Possible Causes for palmar erythema Osteoarthritis Osteoarthritis is a major source of pain, disability, and socioeconomic cost worldwide. The epidemiology of the disorder is complex and multifactorial, with genetic, biological, and biomechanical components. Aetiological factors are also joint specific. Joint replacement is an effective treatment for symptomatic end-stage[…] [ncbi.nlm.nih.gov] Liver Cirrhosis erythema) itchy skin hair loss dark coloured urine fluid retention in the abdomen and legs internal bleeding presenting as dark-coloured stools or vomiting blood hormone [betterhealth.vic.gov.au] erythema (PALE HAND WITH ISLANDS OF REDNESS OVER THENAR AND HYPOTHENAR EMINENCE) Duputryen’s contracture Clubbing (only in biliary cirrhosis) Terry’s “half & half” nails [stanfordmedicine25.stanford.edu] Palmar erythema. Bruising. Petechiae or purpura. Hair loss. White nails (horizontal white bands or a proximal white nail plate; sign of hypoalbuminaemia). [patient.info] Ankle Sprain This case report presents a 28-year-old man with foot drop 48 hours after a grade I inversion ankle sprain. Clinical examination and electrodiagnostic studies showed common peroneal nerve palsy. The patient was managed with conservative treatment and rehabilitation and recovered completely 4 months after the[…] [ncbi.nlm.nih.gov] Sepsis To define the terms "sepsis" and "organ failure" in a precise manner. Review of the medical literature and the use of expert testimony at a consensus conference. American College of Chest Physicians (ACCP) headquarters in Northbrook, IL. Leadership members of ACCP/Society of Critical Care Medicine (SCCM). An[…] [ncbi.nlm.nih.gov] Hyperthyroidism There may be palmar erythema, and increased sweating of the palms. Check their pulse: there may be tachycardia. Whereas in hypothyroidism, you would expect bradycardia. [web.archive.org] Palmar erythema. Sweaty and warm palms. Fine tremor. Tachycardia - may be atrial fibrillation and/or heart failure (common in the elderly). [patient.info] Knee Sprain ATLANTA (AP) — An MRI on DeMarre Carroll 's left knee showed no structural damage, and he hopes to play for Atlanta in Friday night's Game 2 against Cleveland in the Eastern Conference finals, Carroll's agent said Thursday. Mark Bartelstein told The Associated Press that Carroll has only a knee sprain and "maybe[…] [nba.com] Rheumatoid Arthritis erythema). [dermnetnz.org] […] nodosum, lobe panniculitis, atrophy of finger skin, palmar erythema, and skin fragility (often worsened by corticosteroid use). [en.wikipedia.org] (thin and wrinkled), making it fragile and easy to bruise Pale or even translucent skin on the back of the hands Brittle nails that are split length-wise Reddened palms (palmar [dermnetnz.org] Fatty Liver erythema, or splenomegaly), laboratory findings (eg, decreasing platelets, elevated bilirubin, or decreasing albumin), patient complaints (eg, encephalopathy, ascites, or [emedicine.com] […] disease should be seen regularly by a primary care physician, who may be able to detect disease progression through physical examination findings (eg, spider telangiectasia, palmar [emedicine.com] Palmoplantar Pustulosis Acropustulosis, or chronic palmar plantar pustulosis (PPP), is a phenomenon of recurrent sterile pustules, erythema, and scaling affecting the palms and soles. [mayoclinic.pure.elsevier.com] Tinea pedis - commonly unilateral or asymmetrical erythema, scaling and pustules. Toe clefts and nails are usually involved. [patient.info] AB - Acropustulosis, or chronic palmar plantar pustulosis (PPP), is a phenomenon of recurrent sterile pustules, erythema, and scaling affecting the palms and soles. [mayoclinic.pure.elsevier.com] Primary Biliary Cirrhosis Pruritus Abnormal bleeding or bruising Pale stool or dark urine Examination Jaundice Xanthelasma and tendon xanthomata Hepatosplenomegaly Features of chronic liver disease Palmar [oxfordmedicaleducation.com] erythema, ascites, temporal and proximal muscle wasting, and peripheral edema American Liver Foundation. [emedicine.medscape.com] Prominent spider angiomas and redness of the palms of the hands (palmar erythema) are usually present. delirium tremens may be a difficult problem during the early phase of [medical-dictionary.thefreedictionary.com] Endocarditis BACKGROUND: Fistula to the pericardial cavity is a very rare complication of perivalvular abscess during infective endocarditis, with Staphylococcus aureus being the most commonly associated microorganism. METHODS: We report a fatal septic shock due to a mitral endocarditis revealed by a myocardial abscess[…] [ncbi.nlm.nih.gov] Hepatitis C Often, the first findings are signs of cirrhosis (eg, splenomegaly, spider nevi, palmar erythema) or complications of cirrhosis (eg, portal hypertension, ascites, encephalopathy [msdmanuals.com] Often, the first findings are signs of chronic liver disease (eg, splenomegaly, spider nevi, palmar erythema) or complications of cirrhosis (eg, portal hypertension, ascites [merckmanuals.com] The physical examination may reveal signs of liver disease such as spider angiomata, palmar erythema and telangiectasia. [doi.org] Laceration Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendon's injuries occur near the injured area and their repair depend on traumatized zone, sutures[…] [ncbi.nlm.nih.gov] Chronic Hepatitis erythema Patients with advanced cirrhosis may develop ascites or esophageal varices Serum enzyme levels usually fluctuate but may be elevated 2x to 10x Many patients with [pathologyoutlines.com] Palmar erythema. Jaundice. Clubbing. Dupuytren's contracture (alcoholic cirrhosis). Xanthomas: palmar creases or above the eyes in primary biliary cirrhosis. [patient.info] […] asymptomatic or have mild nonspecific complaints such as fatigue Physical findings are typically few; may include hepatomegaly or other stigmata of chronic liver disease, such as palmar [pathologyoutlines.com] Sickle Cell Anemia Sickle cell disease (sickle cell anemia, drepanocytosis) is an autosomal recessive blood disorder, characterized by sickle-shaped erythrocytes. Chronic anemia is present in all individuals with sickle cell disease. It is generally asymptomatic, though patients report chronic fatigue and exercise intolerance.[…] [symptoma.com] Portal Cirrhosis erythema: Exaggerations of normal speckled mottling of the palm, due to altered sex hormone metabolism.[7] Palmar erythema affects mainly the thenar and hypothenar prominences [slideshare.net] DIAGNOSIS Can be asymptomatic for decades History Physical findings: Hepatomegaly, jaundice, ascites, spider angioma, splenomegaly, palmar erythema, fetor hepaticus, purpura [slideshare.net] Prominent spider angiomas and redness of the palms of the hands (palmar erythema) are usually present. delirium tremens may be a difficult problem during the early phase of [medical-dictionary.thefreedictionary.com] Charcot-Marie-Tooth Disease We report a severe phenotype of Charcot-Marie-Tooth (CMT) disease type 1E caused by a novel p.Phe84Leufs*24 PMP22 point mutation. Ultrastructural examination of a nerve biopsy showed non- or partly myelinated axons which were surrounded by "onion bulb" formations mainly composed of concentric basement[…] [ncbi.nlm.nih.gov] Tobacco Use Disorder Tobacco use is a pervasive public health problem and the leading cause of preventable morbidity and mortality in the United States. This article reviews the epidemiology of tobacco use in youth, with a description of cigarettes, alternative tobacco product, and polytobacco use patterns among the general population[…] [ncbi.nlm.nih.gov] Cryptogenic Cirrhosis Age, jaundice, spiders, palmar erythema and factor V showed a statistically significant difference of the cryptogenic cirrhosis when compared with both alcoholic and viral [ncbi.nlm.nih.gov] erythema, spider angiomata, abdominal distention, weight loss, edema, varices, asterixis, and other cause-specific findings. [statpearls.com] erythema) besides milder alterations of laboratory liver function tests. [ncbi.nlm.nih.gov] Macronodular Cirrhosis PHYSICAL FINDINGS & CLINICAL PRESENTATION SKIN: Jaundice, palmar erythema (alcohol abuse), spider angiomata, ecchymosis (thrombocytopenia or coagulation factor deficiency) [encyclopedia.lubopitko-bg.com] erythema, spider nevus, testicular atrophy, gynecomastia) Complications: Decompensation: development of jaundice, ascites, variceal hemorrhage or hepatic encephalopathy Portal [pathologyoutlines.com] Multiple skin findings may include abnormal pigmentation, palmar erythema, spider angiomas, ecchymoses, and dilated abdominal veins. [medical-dictionary.thefreedictionary.com] Spider Naevus erythema all are recognized sequelae of liver disease (12, 14). [medical-dictionary.thefreedictionary.com] He will also be remembered for his poetry on the subject of alcoholic cirrhosis, spider naevi and palmar erythema and it is worthy of repetition: [ 7 ] An older Miss Muffett [patient.info] erythema, leukonychia, and jaundice. [dermnetnz.org] Cholestasis of Pregnancy THE LIVER IN NORMAL PREGNANCY 9 Liver palpation. ... 9 Spider angiomas and palmar erythema 9 Histological changes in liver biopsies 10 Liver blood flow ... 10 Hemoglobin and [books.google.de] The physical examination of a pregnant woman can show skin changes suggesting chronic liver disease, such as palmar erythema and spider angiomas. [clevelandclinicmeded.com] Hepatopulmonary Syndrome Clinically the patient may have signs and symptoms of liver disease, including gastrointestinal bleeding, esophageal varices, ascites, palmar erythema, and splenomegaly. [medical-dictionary.thefreedictionary.com] Physical findings: The signs of impaired liver functioning may include: • Gastrointestinal bleeding; • Esophageal varices; • Ascites; • Palmar erythema; • Spider nevi; and [secure.ssa.gov] erythema gynecomastia jaundice spider nevi (spider angiomas) Imaging Transthoracic contrast echocardiography indications in patients who have evidence of impaired arterial [step2.medbullets.com] Cardiac Cirrhosis Prominent spider angiomas and redness of the palms of the hands (palmar erythema) are usually present. delirium tremens may be a difficult problem during the early phase of [medical-dictionary.thefreedictionary.com] erythema, spider nevus, testicular atrophy, gynecomastia) Complications: Decompensation: development of jaundice, ascites, variceal hemorrhage or hepatic encephalopathy Portal [pathologyoutlines.com] Symptoms associated with the underlying disease: Cirrhosis of the liver: red palms (palmar erythema), dilation of the capillaries in the skin in the shape of red spiders [mediktor.com] Chronic Liver Disease Chronic liver diseases are known to cause several skin manifestations, including cutaneous vascular changes such as spider naevus and palmar erythema. [ncbi.nlm.nih.gov] Nail clubbing Palmar erythema Spider nevi (angiomata) Gynaecomastia Feminising hair distribution Testicular atrophy Small irregular shrunken liver Anaemia Caput medusae Drowsiness [en.wikipedia.org] Stigmata of CLD – jaundice, clubbing, leukonychia, palmar erythema, spider naevi, Common Presentations gynaecomastia, testicular atrophy i. [slideshare.net] Acrodynia He was irritable and depressed, and had a diffuse itching papular rash with palmar erythema and superficial desquamation (fig 1). [doi.org] The skin was dry and rough with a scaly eczematous rash on his arms and legs, without palmar or plantar erythema. [doi.org] Figure 1 Diffuse itching papular rash with palmar erythema and superficial desquamation in a 4½ year old boy. References Ellenhorn MJ, Schonwald S, Ordog G, et al. [doi.org] Thallium Poisoning erythema with negative antinuclear antibodies followed by keratoconjunctivitis sicca; and (5) triggered the onset of SLE with diffuse proliferative glomerulonephritis. [ncbi.nlm.nih.gov] Dermatology Hair loss, rashes and palmar erythema take 2-4 weeks to appear. There is atrophy of the hair follicles. [patient.info] […] followed by a persistent chronic polyarthritis; (3) mimicked SLE with negative antinuclear antibodies and no residual disease; (4) caused arthralgia, Raynaud's phenomenon and palmar [ncbi.nlm.nih.gov] Pericholangitis erythema • Excoriations due to pruritus 8. [es.scribd.com] erythema Skin excoriations due to pruritus Bambha K, Kim WR, Talwalkar J. [emedicine.medscape.com] Abnormal physical findings • Jaundice • Hepatomegaly • Splenomegaly • Ascites and edema • Spider angiomata • Leukonychia • Muscle wasting • Gynecomastia • Testicular atrophy • Palmar [es.scribd.com] Chorea Gravidarum Vascular changes of the skin in pregnancy; vascular spiders and palmar erythema. Surg Gynecol Obstet. 1949 Jun. 88(6):739-52. [Medline]. [emedicine.com] Alcoholic Liver Disease Caput medusae and palmar erythema are cardinal signs in cirrhosis of liver with portal hypertension. [ncbi.nlm.nih.gov] erythema cutaneous telangiectasia asterixis Other Factors ascites weight loss weight gain malnutrition and wasting anorexia fatigue confusion pruritus fever nausea and vomiting [online.epocrates.com] erythema Dupytren's contracture Spider naevi Telangactasia Bruising Oedema (hypoalbuminaemia) Parotid swelling Gynaecomastia Hepatomegaly Testicular atrophy Encephalopathy [ceaccp.oxfordjournals.org]
