7th June 2025

A 7-year-old boy was admitted to the A and E department with severe pain in his hands.

A 7-year-old boy was admitted to the A and E department with severe pain in his hands. On examination, waxy fissured hyperkeratosis was noted on the palmar surface of the hand with dorsal extension. The soles of his feet had similar findings, however there was no extension beyond the plantar surface of the foot. No other symptoms were present. His vital signs were stable. The patient has no allergies and is not on any regular medications. 

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