Differential Diagnosis for Palmer Sole Cracking in Children
- Single Most Likely Diagnosis
- Atopic Dermatitis (Eczema): This is the most common cause of palmer sole cracking in children, often associated with dry skin, itching, and inflammation.
- Other Likely Diagnoses
- Psoriasis: Characterized by thick, scaly plaques on the skin, including the palms and soles, which can lead to cracking.
- Hyperhidrosis: Excessive sweating can cause skin maceration and cracking, especially in the palmer and plantar regions.
- Contact Dermatitis: Irritant or allergic reactions to substances like soap, detergent, or certain metals can cause skin cracking on the palms and soles.
- Do Not Miss Diagnoses
- Syphilis: A rare but serious condition that can cause palmer and plantar rash, including cracking, especially in congenital syphilis.
- Keratoderma: A group of rare genetic disorders that cause thickening of the skin on the palms and soles, leading to cracking.
- Nutritional Deficiencies (e.g., Vitamin B7 or Zinc deficiency): Certain nutritional deficiencies can cause skin lesions, including cracking on the palms and soles.
- Rare Diagnoses
- Pityriasis Rubra Pilaris: A rare skin disorder characterized by reddish-orange patches and thickening of the skin, which can lead to cracking on the palms and soles.
- Erythrokeratoderma: A rare genetic disorder that causes thickening and cracking of the skin on the palms and soles.
- Acrodermatitis Enteropathica: A rare inherited disorder that affects zinc absorption, leading to skin lesions, including cracking on the palms and soles.