By Gary M. White, MD
The palms are important. Patients need their palms healthy and intact in order to carry out their daily activities. Because the palms are in constant use and have frequent contact with the environment, skin ailments are common, particularly contact dermatitis, both irritant and allergic. Because of the constant friction and exposure to the elements, the body has made the palms thick and more resistant. Thus, topical steroids prescribed here need to be of high potency to work. Hydrocortisone will not do.
Desquamation Desquamation of the palms is not uncommon after a diffuse rash, e.g., a drug eruption as shown here.
See Hand Dermatitis.
Hyperhidrosis of the palms and soles. Hyperhidrosis is most common on the palms and soles or axilla.
Punctate Keratoses Of The Palmar Creases
For a discussion, see SciELO.
Circumscribed Palmar Hypokeratosis
Hyperlinear Palms. An increased number of lines are seen in patients with atopic dermatitis.
Mycobacterium Abscessus Pediatric Dermatology Vol. 31 No. 3 292–297, 2014
Recurrent Palmoplantar Hidradenitis In Children
Granuloma Annulare, Acute
Nodular Fibromatosis. See Plantar Fibromatosis.
Tinea Nigra Palmaris
Basal Cell Nevus Syndrome
Darier Disease [JAAD 1992;27;44]
Epidermodysplasia Verruciformis [Cutis 1993;52;53]
Facial Trichoepitheliomas [JAAD 1990;22;1108(CP)]
Reticulate Acropigmentation of Kitamura
Porokeratotic Eccrine Ostial and Dermal Duct Nevus. A congenital plaque of keratotic papules and comedone-like pits is characteristic. The palm is most commonly affected, followed by the sole.
Dermatitis Herpetiformis (DH). Purpuric, pruritic macules on the palms and palmar sides of the fingers is characteristic of DH. This manifestation of DH may occur in both adults and children. Some experts state that these hemorrhagic palmoplantar lesions are characteristic of childhood DH. [PD 1994;11;31].
Poststreptococcal Pustulosis For a picture, see The Lancet, Infectious Disease Volume 13, No. 8, p655–656, August 2013.
Acral Erythema Of Chemotherapy
Gloves And Socks Syndrome
Graft vs. Host Disease
Palmar Erythema, here of pregnancy.
Pityriasis Rubra Pilaris
Congenital Red Palms. Erythema palmare hereditarium is a benign condition in which erythema presents usually at birth and remains stable throughout life. For a picture, see JAAD August 2010 Volume 63, Issue 2, Page e46 or Case Rep Dermatol. 2014 Sep-Dec; 6(3): 245–247.
See Hand Dermatitis. Irritant hand dermatitis shown here.
Vohwinkel Syndrome. Courtesy of Michael O. Murphy, MD
Porokeratosis Palmaris Plantaris Et Disseminata
Two Foot, One Hand Disease
Desquamation. Diffuse scaling of the palms may occur after a wide variety of diffuse rashes (here after a flare of dissecting cellulitis of the scalp).
Hand, Foot, And Mouth Disease
Aquagenic Wrinkling Of The Palms
See also Carotenemia above.
Xanthoma Striatum Palmare
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