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hyperkeratinization

Hyperkeratinization is a process in which the epidermis produces an abnormally thick or keratin-rich outer layer, resulting in an excess of keratin in the stratum corneum. It encompasses conditions in which keratinocytes differentiate or shed too slowly, leading to thickened, dry, or scaly skin and, in some cases, mucosal surfaces.

Pathophysiology commonly involves altered keratinocyte differentiation and cornification, often driven by mechanical irritation, inflammation, or genetic

Causes and clinical contexts vary widely. Local friction or pressure can produce focal hyperkeratosis such as

Diagnosis is typically clinical, supported by history and physical examination. In uncertain cases, a skin biopsy

Treatment focuses on the underlying cause and symptom relief. Topical keratolytics such as salicylic acid, urea,

factors.
Histologically,
hyperkeratinization
is
characterized
by
an
enlarged
stratum
corneum
(hyperkeratosis);
there
may
also
be
parakeratosis,
depending
on
the
underlying
cause
and
the
balance
of
proliferation
and
shedding.
calluses.
Inflammatory
or
autoimmune
skin
diseases
(for
example,
eczema
or
psoriasis)
can
feature
follicular
or
diffuse
hyperkeratinization.
Genetic
keratinization
disorders,
such
as
ichthyoses,
involve
widespread
abnormal
keratinization.
Nutritional
or
metabolic
factors
may
contribute
in
some
cases,
and
hyperkeratinization
can
affect
mucous
membranes
in
certain
conditions.
can
distinguish
hyperkeratosis
from
other
skin
diseases
and
assess
the
pattern
of
keratinization.
or
lactic
acid
help
loosen
dense
keratin.
Emollients
improve
hydration
and
shedding,
while
retinoids
may
normalize
keratinocyte
differentiation
in
more
extensive
or
genetic
keratinization
disorders.
In
severe
cases,
systemic
therapies
may
be
considered.