Unilateral Palmar Callus and Irritant Hand Eczema – Underreported Signs of Dependency on Crutches


  • Uwe Wollina Städtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden, Sachsen
  • Birgit Heinig Städtisches Klinikum Dresden - Center of Physical and Rehabilitative Medicine, Dresden
  • Georgi Tchernev Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia; Onkoderma, Policlinic for Dermatology and Dermatologic Surgery, Sofia
  • Katlein França Department of Dermatology and Cutaneous Surgery, Department of Psychiatry & Behavioral Sciences; Institute for Bioethics and Health Policy, University of Miami Miller School of Medicine, Miami, FL
  • Torello Lotti University of Rome, Institute of Deramtology, Rome




Leg amputees, Crutches, Mechanical forces, Hyperkeratosis, Friction, Cheiropompholyx, Palmar skin


Leg amputees who can’t use prostheses and patients with arthritis are often dependent on crutches. Their chronic use can exert significant friction forces. The palmar skin will respond by forming a hyperkeratotic callus. We report for the first time unilateral palmar callus formation caused by friction from using crutches. Another possible adverse effect is the triggering of irritant contact dermatitis by the handholes of crutches. We report two cases with hand dermatitis due to the chronic dependence on crutches and discuss treatment options.


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Wollina U. Thermal and mechanical skin injuries. CME Dermatology. 2009;4:4-18.

Wollina U, Mohr F, Schier F. Unilateral hyperhidrosis, callosities and nail dystrophy in a boy with tethered spinal cord syndrome. Ped Dermatol. 1998; 15:486-487. https://doi.org/10.1046/j.1525-1470.1998.1998015486.x

Verma SB, Wollina U. Callosities of cross legged sitting: "Yoga sign" – an under recognized cultural cutaneous presentation. Int J Dermatol. 2008; 47:1212-1214. https://doi.org/10.1111/j.1365-4632.2008.03823.x PMid:18986470

Unal VS, Sevin A, Dayican A. Palmar callus formation as a result of mechanical trauma during sailing. Plast Reconstr Surg. 2005; 115:2161-2162. https://doi.org/10.1097/01.PRS.0000165485.77146.82 PMid:15923893

Sakiyama T, Kubo A. Hereditary palmoplantar keratoderma "clinical and genetic differential diagnosis". J Dermatol. 2016; 43:264-274. https://doi.org/10.1111/1346-8138.13219 PMid:26945534

Schiller S, Seebode C, Hennies HC, Giehl K, Emmert S. Palmoplantar keratoderma (PPK): acquired and genetic causes of a not so rare disease. J Dtsch Dermatol Ges. 2014; 12:781-788. https://doi.org/10.1111/ddg.12418

Wollina U (2001) Dyshidrose: ein arbeitsmedizinisches Problem? In: Grieshaber R, Schneider W (Hrsg) Prävention von arbeitsbedingten Gesundheitsgefahren und Erkrankungen. 7. Erfurter Tage. BGN Erfurt/Monade Verlag und Agentur, Leipzig, 2001: 203-208.

Wollina U. Pompholyx. A review of clinical features, differential diagnosis and management. Am J Clin Dermatol. 2008; 11:306-314.



How to Cite

Wollina U, Heinig B, Tchernev G, França K, Lotti T. Unilateral Palmar Callus and Irritant Hand Eczema – Underreported Signs of Dependency on Crutches. Open Access Maced J Med Sci [Internet]. 2018 Jan. 10 [cited 2022 Jan. 24];6(1):103-4. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.031

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