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.

Acute Rash Primarily of Red Spots on the Palms

picture here


Desquamation Desquamation of the palms is not uncommon after a diffuse rash, e.g., a drug eruption as shown here.
Desquamation of the Palm


See Hand Dermatitis.


Hyperhidrosis of the palms and soles. Hyperhidrosis is most common on the palms and soles or axilla.

Hyperkeratotic Papule(s)

Keratosis Punctata
Keratosis Punctata

Spiny Keratoderma
Spiny Keratoderma

Arsenical Keratoses

Verruca Vulgaris

Punctate Keratoderma
Punctate Keratoderma

Punctate Keratoses Of The Palmar Creases
Punctate Keratoses Of The Palmar Creases

For a discussion, see SciELO.


Circumscribed Palmar Hypokeratosis


See Keratodermas


Hyperlinear Palms. An increased number of lines are seen in patients with atopic dermatitis.
Hyperlinear Palms

Dupuytren's Contracture

Simian Crease

Nodules, Inflammatory

Mycobacterium Abscessus Pediatric Dermatology Vol. 31 No. 3 292–297, 2014

Recurrent Palmoplantar Hidradenitis In Children

Granuloma Annulare, Acute
Granuloma Annulare


Nodular Fibromatosis. See Plantar Fibromatosis.
Nodular Fibromatosis




Psoriasis of the Hand

Secondary Syphilis
Secondary Syphilis


Tinea Nigra Palmaris

Benign Mole
Benign Mole on the Palm


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].

Janeway Lesions

Talon Noir


Infantile Acropustulosis

Palmoplantar Pustulosis
Palmoplantar Pustulosis

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
Gloves And Socks Syndrome

Graft vs. Host Disease

Kawasaki Disease

Palmar Erythema, here of pregnancy.
Palmar Erythema Of Pregnancy

Pityriasis Rubra Pilaris
Pityriasis Rubra Pilaris of the Palms

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.

Red, Scaly

See Hand Dermatitis. Irritant hand dermatitis shown here.
Hand Dermatitis

Reticulated Hyperkeratosis

Vohwinkel Syndrome. Courtesy of Michael O. Murphy, MD
Vohwinkel Syndrome

KID Syndrome


Porokeratosis Palmaris Plantaris Et Disseminata


Two Foot, One Hand Disease
Two Foot, One Hand Disease Two Foot, One Hand Disease

Keratolysis Exfoliativa
Keratolysis Exfoliativa

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).
Desquamation of the Palms after Dissecting Cellulitis of the Scalp Desquamation of the Palms after Dissecting Cellulitis of the Scalp



Tripe Palms


Hand, Foot, And Mouth Disease
Hand, Foot, And Mouth Disease

Pompholyx Pompholyx

Dyshidrosiform Pemphigoid


Aquagenic Wrinkling Of The Palms
Aquagenic Wrinkling Of The Palms


See also Carotenemia above.

Xanthoma Striatum Palmare
Xanthoma Striatum Palmare


Dupuytren's Contracture
Dupuytren's Contracture


Homepage | FAQs | Use of Images | Contact Dr. White

It is not the intention of to provide specific medical advice, diagnosis or treatment. only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.