Author: George Shand, final year medical student, University of Auckland. The degree of redness varies with emotional states, elevation of the hand, temperature and pressure on the palm. Palmar erythema. The redness of palmar erythema is due to increased dilatation of surface capillaries in the hand.
The degree of redness is often related to the severity of any underlying disease if present. In many cases, this can be related to the amount of circulating oestrogen. Palmar erythema may be completely normal for an individual primary or be a sign of underlying disease secondary. Nav Open Icon. Health articles Chevron Icon. Featured topics. Symptom checker. Editorial standards. Who we serve Chevron Icon. Brokers and Consultants.
Solutions Chevron Icon. Care Navigation. Sections Icon. Doctor questions. Buoy Chat Icon. Symptom Checker. Verified By Experts Icon. Verified by experts 2 min read. No Ads. Last updated January 14, Heart Icon. Speech Bubble Icon. Share Icon. Facebook Icon. LinkedIn Icon. Pinterest Icon. Pocket Icon. The literature argues in favor of an irregular dominant inheritance, as proposed by Wolff and Rupec [ 2 ] as well as Kluger and Guillot [ 3 ].
It was possible to eliminate the differential diagnoses of hepatic pathologies, palmoplantar hyperkeratosis as well as hyperhidrosis. Further differential diagnoses would have been chronic polyarthritis, collagenosis and endocrine functional pathologies [ 3 ], none of them being identified for the patient given.
With the exception of an operated cervical stenosis, the patient does not have any physical complaints and hence can be compared to one of Lane's patients [ 1 ]. The diagnosis of erythema palmare symptomaticum was excluded, despite 30 pack-years of nicotine abuse, because the erythema has been persisting unchanged since the woman's birth, independent of external factors like physical activity [ 4 ].
Since it is a benign and asymptomatic skin alteration with dilatation of blood vessels in the subcutis without any signs of inflammation, there is no indication for any therapy [ 5 ]. Only a few cases of erythema palmare hereditarium have been published up to now. A literature research in German as well as English resulted in the following papers: Sarma and Wang [ 6 ], Rupec et al.
The aim of this article is on the one hand to increase the concentration of published articles about inherited palmar erythema by presenting this case description. On the other hand, it should be pointed out that a redness of the palms does not necessarily have its reasons in a pathological cause, but can also be the expression of erythema palmare hereditarium. National Center for Biotechnology Information , U. Journal List Case Rep Dermatol v. Case Rep Dermatol. Published online Oct Author information Copyright and License information Disclaimer.
Karger AG, Basel. Abstract Erythema palmare hereditarium is a very rare, benign alteration of the skin which can be found mostly on the palms and soles. Key words: Erythema palmare hereditarium, Red palms, Lane's disease.
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