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hand lesions, skin
also see volar rash
Etiology:
1) macules
- drug eruption
- erythema multiforme
- solar lentigo (dorsum)
- Rocky Mountain Spotted fever
- secondary syphilis (palms, soles)
- vitiligo (dorsum)
- acral lentiginous melanoma
- Peutz-Jeghers syndrome
2) papules or plaques
- dermatomyositis (dorsum, over the knuckles)
- amyopathic dermatomyositis
- erysipeloid
- erythema multiforme (palm & dorsum)
- target lesions of erythema multiforme due to Herpes simplex
- granuloma annulare
- lichen planus
- lupus erythematosus (dorsum)
- psoriasis
- pyogenic granuloma (around nails)
- scabies
- solar keratosis (dorsum)
- eczematous dermatitis, subacute or chronic
- verruca plana
- verruca vulgaris
- hand, foot & mouth disease
- Cowden's disease (dorsum)
3) nodules or tumors
a) skin colored
- keratoacanthoma
- squamous cell carcinoma
- verruca vulgaris
b) erythematous
- granuloma annulare
- pyogenic granuloma
c) pigmented
- melanoma
4) vegetative lesions
- keratoacanthoma
- squamous cell carcinoma
- verruca vulgaris
5) scales
- dermatomyositis (dorsum, over the knuckles)
- mechanic's hands
- amyopathic dermatomyositis
- lupus erythematosus (dorsum)
- psoriasis
- secondary syphilis
- eczematous dermatitis, subacute or chronic
6) hyperkeratosis
- mechanic's hands
- keratoacanthoma
- solar keratosis (dorsum)
- X-ray dermatitis
- Cowden's disease (translucent punctate keratosis of palms & soles) [2]
7) lichenification
- chronic eczematous dermatitis
8) burrows
- scabies (between digits)
9) vesicles or bullae
- acute eczematous dermatitis
- dermatophytosis
- dyshidrotic dermatitis (repeated exposure to water)
- erythema multiforme
- Herpes simplex (erythema multiforme )
- porphyria (exposed areas)
- scabies
10) pustules
- dermatophytosis
- eczematous dermatitis
- palmoplantar pustulosis (palm)
- SAPHO syndrome
- pustular psoriasis (palm)
- scabies
11) erosions
- candidiasis (webs of fingers)
- porphyria cutanea tarda
12) ulcers
- squamous cell carcinoma
- X-ray dermatitis
13) scars
- porphyria cutanea tarda (exposed areas)
Related
hand
volar rash; palmar rash
General
differential diagnosis of skin lesions by body region
hand disorder
References
- Color Atlas & Synopsis of Clinical Dermatology, Common
& Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY,
1997, pg 994-1001
- NEJM Knowledge+ Dermatology
Ladizinski B, Lee KC.
Oral ulcers and targetoid lesions on the palms.
JAMA. 2014 Mar 19;311(11):1152-3.
PMID: 24643606