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eFigure 6–32. Pompholyx: classic “tapioca” vesicles may be intensely pruritic leading to scaling and fissuring in advanced cases. (Used, with permission, from S Goldstein, MD.) A photo illustrating pompholyx shows a dry, scaly, and circular patch in the center of the palm.

Current Medical Diagnosis & Treatment 2025 > Tinea Manuum & Tinea Pedis (Tinea of Palms & Soles)

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eFigure 6–33. Typical site for excoriated, vesiculopustular lesions due to scabies. (Used, with permission, from S Goldstein, MD.) A photo shows patches of dry, scaly, and grey lesions on the palms of a patient.

Current Medical Diagnosis & Treatment 2025 > Tinea Manuum & Tinea Pedis (Tinea of Palms & Soles)

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eFigure 6–73. Psoriasis involving palms of patient with darker skin (Used, with permission, from Kanade Shinkai, MD.) A patient with psoriasis exhibits irregular, dry, red plaques of various sizes overlaid with white scaling on the palms of the hands. The thumb joints are significantly swollen and malformed.

Current Medical Diagnosis & Treatment 2025 > Psoriasis

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Figure 6–28. Severe pompholyx. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley H. The Color Atlas of Family Medicine, 2nd ed. McGraw-Hill, 2013.) A photo of a patient’s palm covered with red, raised, and fluid filled blisters.

Current Medical Diagnosis & Treatment 2025 > Pompholyx

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eFigure 6–102. A: Erythema multiforme on the palm with target lesions that have a dusky red and white center. B: Erythema multiforme with target lesions on the palms secondary to an outbreak of oral herpes. C: Erythema multiforme with vesicles and blistering of the target lesions on the hand. D: Erythema multiforme on the dorsum of the hand showing targets with small, eroded centers. There should be some epidermal erosion to diagnose erythema multiforme. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) Four photos show the appearance of erythema multiforme.

Current Medical Diagnosis & Treatment 2025 > Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

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eFigure 6–102. A: Erythema multiforme on the palm with target lesions that have a dusky red and white center. B: Erythema multiforme with target lesions on the palms secondary to an outbreak of oral herpes. C: Erythema multiforme with vesicles and blistering of the target lesions on the hand. D: Erythema multiforme on the dorsum of the hand showing targets with small, eroded centers. There should be some epidermal erosion to diagnose erythema multiforme. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) Four photos show the appearance of erythema multiforme.

Current Medical Diagnosis & Treatment 2025 > Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

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eFigure 6–102. A: Erythema multiforme on the palm with target lesions that have a dusky red and white center. B: Erythema multiforme with target lesions on the palms secondary to an outbreak of oral herpes. C: Erythema multiforme with vesicles and blistering of the target lesions on the hand. D: Erythema multiforme on the dorsum of the hand showing targets with small, eroded centers. There should be some epidermal erosion to diagnose erythema multiforme. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) Four photos show the appearance of erythema multiforme.

Current Medical Diagnosis & Treatment 2025 > Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

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eFigure 6–102. A: Erythema multiforme on the palm with target lesions that have a dusky red and white center. B: Erythema multiforme with target lesions on the palms secondary to an outbreak of oral herpes. C: Erythema multiforme with vesicles and blistering of the target lesions on the hand. D: Erythema multiforme on the dorsum of the hand showing targets with small, eroded centers. There should be some epidermal erosion to diagnose erythema multiforme. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley HS. The Color Atlas and Synopsis of Family Medicine, 3rd ed. McGraw-Hill, 2019.) Four photos show the appearance of erythema multiforme.

Current Medical Diagnosis & Treatment 2025 > Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

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eFigure 18–4. Palmar erythema. (Reproduced, with permission, from Sherlock S, Summerfield JA. Color Atlas of Liver Disease. Mosby, 1991.) A photo shows that the surface of the inner palm is reddened.

Current Medical Diagnosis & Treatment 2025 > Jaundice & Evaluation of Abnormal Liver Biochemical Tests

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eFigure 18–23. Palmar erythema in chronic liver disease. Palmar erythema refers to reddening of the palms, specifically of the thenar and hypothenar eminences (arrows) and of the fingertips. This is a consequence of elevated circulating estrogen levels in chronic liver disease. (Used, with permission, from Neil Mehta, MD.) A photo shows that the inner palm is reddened along the edges.

Current Medical Diagnosis & Treatment 2025 > Cirrhosis

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eFigure 18–35. Tendinous xanthomas. (Reproduced, with permission, Sherlock S, Summerfield JA. Color Atlas of Liver Disease. Mosby, 1991.) A photo shows nodules in the palms of a patient.

Current Medical Diagnosis & Treatment 2025 > Primary Biliary Cholangitis

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eFigure 22–12. Tophi on a patient's hands. (Used, with permission, from Dr. Sarah Goglin) The patient exhibits clusters of small round yellow or white nodules with underlying erythema on the palms and digits.

Current Medical Diagnosis & Treatment 2025 > Crystal Deposition Arthritis

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eFigure 22–25. Raynaud phenomenon of the hands characterized by paroxysmal bilateral digital pallor and cyanosis followed by rubor; early in attacks, only one or two fingertips may be affected but as it progresses, all fingers down to the distal palm may be involved. (Used, with permission, from Nicole Richman, MD.) A photo shows that the upper portion of fingers in both hands of a patient are purple in color.

Current Medical Diagnosis & Treatment 2025 > Raynaud Phenomenon

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eFigure 22–28. Palmar telangiectasia with ulnar deviation in a patient with systemic sclerosis. (Used, with permission, from Rebecca L. Manno, MD.) A patient with systemic sclerosis exhibits numerous, red, hemorrhagic spots of various sizes over the skin of the palm and fingers.

Current Medical Diagnosis & Treatment 2025 > Systemic Sclerosis (Scleroderma)

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eFigure 22–46. Erosions at the distal (and proximal) interphalangeal joints in a patient with psoriatic arthritis. (Used, with permission, from Nicole Richman, MD.) An X-ray shows erosions of the finger joints of a palm.

Current Medical Diagnosis & Treatment 2025 > Psoriatic Arthritis

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Figure 35–3. Marked desquamation due to toxic shock syndrome, which develops late in the disease. (Public Health Image Library, CDC.) A photo shows a discolored palm, marked with few white lines.

Current Medical Diagnosis & Treatment 2025 > Staphylococcus Aureus Infections

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eFigure 36–2. Papular squamous eruption of the hands and feet of a woman with secondary syphilis. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley H. The Color Atlas of Family Medicine, 3rd ed. McGraw-Hill, 2019.) A photo (A) shows dried papules in the palms. A photo (B) shows dried papules in the sole of a foot.

Current Medical Diagnosis & Treatment 2025 > Clinical Stages of Syphilis

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eFigure 36–2. Papular squamous eruption of the hands and feet of a woman with secondary syphilis. (Reproduced with permission from Richard P. Usatine, MD, in Usatine RP, Smith MA, Mayeaux EJ Jr, Chumley H. The Color Atlas of Family Medicine, 3rd ed. McGraw-Hill, 2019.) A photo (A) shows dried papules in the palms. A photo (B) shows dried papules in the sole of a foot.

Current Medical Diagnosis & Treatment 2025 > Clinical Stages of Syphilis

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palm of hand