Queratodermia palmoplantar asociada a hipotiroidismo / Acquired palmoplantar keratoderma with hypothyroidism

ABSTRACT

We report the case of a 45 year-old male with palmoplantar hyperkeratosis. He had chronic thyroiditis with severe hypothyroidism. Skin lesions improved upon thyroid hormone replacement. Complete resolution of palmoplantar keratoderma was achieved after 7 months of therapy. The association of acquired palmoplantar keratoderma with hypothyroidism even though extremely unusual, should be considered in the differential diagnosis. It is a reversible condition.

RESUMEN

Describimos un paciente de 45 años de sexo masculino, con hiperqueratosis palmoplantar. Simultáneamentese diagnosticó hipotiroidismo primario de origen autoinmune. Al realizar tratamiento sustitutivo con levotiroxina, el cuadro dermatológico se resolvió en el transcurso de siete meses. La queratodermia palmoplantar adquirida asociada a hipotiroidismo es una condición reversible. A pesar de ser una asociación infrecuente, debe ser considerada en el diagnóstico diferencial.