Palmoplantar keratoderma (PKD) is characterised by hyperkeratosis of palms and soles and represents a heterogeneous group of disease. They are either inherited or acquired and presents as three major clinical variants; diffuse, focal and punctate forms. Acquired plantar keratoderma may arise due to changes in a person's health or environment. Inherited PKD is caused by genetic changes that result in abnormalities of keratin, and follows an autosomal dominant or autosomal recessive pattern of inheritance. The causes of acquired variety being infective either bacterial or fungal and secondary to certain skin ailments like psoriasis, dermatitis, lupus erythematosus and lichen planus. Arsenic poisoning is also reported to be a potent cause for this condition. Diffuse hyperkeratosis in palm and soles are prominent clinical feature of this condition. Ayurveda considers all skin disorders under the umbrella terminology of Kushta. They are considered to be arising from the dis-equilibrated bodily humours (Tridosha). Based on the morphology of the lesions, diagnosis can be vipadika, which is a kshudra kushta. This case report showcase a non-transgradient plantar keratoderma successfully treated with Ayurvedic management protocols.

Keywords: Palmoplantar keratoderma, Vipadika, Kshudra kushta, Tridosha, Ayurvedic management.