Palms and soles rash

DDx

  • Tinea
  • Warts
  • Dyshidrotic eczema (pomphylox, dyshidrosis)
  • Secondary syphilis
  • Dermatophytid reaction (allergy or sensitivity to fungi)
  • Erythema multiforme
  • Rocky Mountain spotted fever
  • Drug eruption
  • Janeway lesions or Osler's nodes (bacterial endocarditis)
  • Cholesterol emboli
  • Contact dermatitis (palms)
  • Pitted keratolysis (soles)
  • Keratoderma blennorrhagica (with reactive arthritis or Reiter's syndrome)
  • Psoriasis
  • Gonococcemia or meningococcemia
  • Hand, foot, and mouth disease
  • Toxic shock syndrome
  • Lichen planus (ulcerative)
  • Melanoma
  • Calluses or corns
  • Rat-bite fever
  • Arsenic poisoning

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Last updated: December 1, 2014