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Hand Dermatitis
Aka: Hand Dermatitis, Foot Dermatitis, Distal Extremity Rash, Acral Skin Lesion, Palm and Sole Desquamation, Palm and Sole Pustules, Palmoplantar Rash- See Also
- Causes: Itchy Blister
- Dyshidrotic Eczema
- Nummular Eczema
- Contact Dermatitis
- Tinea Manum and Tinea Pedis
- Insect Bite reaction
- Causes: Erosion and excoriation
- Impetigo or super-infected dermatitis (most common)
- Treat with Dicloxacillin or Erythromycin x7-10 days
- Scabies
- Impetigo or super-infected dermatitis (most common)
- Causes: Blister becoming Pustule
- Causes: Pustule
- Bacterial Infection (Most common)
- Staphylococcus aureus most common cause
- Fungi (dermatophytes, tinea)
- Psoriasis
- Old Blisters collecting debris
- Bacterial Infection (Most common)
- Causes: Solitary or scattered Pustules
- Bacterial Infection or Sepsis
- Consider NeisseriaGonorrhea, Candida
- Culture!
- Suspect Sepsis with Hemorrhagic Pustules
- Sporotrichosis
- Herpes simplex (whitlow)
- Bacterial Infection or Sepsis
- 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)
- Causes: Red palms and or soles with Generalized Rash
- Systemic Lupus Erythematosus
- Dermatomyositis
- Kawasaki Disease (followed by Desquamation)
- Liver disease
- Drug eruption
- Viral Exanthem
- Causes: Desquamation palms and soles
- Kawasaki Disease (late finding)
- Scarlet Fever
- Toxic Shock Syndrome
- Drug Eruption
- Dyshidrosis
- Mercury Poisoning
- Chikungunya
- Causes: Pigmented lesions
- Acral Lentiginous Melanoma
- Racial trait
- Postinflammatory pigment
- 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)
- Bacterial Endocarditis
- Causes: Miscellaneous Hand and Foot Dermatitis