HYPERKERATOTIC ECZEMA
Hyperkeratotic eczema (HE) is a relatively common type of eczema of the hands in adults. It often affects older men and is a significant cause of time off work.
Diffuse, thickened, fissured hyperkeratosis of the palms occurring in a middle-aged man is characteristic. Patch testing and KOH should be done to exclude allergic contact dermatitis and tinea. Psoriasis may present similarly and indeed some cases of HE evolve into classic psoriasis.
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