title: [Surgical treatment of excessive hyperplasia symptom of skin keratosis at the limb ends].
abstract: OBJECTIVE
  We introduce the experience of treating 10 cases with excessive hyperplasia of skin keratosis at the limb end. There were 9 cases of palmar and plantar keratosis and 1 case of epidermodysplasia verruciformis.
  
  
  METHODS
  All cases received the operation of lesion excision and skin grafting except 2 cases who received skin flap for defect covering after lesion excision because of deep tissue exposure and postradiation ulcer.
  
  
  RESULTS
  The operative effects were satisfactory after 8 years of follow-up. No recurrence was found in all cases and all patients resumed normal activity.
  
  
  CONCLUSIONS
  The effect of the skin flap is better than skin graft at the plantar area. Because of lack of fibrous septum in the subcutaneous tissue, the flap, often moving during walking, is liable to trauma and ulceration. The operation area must be well protected.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Third Teaching Hospital of Beijing Medical University.
authors.forename: A
authors.initials: A
authors.lastname: Yan
authors.forename: X
authors.initials: X
authors.lastname: Niu
authors.forename: L
authors.initials: L
authors.lastname: Shen
mesh_terms: D000328:Adult; D004819:Epidermodysplasia Verruciformis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007645:Keratoderma, Palmoplantar / Q000235:genetics / Q000601:surgery*; D008297:Male; D010375:Pedigree; D013524:Surgical Flaps