Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the treatments for Punctate palmoplantar keratoderma type I ?
    ### Response:
    How might punctate palmoplantar keratoderma type 1 be treated? Treatment options for this condition generally include topical salicylic acid, mechanical debridement, excision, and systemic retinoids. These therapies can lead to a temporary decrease in skin thickness and softening of the skin.
    