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Erythema Palmare (Red Palms). Presented by Dr. Maurice Umansky.
L. E., a white woman of 25 years, is married and has one child, aged 2 years. While pregnant with this child, the patient noticed that the palms became mottled with reddish spots. She complained of occasional "faint spells." No other member of the family ever had a similar eruption.
The mottling persists to date and is composed of reddish macules located on the thenar and hypothenar eminences of both palms. The prominent parts of the palms adjacent to the basal phalanges of the fingers are also involved. The central parts of the palms are free of eruption. Examination with a magnifying glass shows that the macules are made up of enlarged capillaries (telangiectases). There are irregular lines and groups of lines which form reticulated lesions. Some macules show a centrally located dot, or punctum, and remind one of the structure