II. Causes: Itchy Blister
- Dyshidrotic Eczema
- Nummular Eczema
- Contact Dermatitis
- Tinea Manum and Tinea Pedis
- Insect Bite reaction
III. Causes: Erosion and excoriation
-
Impetigo or super-infected dermatitis (most common)
- Treat with Dicloxacillin or Erythromycin x7-10 days
- Scabies
IV. Causes: Blister becoming Pustule
V. Causes: Pustule
-
Bacterial Infection (Most common)
- Staphylococcus Aureus most common cause
- Fungi (dermatophytes, tinea)
- Psoriasis
- Old Blisters collecting debris
VI. Causes: Solitary or scattered Pustules
-
Bacterial Infection or Sepsis
- Consider NeisseriaGonorrhea, Candida
- Culture!
- Suspect Sepsis with Hemorrhagic Pustules
- Sporotrichosis
- Herpes simplex (Whitlow)
VII. Causes: Scaly Papules and Plaques
- Psoriasis
- Secondary Syphilis
- Reiter's Syndrome
- Bowen's Disease (Squamous Cell Carcinoma In Situ)
- Discoid Lupus (scarring)
- Tinea does not usually present with multiple lesions
- Palmoplantar Pustulosis (Pustular Psoriasis)
VIII. Causes: Red palms and or soles with Generalized Rash
- Systemic Lupus Erythematosus
- Dermatomyositis
- Kawasaki Disease (followed by Desquamation)
- Liver disease
- Drug Eruption
- Viral Exanthem
IX. Causes: Desquamation palms and soles
- Kawasaki Disease (late finding)
- Scarlet Fever
- Toxic Shock Syndrome
- Drug Eruption
- Dyshidrosis
- Mercury Poisoning
- Chikungunya
X. Causes: Pigmented lesions
- Acral Lentiginous Melanoma
- Racial trait
- Postinflammatory pigment
XI. Causes: Painful palm and sole lesions
-
Bacterial Endocarditis
- Osler Nodes (Painful raised lesions on palms and soles)
- Janeway Lesions (Painless hemorrhagic Nodules on palms or soles)
XII. Causes: Miscellaneous Hand and Foot Dermatitis
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Disease or Syndrome (T047) |
| English | Palmoplantar rash |
| Spanish | Erupción palmoplantar |
| Dutch | palmoplantaire uitslag |
| Italian | Rash palmoplantare |
| German | Ausschlag palmoplantar |
| French | Rash palmo-plantaire |
| Portuguese | Erupção palmoplantar |
| Czech | Palmoplantární vyrážka |
| Japanese | ｼｮｳｾｷﾎｯｼﾝ, ｼｮｳｾｷﾊｯｼﾝ, 掌蹠発疹 |
| Hungarian | Palmoplantaris kiütés |
Ontology: Acral form of skin peeling limited to hands and feet (609796) (C2678354)
| Concepts | Finding (T033) |
| English | Acral form of skin peeling limited to hands and feet (609796) |
