Trisha Shetty (Editor)

Palmar erythema

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Specialty
  
dermatology

ICD-9-CM
  
695.0

ICD-10
  
L53.8 (ILDS L53.840)

DiseasesDB
  
24070

Palmar erythema is reddening of the palms at the thenar and hypothenar eminences.

Causes

It is associated with various physiological as well as pathological changes, or may be a normal finding:

  • Portal hypertension
  • Chronic liver disease (including chronic hepatitis)
  • Pregnancy
  • Polycythemia
  • Thyrotoxicosis
  • Rheumatoid arthritis (especially in patients with polycythaemia)
  • Eczema and psoriasis
  • Deep telangiectasias
  • Coxsackievirus A infection (Hand, foot and mouth disease)
  • Rocky Mountain spotted fever
  • Secondary syphilis
  • Kawasaki disease
  • Adverse drug reaction: palmoplantar erythrodysesthesia (acral erythema)

    • Because circulating levels of estrogen increase in both cirrhosis and pregnancy, estrogen was thought to be the cause for the increased vascularity. More recently, nitric oxide has been implicated in the pathogenesis of palmar erythema.

    References

    Palmar erythema Wikipedia
    (Text) CC BY-SA


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