Abstract Background: The skin of the palmar surface of the fingers, hands and plantar surface of feet and toes differ from rest of the body. The epidermal ridges of these region form different types of configuration. These configurations of epidermal ridges of palms, fingers and soles are known as dermatoglyphics. Dermatoglyphics may be affected by certain abnormalities of early development, including genetic disorders. Analysis of dermatoglyphic is beginning to prove itself as a useful tool for preliminary investigation in conditions with a suspected genetic basis. Several studies were done in abroad comparing dermatoglyphic patterns in pulmonary tuberculosis patients and normal individuals. The present study on palmar dermatoglyphics pattern was carried out to provide dermatoglyphic as a tool for early prediction of pulmonary tuberculosis, by comparing dermatoglyphic patterns of pulmonary tuberculosis patients with the normal healthy individuals.