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Chemosensory Disorders and Nutrition
Published in Alan R. Hirsch, Nutrition and Sensation, 2023
Carl M. Wahlstrom, Alan R. Hirsch, Bradley W. Whitman
Abnormalities in physical examination included: general: bilateral palmar erythema. Neurological examination: Mental status examination: Digits span: seven forwards, four backwards. Presidents: Trump, Obama, Bush, ?. Cranial nerve (CN) examination: cnII visual acuity: 20/40 OU with correction. CN V: decreased temperature, light touch, and pinprick left V1, V2, and V3. Motor examination: Intrinsics of both upper extremities: 4/5. Reflexes: bilateral brachioradialis, biceps, triceps, quadriceps femoris, ankle jerk 3+. Quadriceps femoris: pendular bilaterally. Bilateral ankle jerks: delayed return. Jaw jerk: positive.
Pregnancy and Skin Disease
Published in Ayşe Serap Karadağ, Lawrence Charles Parish, Jordan V. Wang, Roxburgh's Common Skin Diseases, 2022
Tugba Kevser Uzuncakmak, Ozge Askin, Yalçın Tüzün
Palmar erythema is characterized by an erythematous area that is sharply demarcated from normal skin in the hypothenar or thenar region of the palms. Rarely, there can be diffuse involvement. Palmar erythema often begins in the first trimester, only to rapidly regress in the first postpartum week (Figure 28.3). This commonly found redness is attributed to increased estrogen levels.
Palmar Erythema
Published in K. Gupta, P. Carmichael, A. Zumla, 100 Short Cases for the MRCP, 2020
K. Gupta, P. Carmichael, A. Zumla
Palmar erythema is a persistent extensive redness of the palms of the hands due to local vasodilatation with increased blood flow. The cardiac output is usually increased in patients with prominent palmar erythema. Skin over the thenar, hypothenar and finger pulp eminences is markedly red compared to the rest of the palm. Some healthy adults may have some degree of palmar erythema.
Rapid resolution of refractory hypoxemia and vascular spiders following liver transplantation
Published in Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 2022
Allison Love, Rachel Jen, Lindsay Van Tongeren, C. Francis Ryan
General inspection revealed peripheral cyanosis, palmar erythema and absence of clubbing. There were multiple cutaneous telangiectases over the trunk and upper extremities. On close inspection, these consisted predominantly of cutaneous vascular spiders, with rare punctate telangiectases on the digits of the hands and lower lip. The patient reported that the cutaneous lesions had appeared over the preceding 18 months. Chest auscultation revealed mild inspiratory crackles at the lung bases bilaterally. Cardiovascular examination was within normal limits. There was no palpable hepatosplenomegaly and no other stigmata of liver disease. Nasal endoscopy revealed anterior crusting, prominent posterior circulation and two arteriovenous malformations on the posterior nasal septum. There were no intra-oral vascular lesions.
A case of anti-MDA5 antibody-positive dermatomyositis developing reversible cerebral vasospasm syndrome successfully treated by multi-immunosuppressant combination including mycophenolate mofetil
Published in Modern Rheumatology Case Reports, 2021
Takumi Muramatsu, Toshihiro Tono, Yoshiro Kanayama, Yasuhiro Hasegawa, Junichi Kondo, Takayuki Hoshiyama, Tatsuhiko Wada, Yoshiyuki Arinuma, Sumiaki Tanaka, Kunihiro Yamaoka
A 39-year-old Japanese female was admitted to our hospital owing to bilateral hand and shoulder joint pain that lasted for 3 months and progressive shortness of breath. She had been diagnosed with Graves’ disease 2 years before admission and was taking Mercazole. She initially visited orthopaedics for her joint pain and was started on non-steroidal anti-inflammatory drugs, but her condition did not improve. She also visited a dermatologist for simultaneous palmar erythema and was prescribed ointment; however, her symptoms did not ameliorate. She also visited another physician for her shortness of breath and dry cough since the beginning of September. These findings raised a suspicion of DM; therefore, she was referred to our hospital on September 26th and admitted.
Recognizing skin conditions in patients with cirrhosis: a narrative review
Published in Annals of Medicine, 2022
Ying Liu, Yunyu Zhao, Xu Gao, Jiashu Liu, Fanpu Ji, Yao-Chun Hsu, Zhengxiao Li, Mindie H. Nguyen
Palmar erythema (Figure 1(a)), also known as liver palms, is characterized by capillary dilatation in the skin of the thenar eminence and fingertips and manifested by blanchable redness of the skin. This condition is caused by elevated serum oestrogen levels and changes in peripheral hemodynamics [8,10]. Though palmar erythema occurs in about two-thirds of patients with liver cirrhosis [10], it is non-specific and can also occur in patients with rheumatoid arthritis, hyperthyroidism, diabetes, juvenile dermatomyositis and pregnancy [10,11].