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Updated: Sep 6, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
[Cases of circumscribed palmar or plantar hypokeratosis]
Raquel Morellón Baquera1, Francisco Allegue Rodríguez2, Marta Conde Ferreirós1
1Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
Abstract:
Circumscribed palmar or plantar hypokeratosis (CPH) is a depressed, well-delimited, erythematous lesion usually found in the thenar and hypothenar regions of the palms or the soles, predominately in women. It was first described by Pérez et al. in 2002 as a benign entity of unknown origin. Histologically, the depressed area corresponds to a thinning of the stratum corneum. It is a well-demarcated lesion with a sharp stair in the stratum corneum between normal and involved skin and the affected corneocytes are more eosinophilic than normal. We present two new cases of CPH, both occurring in females and in the hand, one of which was located in the thenar region and the other in the finger. We discuss the histopathological and dermatoscopical findings.
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