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Living with Punctate palmoplantar keratoderma type 1

A skin condition with hard, round bumps on the palms and soles, starting in the teen years or later.

Understanding Punctate palmoplantar keratoderma type 1

Punctate palmoplantar keratoderma type 1 is a rare skin condition with hard, round bumps of thickened skin on the palms and soles.

Signs usually begin in early adolescence or later. The bumps can be painful for some people. Some people have used surgery, such as removing the bumps and skin grafting.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hard, round bumps on the palms and soles
  • Thickened skin on the palms and soles (keratoderma)
  • Pain in the bumps for some people

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 AAGAB 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
Would genetic testing for the AAGAB gene help our family?
What treatments can ease the pain and thickening?
Do I need any extra health screening?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesAAGAB

This condition can be caused by changes in the AAGAB gene. It is usually autosomal dominant, meaning one changed copy of the gene is enough.

GeneticSkin

Also known as: buschke fischer brauer syndrome; buschke-fischer-brauer syndrome; keratodermia palmoplantaris papulosa buschke fischer brauer type; keratodermia palmoplantaris papulosa, buschke-fischer-brauer type; ppkp1

Patient organizations

Source: NIH GARD · Punctate palmoplantar keratoderma type 1GARD ID 3103 · 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 Punctate palmoplantar keratoderma type 1.

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