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Living with Palmoplantar keratoderma, nonepidermolytic, focal or diffuse

A genetic skin condition with patches of thick skin on the soles, and sometimes the palms, that can blister painfully.

Understanding Palmoplantar keratoderma, nonepidermolytic, focal or diffuse

Palmoplantar keratoderma, nonepidermolytic, focal or diffuse is a rare genetic skin condition that thickens the skin on the soles and palms.

The thick skin often shows up in patches on the soles of the feet, and often on the palms too. The nails are little affected or not at all. Painful blisters on the soles are common. GARD lists the onset as childhood.

Signs & symptoms

Symptoms vary from person to person. GARD describes these features:

  • Patches of thick skin on the soles
  • Thick skin on the palms
  • Painful blisters on the soles
  • White patches in the mouth (subtle)
  • Heavy sweating of the soles (sometimes)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in KRT6C are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation for Ichthyosis and Related Skin Types and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What can help with the pain and blistering on my soles?
Which shoes or skin care could reduce rubbing and pressure?
Should my children have genetic testing for the KRT6C gene?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesKRT6C

Changes in the KRT6C gene cause this condition. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

GeneticSkin

Also known as: autosomal dominant focal non-epidermolytic palmoplantar keratoderma with plantar blistering; palmoplantar keratoderma, focal or diffuse; ppknefd

Patient organizations

Source: NIH GARD · Palmoplantar keratoderma, nonepidermolytic, focal or diffuseGARD ID 17669 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Palmoplantar keratoderma, nonepidermolytic, focal or diffuse.

Explore the Palmoplantar keratoderma, nonepidermolytic, focal or diffuse blog

Explore research for Palmoplantar keratoderma, nonepidermolytic, focal or diffuse

Explore actively recruiting Palmoplantar keratoderma, nonepidermolytic, focal or diffuse studies with HealthSpark.

HealthSpark

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