Palmar erythema

Palmar erythema involves reddening of the palmar surface of the hand. It is brought about by various conditions. The condition can manifest on its own or as a symptom of an underlying health condition.

The primary form of palmar erythema is linked to genetics but can also arise among pregnant women or as an idiopathic form.

What are the characteristics of palmar erythema?

  • Symmetrical reddening in both hands
  • Slightly warm to the touch

The reddening of the palms can be aggravated by anxiety, emotions or fear as well as excessive temperatures and if pressure is applied on the palm.

Palmar erythema

If the underlying condition responsible is treated or kept under control, palmar erythema will eventually subside.

What are the possible causes?

The main causes of palmar erythema include the following:

  • Chronic liver disease
  • Portal hypertension
  • Pregnancy
  • Eczema
  • Rheumatoid arthritis
  • Polycythemia
  • Psoriasis
  • Hand, foot and mouth disease
  • Rocky Mountain spotted fever
  • Kawasaki disease
  • Secondary syphilis

Management of palmar erythema

It is important to note that there is no treatment for palmar erythema. If the underlying condition responsible is treated or kept under control, palmar erythema will eventually subside.

In cases where the condition is a side effect of a certain drug, using the drug should be stopped or an alternative can be given that does not cause side effects.

Most of the autoimmune ailments that are linked with palmar erythema can be kept under control with corticosteroids. Nevertheless, the treatment could not be given for extended periods of time due to the detrimental effects on overall health.

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