Juvenile plantar dermatosis

Juvenile plantar dermatosis is a condition usually seen in children between the ages of 3 and 14, and involves the cracking and peeling of weight bearing areas of the soles of the feet.^[1]

Juvenile plantar dermatosis
Other names	Atopic winter feet, Dermatitis plantaris sicca, Forefoot dermatitis, Moon-boot foot syndrome, and Sweaty sock dermatitis[1]
Specialty	Dermatology

One of the earliest descriptions was made by British dermatologist Darrell Wilkinson.^[2]

Signs and symptoms

The anterior portion of the sole and the plantar surfaces of the toes are the areas most commonly impacted.^[3] The dorsal surface of the toes, the heels, and the fingertips are other occasionally afflicted locations. The spared web gaps between the toes is a defining trait of juvenile plantar dermatosis. The symptoms of a lesion are bright, red, dry spots. Scaling and fissuring may be visible in chronic situations.^[4]

Causes

It is unclear exactly what causes juvenile plantar dermatosis (JPD) and how it develops.^[5] JPD is frequently observed in "atopic" children, or those with hay fever, asthma, atopic dermatitis, or eczema.^[6] The warm summertime temperatures can make it worse.^[4]

Treatment

JPD does not have a particular treatment. Avoiding too much moisture by wearing breathable shoes and avoiding shoes altogether are examples of management techniques. This lessens the effects of occlusion and friction, which encourage cutaneous peeling and cracking, and may assist to decrease perspiration. While they are often used to reduce acute inflammation, topical corticosteroids do not appear to have a direct impact on the etiology. Recurrence is therefore frequent after corticosteroid medication is stopped.^[5]

Epidemiology

Juvenile plantar dermatosis (JPD) affects children aged 3 to 15,^[3] but is more commonly observed in boys aged 4 to 8.^[4]

See also

• Sulzberger–Garbe syndrome
• List of cutaneous conditions

References

1. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
2. "Munks Roll Details for Peter Edward Darrell Sheldon Wilkinson". munksroll.rcplondon.ac.uk. Archived from the original on 2017-11-10. Retrieved 2017-11-10.
3. Griffiths, Christopher E. M.; Bleiker, Tanya O.; Creamer, Daniel; Ingram, John R.; Simpson, Rosalind C. (2022). "14. Eczematous disorders". Rook's Dermatology Handbook. John Wiley & Sons. p. 211. ISBN 978-1-119-42819-0.
4. Kalia, Sunil; Adams, Stewart P. (2005-09-09). "Dry, red, shinny lesions on the feet". Canadian Family Physician. 51 (9). College of Family Physicians of Canada: 1203, 1213. PMC 1479460. PMID 16190171.
5. Kumar, HariKishan; Naveen, S; Shankar, Keerthi (2016). "Juvenile plantar dermatosis: A barrier disease beyond eczema: An open prospective uncontrolled study in a tertiary care hospital of South India". Indian Journal of Paediatric Dermatology. 17 (1). Medknow: 13. doi:10.4103/2319-7250.173158. ISSN 2319-7250.
6. Shenoi, SD; Balachandran, C; Mehta, VandanaRai; Brar, KamalJeet (2005). "Clinical profile of forefoot eczema: A study of 42 cases". Indian Journal of Dermatology, Venereology and Leprology. 71 (3). Scientific Scholar: 179–181. doi:10.4103/0378-6323.16233. ISSN 0378-6323. PMID 16394407.

Further reading

• Graham, R. M.; Verbov, J. L.; Vickers, C. F. H. (1987). "Juvenile plantar dermatosis". Clinical and Experimental Dermatology. 12 (6). Oxford University Press (OUP): 468–469. doi:10.1111/j.1365-2230.1987.tb01954.x. ISSN 0307-6938. PMID 3504757. S2CID 20941407.
• ASHTON, R.E.; GRIFFITHS, W.A.D. (1986). "Juvenile Plantar Dermatosis-atopy or footwear?". Clinical and Experimental Dermatology. 11 (6). Oxford University Press (OUP): 529–534. doi:10.1111/j.1365-2230.1986.tb00504.x. ISSN 0307-6938. PMID 3665141. S2CID 2938305.

External links

• DermNet
• Rady Children's Hospital