included psoriasiform acanthosis, with focal loss of granular cell layer, and uniform parakeratosis. Distinctive features included a tendency for the dermal infiltrate to localize around sweat ducts at their point of entry into the epidermis. In addition, inflammatory changes within the epidermis were localized mainly to the acrosyringium and included paranuclear vacuolization of epidermal keratinocytes, spongiosis, and slight spongiotic vesiculation. These changes are similar to those described in other eczematous conditions, and there is little evidence to suggest that disordered sweating plays a primary role in the pathogenesis of JPD. (Arch Dermatol 1985;121:225-228) References 1. Enta T: Peridigital dermatitis in children . Cutis 1972;10:325-328. 2. Moller H: Atopic winter feet in children . Acta Derm Venereol 1972;52:401-405. 3. Schultz H, Zachariae H: The Trafuril test in recurrent juvenile eczema of the hands and feet . Acta Derm Venereol 1972;52:398-400. 4. Mackie RM, Husain SL: Juvenile plantar dermatosis: A new entity? Clin Exp Dermatol 1976;1:253-260.Crossref 5. Millard LG, Gould DJ: Juvenile plantar dermatosis . Clin Exp Dermatol 1977;2:186-187.Crossref 6. Neering H, van Dijk E: Juvenile plantar dermatosis . Acta Derm Venereol 1978;58:531-534. 7. Silvers SH, Glickman FS: Atopy and eczema of the feet in children . AJDC 1968;116:400-401. 8. Mackie RM: Juvenile plantar dermatosis . Semin Dermatol 1982;1:67-71. 9. Verbov J: Atopic eczema localised to the forefoot: An unrecognised entity . Practitioner 1978;220:465-466. 10. Friis B: Dermatitis plantaris sicca bei Kindern . Dermatol Monatsschr 1974;160:614-620. 11. Shrank AB: The aetiology of juvenile plantar dermatosis Br J Dermatol 1979;100:641-648.Crossref 12. Stewart WM: `Digito-pulpite keratosique et fissuraire' et retention sudorale . Ann Dermatol Venereol 1971;98:49-52. 13. Russell Jones R: The histogenesis of eczema . Clin Exp Dermatol 1983;8:213-226.Crossref 14. Kutzner H, Wurzel RA, Wolff HH: Are acrosyringia involved in the pathogenesis of dyshydrotic eruptions? abstracted . Program and abstracts of the joint meeting of the Society for Cutaneous Ultrastructure Research and the International Society of Dermatopathology, Berlin, June 15-18, 1983.

Journal

Archives of DermatologyAmerican Medical Association

Published: Feb 1, 1985

References