JUVENILE PLANTAR DERMATOSIS

By Gary M. White, MD

Juvenile plantar dermatosis


Juvenile plantar dermatosis (JPD), also known as “wet and dry foot syndrome,” is a dermatitis of the soles of the feet that most commonly affects boys from 3–14 years of age. The distal 1/3 of the sole and toes is usually shiny and peeling. Patients often have atopic dermatitis, but not always.

Clinical

Shiny, cracked, erythematous areas most prominent over the toes and ball of the foot of a young child is characteristic. Tinea pedis and shoe dermatitis should be excluded. Boys are more commonly affected. The distal 1/3 of the dorsal foot is preferred, and especially the toes. The skin is often shiny with desquamation. Fissures are not uncommon.

Patch Testing

In one small study, 48% of children with inflammatory dermatitis affecting the sole and 29% of children with JPD had at least one relevant patch test reaction [Pediatr Dermatol. 2012;29:254-7]. The most common were rubber and potassium dichromate.

Treatment

Therapy often meets with only partial success.

References

Juvenile plantar dermatosis: A barrier disease beyond eczema: An open prospective uncontrolled study in a tertiary care hospital of South India. Indian J Paediatr Dermatol 2016;17:13-7

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