HAND, DORSA

By Gary M. White, MD

Annular

Granuloma Annulare
Granuloma Annulare

Hyperkeratotic Papules

Actinic Keratoses
Actinic Keratoses

Eczematous

Nummular Eczema
Nummular Eczema

Linear

Burn of the hand--very common.
Burn on the hand

Multiple Waxy Papules

Colloid Milium
Colloid Milium

Necrotic, Ulcerative Lesions

Neutrophilic Dermatosis of the Dorsal Hands
Neutrophilic Dermatosis of the Dorsal Hands

Nodules

Squamous Cell Carcinoma

Numbness

Cheiralgia Paresthetica. The patient may complain of numbness, tingling, burning, or pain on the back or side of the hand at the base of the thumb, but symptoms may extend up the back of the thumb and index finger and across the back of the hand.

Pigmented Macules

Solar Lentigines and sun damage.
Solar Lentigines or Freckles and Sun Damage

Papules and Plaques, Multiple

Erythema Elevatum Diutinum

Purpura

Solar Purpura
Solar Purpura

Verrucous Nodules

Warts
Warts on the Hands

Vesicles, Bullae, Erosions

Epidermolysis Bullosa Acquisita

Porphyria Cutanea Tarda
Porphyria Cutanea Tarda

Pseudoporphyria. Vesicles and fragility of the skin are seen in sun-exposed areas, very similar to porphyria cutanea tarda.

Phytophotodermatitis. A woman who made ceviche with lime and lemon and then went out in the sun.
Phytophotodermatitis from Sun after Exposure to Lime and Lemon

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