L85.1 Acquired keratosis [keratoderma] palmaris et plantaris

ICD10CM code

#### Name of the Condition
- **Acquired keratosis palmaris et plantaris** 
- Commonly referred to as **acquired keratoderma** or **palmoplantar keratoderma**.

#### Summary
Acquired keratosis palmaris et plantaris is a skin condition characterized by the thickening of the skin on the palms of the hands and soles of the feet. This condition can lead to discomfort and difficulty in performing daily activities due to the rigidity and possible cracking of the skin.

#### Causes
- May develop due to repetitive trauma or friction.
- Association with certain systemic conditions like thyroid dysfunction.
- Rarely linked to infections or adverse drug reactions.

#### Risk Factors
- Occupational exposure leading to repeated stress on hands or feet.
- Middle age, as skin loses some elasticity and resilience.
- Personal or family history of skin disorders.

#### Symptoms
- Noticeably thickened skin on palms and/or soles.
- Possible scaling or peeling.
- Discomfort or pain while walking or using hands.

#### Diagnosis
- Clinical examination and patient history.
- Skin biopsy may be performed to rule out other skin conditions.
- Blood tests if a systemic condition is suspected.

#### Treatment Options
- **Emollients and skin softening creams**: Help reduce dryness and scaling.
- **Keratolytic agents (e.g., salicylic acid)**: Aid in removing thickened skin layers.
- **Topical or oral retinoids**: Used in severe cases to regulate skin cell production.
- **Protective measures**: Wearing padded gloves or insoles to minimize friction.

#### Prognosis and Follow-Up
- Condition is manageable with regular treatment and care.
- Regular follow-ups can ensure early detection of any secondary complications.
- Long-term outlook generally favorable with appropriate lifestyle modifications and treatment adherence.

#### Complications
- Fissures or cracks leading to possible secondary bacterial or fungal infections.
- Significant discomfort affecting quality of life if untreated.

#### Lifestyle & Prevention
- Avoiding irritants and wearing protective gear.
- Use of moisturizers to maintain skin elasticity and hydration.
- Regularly examining feet and hands to catch early signs of skin changes.

#### When to Seek Professional Help
- Persistent pain or discomfort despite home treatment.
- Development of open sores or suspicious changes in the skin texture.
- Symptoms significantly impacting daily activities.

#### Additional Resources
- [American Academy of Dermatology](https://www.aad.org)
- [National Institute of Arthritis and Musculoskeletal and Skin Diseases](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure the distinction between acquired and hereditary forms of keratoderma.
- Cross-reference with any systemic conditions that may be influencing the condition for comprehensive coding.

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