Hand Palm

Specific skin diseases involving the palms

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Blisters   Joined vesicles of Pompholx eczema.Friction blister,Epidermolysis bullosa

Hand Dermatitis   Allergic contact dermatitis,Hyperkeratotic eczema,Id reaction,Irritant hand dermatitis,Pompholyx

Hyperhidrosis   Hyperhidrosis

Hyperkeratotic Papules   Arsenical keratoses,Keratosis punctata,Lichen nitidus,Punctate keratosis of palmar creases,Verruca vulgaris

Infective   Scabies,Hand foot and Mouth disease,Two feet one Hand disease(Tinea)

Keratodermas   Adult onset-Idiopathic,Epidermolytic hyperkeratosis,Hidrotic ectodermal dysplasia,Howell Evans Syndrome,Keratosis palmaris striata,Mal de Meleda syndrome,Pachyonychia congenita,Papillon Lefevre syndrome,Punctate keratoderma,Richner Hanhart syndrome,Scleroatrophic syndrome of Huriez,Unna thost syndrome,Vohwinkel's syndrome

Linear   Dupuytren's contracture

Nodule   Nodular fibromatosis

Papulosquamous   Secondary syphilis

Pigmented   Tinea nigra palms

Pits   Palmar pits (Basal cell nevus syndrome,Darier's disease,facial trichoepitheliomas)

Purpura   Janeway lesions,Bleeding into pompholyx,Parvo virus infection (purpuric gloves and socks syndrome) Fixed drug,Erythema multiforme.

Pustules   Infantile acropustulosis,Localised pustular psoriasis,Palmar plantar pustulosis,Scabies(infants)

Red   Acral erythema of chemotherapy,Acrodynia,Erythromelalgia,Erythema multiforme,Hepatitis C infection,Kawasaki's disease,Palmar erythema of pregnancy,Palmar erythema from liver disease,

Red scaly   Psoriasis,Lichen planus,Tinea manum,Secondary syphilis

Reticulated   KID syndrome

Ridges   Porokeratosis palmaris plantaris et disseminata

Velvety   Tripe palms

Vesicles   Hand foot and mouth disease,Pompholyx eczema

Yellow   Carotenemia (eyes are not icteric),Xanthoma striatum palmare

Modified from Regional Dermatology Gary M White