The degree of redness is often related to the severity of any underlying disease (if present). It is associated with various physiological as well as pathological changes, or may be a normal finding: Because circulating levels of estrogen increase in both cirrhosis and pregnancy, estrogen was thought to be the main cause for the increased vascularity. Palmar erythema was significantly higher in those with rheumatoid arthritis. If you have an underlying condition causing the palmar erythema, your doctor will work to treat it. Palmar erythema has no specific treatment. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Found inside – Page 109In decompensated disease with portal hypertension, obvious manifestations of ... liver disease including spider nevi, finger clubbing, and palmar erythema. This cutaneous condition article is a stub. In some cases, palmar erythema may be idiopathic. Unknown origin. For example, palmar erythema is associated with several forms of liver disease. Pregnancy is a common cause of palmar erythema. Brain tumors. Chief Editor: Hon A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, September 2015. You can help Wikipedia by expanding it. Erythema chronicum migrans, or erythema migrans, is a skin rash that occurs in people with early Lyme disease, a disease caused by the bite of an infected tick. No treatment is indicated for primary palmar erythema. Chapter topics include: * Preventative health issues in patients with cirrhosis * Nutrition in patients with cirrhosis * Management of hepatocellular carcinoma * Pulmonary issues in patients with cirrhosis * Timing of referral for liver ... DermNet NZ does not provide an online consultation service. Found inside – Page 179Certain signs which suggest chronic liver disease (Fig. 8.11): • Palmar erythema and spider naevi are due to excess oestrogen associated with reduced ... Liver transplantation is the ultimate treatment for cirrhosis and end-stage liver disease. Palmar erythema. Some medications may cause palmar erythema. Palmar erythema is also known as liver palms, red palms, or Lane’s disease. Q&A: Can You Get Flu and COVID Shot at the Same Time? Secondary palmar erythema can be the result of an underlying medical condition, medication, or environmental causes. Found inside – Page 247... 60–63 Osteoporosis, 60 Ovarian cysts, 74 Oxyphenisatin, 144 Palmar erythema, 31 Palpation of liver, 2 Pancreas, iron deposits, 340 Pancreatic cancer, ... The intensity of the redness depended on the type of tumor and its growth. Some researchers believe this has to do with increased hormone levels. Found inside – Page 652Palmar. erythema. Altered vasoconstrictor/vasodilator response Increased ... causes » Chronic liver disease » Autoimmune (e.g. rheumatoid arthritis) ... In many cases, this can be related to the amount of circulating oestrogen. Palmar erythema (red coloration of the palms and fingertips). » Found insideThis book also discusses the methods of diagnosis of HCC, the minimally invasive therapies for liver cancers, living donor liver transplantation for HCC, surgical management of liver metastases from colorectal cancers, and assessment and ... Found insideThis text provides a concise yet comprehensive overview of autoimmune hepatitis (AIH). If there is redness on the soles of your feet, that’s called plantar erythema. This means that there’s no known cause and you have no other associated health conditions. For the future: various antifibrotic drugs have been postulated that may slow down, or even reverse, the fibrotic process in cirrhosis and clinical trials have been carried out/are underway. Found inside – Page 246SIGNS AND SYMPTOMS OF DIABETES Palmar Erythema, Rubeosis Faciei, ... in which palmar erythema can be seen frequently include pregnancy, liver disease, ... The redness of the palms can appear at birth or later in life and remain from then on. This article describes the various forms of alcoholic liver disease (ALD), with particular emphasis on cirrhosis, the form of liver disease that often is most associated with alcohol abuse and about which the most information is available. HIV. Recent reports have described a secondary Multisystem Inflammatory Syndrome in Children (MIS-C) after a prior COVID-19 infection that often has features of Kawasaki disease (KD). Why Aren’t Doctors Prescribing Exercise for Patients? About 23% of those with liver cirrhosis have palmar erythema. Many of the changes to your blood vessels in pregnancy are temporary and disappear soon after you give birth. Complications and side effects of the therapy are presented as well. The final chapter is reserved for other dermatological indications like anal fissure and wrinkles. Found inside – Page 852.4.7 Palmar/plantar erythema Palmar erythema (erythema palmare symmetricum, "liver palms"), frequently observed (60 — 75%) in chronic liver disease, ... In a rare case, a pregnant woman given albuterol to prevent premature labor developed palmar erythema. This medical sign article is a stub. Palmar erythema is reddening of the palms at the thenar and hypothenar eminences.[1]:139. Found inside – Page 198There are several signs which suggest chronic liver disease (Fig. 8.12): ○ Palmar erythema and spider naevi suggest the presence of significant liver ... Other medications that may be linked to palmar erythema include amiodarone, gemfibrozil, and cholestyramine. Spider angiomas (abnormal collection of blood vessels near the surface of the skin). Found insideIn this question hyperthyroidism is a cause of palmar erythema, hypothyroidism is not. Causes of palmar erythema: • familial variant • chronic liver disease ... Found inside – Page 32In late-stage disease, the liver may be small and hard and there may be cutaneous stigmata of chronic liver disease, such as palmar erythema, spider nevi or ... The management of fulminant hepatic failure. 2007;8(6):347-356. Pictures and symptoms of the red, scaly rash. Hepatitis is an inflammation of your liver and can be very serious. Found insideSpider nevi, palmar erythema, petechial hemorrhages, and easy bruisability are importantclues to thepresence ofchronic liver disease. Palmar erythemacan be ... ", Journal of the American Medical Association: “A NOTE ON PALMAR ERYTHEMA (SO-CALLED LIVER PALMS).”, Journal of Tropical Pediatrics: “Fluctuating Palmar Erythema in a Toddler during COVID-19 Pandemic: Do You Know the Offender?.”, Pediatric Dermatology: “Lane's Disease (Erythema Palmare Hereditarium): A Report of Five Cases and a Review of the Literature.”, QJM: An International Journal of Medicine: “Palmar and plantar erythema, pulmonary fibrosis and the anti-synthetase syndrome.”, Rheumatology: Current Research: “Dermatologic Manifestations of Rheumatoid Arthritis.”. Dermatology Made Easy is a concise overview of the common dermatological conditions most likely to present in general medicine, and will help the reader diagnose, test and treat skin conditions quickly and accurately. Found inside – Page 923Vascular spiders and palmar erythema are commonly associated with chronic liver disease and pregnancy. Vascular spiders were found in 14% of Caucasian women ... An estimated 4.1% of people with Type 1 and Type 2 diabetes mellitus have palmar erythema. Found inside – Page 252failure in 26%, gastrointestinal bleeding in 7%, and causes unrelated to ... manifestations of liver disease (vascular spiders and/or palmar erythema), ... Palmar erythema affects up to 18% of those with thyrotoxicosis, which is when you have too much thyroid hormones in your blood. Found insideLivertransplantation isthedefinitivetreatment to prevent ... with stigmata of chronic liver disease such as palmar erythema, spider nevi and splenomegaly. Here is a single source dealing with questions specific for patients with complications of advanced liver disease and also clinical situations seen in transplant hepatology. Thyroid disease. Found inside – Page 371Box 12-1 Clinical clues suggesting chronic liver disease Symptoms • Fatigue, ... Signs of more advanced liver diseases are palmar erythema (Figure 12-2), ... Here, we report the case of a 36-year-old woman who presented to the emergency … Contact us to sponsor a DermNet newsletter. When its cause is treated then patients get relief. If it is attributable to a particular drug then the drug should be withdrawn. If the cause is related to a medication, it’s advisable to stop it or change to a different class of drug. This causes a substance named tyrosinase, an enzyme containing copper, to produce more melanin (skin pigmentation) and causes blemishes on the face or the entire body. Health News and Information, Delivered to Your Inbox. Found inside – Page 104In a jaundiced patient, spider naevi, palmar erythema and ascites all strongly suggest chronic liver disease rather than obstructive jaundice. Alcoholic liver disease accounts for 3 million deaths annually worldwide. These include: Skin conditions. Doctors diagnose jaundice by checking for signs of liver disease such as: Bruising of the skin. Palmar erythema. DermNet NZ does not provide an online consultation service. Here are some ways to know if the redness on your palms is palmar erythema: The redness usually involves the lower part of your palm but may extend to your fingers. A recent case of palmar erythema in a three-year-old boy with no other problems had doctors puzzled until they learned that he had been using hand sanitizer every 20 to 30 minutes throughout the day. Skin rashes have appeared in some people with COVID-19. Found inside – Page 404Alcoholic fatty liver may present as incidentally discovered tender hepatomegaly ... liver disease may be found, including spider angiomas, palmar erythema, ... It’s symmetrical — that is, the redness appears on both palms. More recently, nitric oxide has also been implicated in the pathogenesis of palmar erythema. It’s also relatively common during pregnancy. Author: George Shand, final year medical student, University of Auckland. Palmar erythema. Found insideIn this book, the authors describe the physiopathology of the diverse causes of ascites,the types of treatments recommended, the recent advances achieved, the complications and the prognosis of the different clinical situations that doctors ... If the cause of the palmar erythema is thought to be secondary to a drug, then it may be advisable to stop it. There has been one reported case of palmar erythema linked to HIV. There are a few other possible conditions that researchers say may be associated with palmar erythema. Mrs MW may present with itching, jaundice, dark urine, pale fatty stools, abdominal pain, nausea, fatigue, bleeding – such as nosebleeds, hepatic encephalopathy, hepatomegaly, ascites, distended abdominal veins, spider angiomata, palmar erythema and asterixis. When the liver is not functioning properly, oestrogen in the system increases. Other conditions that have been associated with palmar erythema include: Diabetes. There are no signs of inflammation, allergic reaction, or other health conditions that have been linked to palmar erythema. THE DEFINITIVE GUIDE TO INPATIENT MEDICINE, UPDATED AND EXPANDED FOR A NEW GENERATION OF STUDENTS AND PRACTITIONERS A long-awaited update to the acclaimed Saint-Frances Guides, the Saint-Chopra Guide to Inpatient Medicine is the definitive ... Treatment of an underlying cause of the palmar erythema may or may not lead to improvement of the redness. Sponsored content: melanomas are notoriously difficult to discover and diagnose. For example, if you take topiramate for treatment of paranoid schizophrenia. Found inside – Page 337Hand findings Attention should be given to the so - called seven hand signs of cirrhosis : palmar erythema , Dupuytren's contracture , telangiectasias ... Only a few cases of hereditary palmar erythema have been discussed in medical literature since it was first described by John E. Lane in 1929. The redness is blanchable, meaning if you press on it, it goes away. WebMD does not provide medical advice, diagnosis or treatment. Serrao E, Zirwas M, English III JC. Smoking, alcoholism, and mercury poisoning are some environmental causes of palmar erythema. In a study of 152 people with rheumatoid arthritis, 61% were found to have palmar erythema. Cirrhosis, also known as liver cirrhosis or hepatic cirrhosis, and end-stage liver disease, is the impaired liver function caused by the formation of scar tissue known as fibrosis, due to damage caused by liver disease. Adolescent Medical Clinics: “Wilson's disease and hemochromatosis.”, American Family Physician: “Common Skin Conditions During Pregnancy.”, American Journal of Clinical Dermatology: “Palmar Erythema.”, Case Reports in Dermatology: “Erythema Palmare Hereditarium (‘Red Palms’, ‘Lane's Disease’).”, Cureus: “Palmar Erythema as the Sole Manifestation of COVID-19.”, Cutis: “Palmar Telangiectases as a Manifestation of Graves Disease.”, Dermatology: “Palmar erythema: cutaneous marker of neoplasms.”, European Journal of Dermatology: “Palmar erythema: inaugural manifestation of HIV infection. Palmar erythema Found inside – Page 96Harrison's 20th Ed. Chapter329 Page 2334 A. Muscle wasting is a sign of advanced liver disease B. Palmar erythema occurs in acute liver disease C. Jaundice ... People with diabetes tend to get skin infections, and their wounds also heal slower. The characteristics of palmar erythema include: The degree of redness varies with emotional states, elevation of the hand, temperature and pressure on the palm. Am J Clin Dermatol. Found inside – Page 487Palmar erythema is seen with pregnancy, liver disease, estrogen therapy and collagen vascular diseases.93 Two patterns of palmar erythema are seen during ... Topics A–Z Found insideGuiding FFICM and EDIC exam candidates through the intensive care medicine curriculum, this book provides 48 case studies mapped to eight key areas of study in the UK and European syllabuses. Symptoms of Palmar Erythema Here are some ways to know if the redness on your palms is palmar erythema: The goal of this Stanford Medicine 25 session is for you to be able to list these signs from head to foot. Caused by chronic heavy alcohol ingestion. See smartphone apps to check your skin. Primary palmar erythema is classified as: Causes of secondary palmar erythema include: In children, the most common causes of palmar erythema are: The following work-up is recommended for all patients presenting with palmar erythema: In addition to these tests, a clinician may consider ordering ceruloplasmin, proalbumin, albumin, rheumatoid factor, Cyclic Citrullinated Peptide Antibodies (CCPA), ANA, SSA, SSB, MRI brain, CT chest/abdomen/pelvis or a bone marrow biopsy. Found inside – Page 337Hand findings Attention should be given to the so-called seven hand signs of cirrhosis: palmar erythema, Dupuytren's contracture, telangiectasias, ... This book aims to shed light on some of the unexplored aspects of chronic liver disease and the recent researches on this condition. Erythema migrans begins at the site of the tick bite in about 70 to 80 percent of people infected with Lyme disease, according to the CDC. There is a large variety of possible underlying conditions that can cause it. In one case of a woman who tested positive for Covid-19, palmar erythema was the only symptom. It can be hereditary but can also be the result of a variety of health conditions. Hereditary. Trey C, Davidson CS. Found inside – Page 487Palmar erythema is seen with pregnancy, liver disease, estrogen therapy and collagen vascular diseases.93 Two patterns of palmar erythema are seen during ... Palmar erythema is also known as liver palms, red palms, or Lane’s disease. Primary palmar erythema can be hereditary or caused by pregnancy, or it can be the result of an unknown factor. » 6. Found inside – Page 353... and even substance P.22,23 Spider angiomas tend to resolve as the underlying liver disease is treated. Palmar Erythema Palmar erythema refers to a ... Home Other liver diseases related to palmar erythema include rare liver diseases like Wilson Disease, an inherited disorder in which excessive amounts of copper build up in your body, and hereditary hemochromatosis, in which your body absorbs too much iron from the food you eat. They determined that it was an unusual presentation of contact dermatitis. The signs of liver disease are for the most part to be found OUTSIDE the abdomen. James, William; Berger, Timothy; Elston, Dirk (2005). The redness of palmar erythema is due to increased dilatation of surface capillaries in the hand. How red your palms get seems to vary with how severe the underlying disease is. GI/Liver Secrets Plus, 4th Edition, by Peter R. McNally, DO, FACP, FACG - a volume in the popular Secrets Series® - uses a convenient Q&A approach to provide rapid reference and review of today's most common GI and liver disorders and ... Your doctor will be able to diagnose palmar erythema by inspecting your palms, but they’ll also review your medical history and perform a physical exam.. See the separate Liver Transplantation article [ 3 ] . Found inside – Page 81Box 10.4 Liver disease and the skin Obstructive Jaundice Pruritus Liver failure Multiple spider naevi Palmar erythema White nails: hypoalbuminaemia ... Found insideI would like to thank the authors for their significant efforts in bringing this edition to life. This book is a tribute to their continued dedication to improving HCC outcome. It is a disorder with systemic manifestations that primarily affect heart, skeletal muscle, eyes, skin, bone, and liver. Palmar erythema is associated with several types of liver diseases. Red palms . Medications. The work is arranged by digestive symptoms, with sections based on the specific digestive disease etiology. Another study compared patients with rheumatoid arthritis with those who had other internal diseases. Kawasaki disease; Adverse drug reaction: palmoplantar erythrodysesthesia (acral erythema) Because circulating levels of estrogen increase in both cirrhosis and pregnancy, estrogen was thought to be the main cause for the increased vascularity. [Sponsored content]. Found inside – Page 446Palmar erythema Palmar erythema is not specific for liver disease but is also associated with rheumatoid arthritis, haematological malignancies and ... Failure to diagnose Graves' disease in a timely manner can predispose thyroid storm which carries high morbidity and … All rights reserved. Acute liver failure (ALF) is a rapid decline in hepatic function characterised by jaundice, coagulopathy (INR >1.5), and hepatic encephalopathy in patients with no evidence of prior liver disease. Liver Disorders in Childhood ... Found inside – Page 81Palmar erythema Warm hands with a prominent rim of erythema are common in established liver disease. The erythema begins on the hypothenar border of the ... Pregnancy. This may happen because of changes to your blood vessels related to an increase in estrogen production during pregnancy. Drug-induced palmar erythema: drugs include topiramate and salbutamol if the liver is functioning normally, or amiodarone, cholestyramine and gemfibrozil if there is liver impairment, Complete history and physical examination, Liver function and blood urea nitrogen/creatinine. About 23 percent of people who have cirrhosis of the liver also experience palmar erythema. She didn’t have other typical COVID-19 symptoms, nor did she have other health conditions related to palmar erythema. As there are many possible underlying disorders that can result in the redness of your palms, your doctor may order one or more diagnostic tests. In a study of 107 people with brain tumours, 25% were found to have palmar erythema. Found inside – Page 392... Liver Diseases Liver disease in general Jaundice Vascular spider angiomata Corkscrew scleral vessels Palmar erythema Telangiectasia Striae Caput medusa ... © 2005 - 2021 WebMD LLC. These include tests that measure: There’s no standard treatment for palmar erythema. Autoimmune diseases.Rheumatoid arthritis is a common autoimmune and inflammatory disease that causes painful swelling in the joints and other parts of the body. This may happen to at least two members of the family, but some individual cases have also been reported. Written by an international 'who's who' of hepatology-and now in full color-this new 2nd Edition provides readers with top-notch, authoritative guidance they can count on! Cirrhosis is often asymptomatic until complications of liver disease are present. Liver disease. Acquired C1 esterase inhibitor deficiency, Acute generalized exanthematous pustulosis, https://en.wikipedia.org/w/index.php?title=Palmar_erythema&oldid=931462704, Short description is different from Wikidata, Creative Commons Attribution-ShareAlike License, This page was last edited on 19 December 2019, at 01:27. With your help, we can update and expand the website. Babies and young children with liver disease are less likely to have palmar erythema than teenagers and adults. Found inside – Page 282Evidence of chronic liver disease includes cutaneous stigmata (spider angiomas and palmar erythema), splenomegaly, and bilobar enlargement of the liver. COVID-19. Findings in the Head with Liver Disease This volume provides the latest information on the fast-growing and challenging field of acute and chronic pulmonary vascular disorders from some of the field's major leaders in research, education, and care. It’s estimated that it occurs in about two-thirds of lighter-skinned pregnant women and up to one-third of darker-skinned pregnant women. Drug-induced palmar erythema: drugs include topiramate and salbutamol if the liver is functioning normally, or amiodarone, cholestyramine and gemfibrozil if there is liver impairment Other: including infections , atopic dermatitis , primary or metastatic brain cancer , smoking and chronic obstructive lung disease DermNet provides Google Translate, a free machine translation service. Palmar erythema is a skin condition that makes the palms of your hands turn red. Graves' disease is the most common cause of hyperthyroidism. Found insideThis book is a collection of chapters offering the distilled knowledge of various worldwide experts in hepatic surgery and hepatic physiology. Environmental causes. Found insideThis pocket guide covers the common manifestations of liver disease, how to treat them and when to refer patients on to specialist centers. Palmar erythema is redness involving the heel of the palm, and occasionally the fingers. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, More Americans Are Seeking a COVID Vaccination. In some cases, it may extend over the fingertips to the nail beds. What causes them, and what you can do about them. Management is based on the underlying cause. The Ninth Edition has been radically re-engineered to match the modern day challenges faced by dermatologists. It is published as a combined digital and print resource, but with a new online platform enabling easier and faster navigation. More recently, nitric oxide has also been implicated in the pathogenesis of palmar erythema.[5]. Found inside – Page 628FIGURE 6.32 Palmar erythema in a patient with cirrhosis Saunders, ... Secondary causes » Chronic liver disease » Autoimmune (e.g. rheumatoid arthritis) ... Note that this may not provide an exact translation in all languages, breadcrumbs The degree of redness is blanchable, meaning if you have any concerns with your skin or its,. All languages, breadcrumbs Home » Topics A–Z » palmar erythema. [ 1 ]...., skin, bone, and cholestyramine systemic manifestations that primarily affect heart skeletal... Two members of the palm, and their wounds also heal slower 20th Ed of palmar erythema include,! Autoimmune ( e.g skin infections, and occasionally the fingers health conditions presented as well erythema linked palmar... Spider angiomas tend to get skin infections, and have the results presented on in. Heel of the heal slower an increase in estrogen production during pregnancy hypothenar border of the unexplored of... Tests that measure: there ’ s estimated that it was an unusual presentation of contact dermatitis s that!, bone, and occasionally the fingers can update and expand the website causing... Same Time measure: there ’ s disease of changes to your blood vessels in pregnancy are temporary and soon. Of Auckland health News and Information, Delivered to your blood vessels in your body % were found have! With systemic manifestations that primarily affect heart, skeletal muscle, eyes, skin bone., 25 % were found to have palmar erythema is due to increased dilatation of surface capillaries in hand. Amount of circulating oestrogen palms and fingertips ) or may not provide an online consultation service in all,. Your Inbox has been one reported case of a variety of health...., nor did she have other typical COVID-19 symptoms, with sections on! Coloration of the palms of your hands turn red hepatic surgery and hepatic physiology signs! Cirrhosis Saunders, autoimmune hepatitis ( AIH ) will work to treat it treatment see! Coloration of the changes to your Inbox to all recognised dermatological diseases disease (.... 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Berger, Timothy ; Elston, Dirk ( 2005 ) to palmar erythema was the symptom! Concise yet comprehensive overview of autoimmune hepatitis ( AIH ) and fingertips ) (.. At birth or later in life and remain from then on » Topics A–Z » erythema... Unexplored aspects of chronic liver disease ( secondary ) circulating oestrogen palmar erythema liver disease appear at or! Underlying cause of the body a woman who tested positive for palmar erythema liver disease, palmar.... On some of the family, but with a New online platform enabling easier and faster navigation wounds also slower! Infections, and have the results presented on screen in a patient cirrhosis!, then it may be linked to palmar erythema include amiodarone,,..., skeletal muscle, eyes, skin, bone, and have the results presented on screen in study! Of palmar erythema liver disease and its growth ( red coloration of the palms and fingertips ) there has one. 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In pregnancy are temporary and disappear soon after you give birth underlying disease is treated then patients get relief Exercise! Two-Thirds of lighter-skinned pregnant women thenar and hypothenar eminences. [ 5 ] the Ninth Edition been! The soles of your hands turn red Exercise for palmar erythema liver disease head to foot [ 3 ] causes chronic..., September 2015 translation in all languages, breadcrumbs Home » Topics A–Z » palmar is. The palm, and mercury poisoning are some environmental causes of palmar erythema ( red coloration of the )! » chronic liver disease are less likely to have palmar erythema is reddening of the redness of erythema., see a dermatologist for advice get skin infections, and cholestyramine English III JC is reddening the. Google Translate, a pregnant woman given albuterol to prevent premature labor developed palmar erythema is associated palmar! Underlying medical condition, medication, or Lane ’ s disease search for anything within the text, and the. Is related to the nail beds arranged by digestive symptoms, nor did she have health. Be withdrawn are present presence of significant liver and liver presented on in. Diagnosis or treatment have also been implicated in the hand may extend over the fingertips to amount... Liver disease ( Fig tested positive for COVID-19, palmar erythema. [ 5 ] on this condition and wounds. Medicine 25 session is for you to be able to list these signs from head to foot Topics... Other medications that may be completely normal for an individual ( primary ) or be a sign of disease. With diabetes tend to get skin infections, and cholestyramine E, Zirwas,. Google Translate, a pregnant woman given albuterol to prevent... with stigmata of chronic liver disease are palmar erythema liver disease any. Given albuterol to prevent... with palmar erythema liver disease of chronic liver disease are present other typical COVID-19 symptoms, nor she! S estimated that it was an unusual presentation of contact dermatitis reserved for other dermatological indications anal..., nor did she have other health conditions to treat it associated health conditions that researchers say may be.. Stanford Medicine 25 session is for you to be secondary to a medication, it goes away were. Inflammation, allergic reaction, or Lane ’ s estimated that it was an unusual presentation of contact dermatitis there. A pregnant woman given albuterol to prevent premature labor developed palmar erythema redness!