 |
|
Black Palmar Macules
Ines Rashkovsky, MD;
Rifaat Safadi, MD;
Abraham Zlotogorski, MD
Hadassah University Hospital, Jerusalem, Israel
Arch Dermatol. 1998;134:1019-1024.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
REPORT OF A CASE
A 72-year-old woman presented with black macules on her right palm. The macules had appeared suddenly a few weeks earlier, following excessive manual activity in the kitchen. Her history was significant for uncontrollable arterial hypertension, the treatment of which had been modified 1 week before the onset of the eruption. Her current therapy included nifedipine, verapamil, and aspirin.
On physical examination, multiple, well-circumscribed, bluish-black macules were observed on the medial volar aspect of the fifth digit of the patient's right (dominant) hand. The lesions measured 2 to 3 mm in diameter (Figure 1). A 3-mm punch biopsy specimen was obtained (Figure 2).
| |
Figure 1.
|
|
| |
Figure 2.
|
|
What is your diagnosis?
Diagnosis: Palmar petechiae ("black palm").
The biopsy specimen revealed hyperkeratosis with aggregates of eosinophil amorphous material in the upper half of the stratum corneum. The malpighian stratum and dermis were normal. A . . . [Full Text of this Article]
|
