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What Causes Black Spots And Patches On Palm Of Hands And Soles Of Feet?

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Posted on Tue, 28 Oct 2014
Question: Hi Dr.

I have black spots/patches on palm of hands and soles of feet, the skin on the black spots is rough as compared to rest of the skin and they are itchy also sometimes.

For sometime I am facing issues in genital areas also i consulted a doctor and he said that these are 2 different problems.

Could this be some kind of STD or any allergy?

Please help
doctor
Answered by Dr. Geetika Paul (1 hour later)
Brief Answer:
Need to have a look at the lesions

Detailed Answer:
Hi

Black spots over hands and feet could suggest some form of eczema,naevi or even warts.
I would like to have a look at the exact skin lesions.
Please click some close up pictures of the affected area and upload them here on this page .
Also please tell since when you have these skin lesions.
Any associated pain or itching.
Also if you feel it is related to your genital lesions, then please provide details and pictures of the genital lesions as well.


I am sure I will be able to help you better once you provide me the pictures along with the above details.

Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Geetika Paul (2 hours later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Geetika Paul (7 minutes later)
Brief Answer:
Need details to rule out association with std

Detailed Answer:
Hi again

I have seen the attached pictures .

I am of the view that this skin problem over your hands might just be related to the genital problem .
I would advise you to see a nearby dermatologist for proper assessed and investigations to find out the exact cause .

If possible , you can provide me details of your genital problem so that I can try to help you much as I can .
Please tell if the lesions over the hands were red earlier and later turned black or were they like this always .
Any associated itching ?
Do you have any lesions elsewhere also?

Dr Geetika Paul

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Geetika Paul (1 hour later)
Hi Dr,

The black spots on palm and soles started around 3 - 4 weeks ago, they are itchy but not painful.

I am facing 3 issues in genital area as follows:

1. Wound on anal wall and on anus periphery it is painful at times and itchy too, this is the first thing that started in all this (approx 3 months ago). The doctor I consulted have given me Sitcom LD and i am applying it twice daily since then.

2. Red patches on penis head and under foreskin it was itchy too, this started 1 month ago. The doctor gave me an ointment i applied for 6 days and now the patches have gone.

3. Itching and Rash on scrotum, the doctor gave me a cream i applied it for 5 days and the itching vanished but now it seems that the rashes have re-occurred so i have started applying the cream.

The lesions were always of this color, but sometimes they look more dark and prominent and some days not.

Please help me.
doctor
Answered by Dr. Geetika Paul (2 hours later)
Brief Answer:
Does not look like any std

Detailed Answer:
Hi again

Thanks for all the details .

You don't seem to be suffering from any std.Infact you seem to be having fungal infection over the groin region .
So your hand and feet problem is most probably not related to the groin issue.

Now on a closer look and on going through the details that you have provided , I think the lesions are a part of lichen planus which is a skin problem leading to development of itchy pigmented lesions .
Now it is important that a skin biopsy should be done in your case to confirm the diagnosis.
Although it is not a harmful skin condition but a skin biopsy is essential in most cases for confirmation of the diagnosis and further treatment .
So you can see your nearby dermatologist and discuss it with your doctor .
For the time being , you can apply librate cream over the affected areas twice a day.

Dr Geetika Paul
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Geetika Paul

Dermatologist

Practicing since :2008

Answered : 2606 Questions

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What Causes Black Spots And Patches On Palm Of Hands And Soles Of Feet?

Brief Answer: Need to have a look at the lesions Detailed Answer: Hi Black spots over hands and feet could suggest some form of eczema,naevi or even warts. I would like to have a look at the exact skin lesions. Please click some close up pictures of the affected area and upload them here on this page . Also please tell since when you have these skin lesions. Any associated pain or itching. Also if you feel it is related to your genital lesions, then please provide details and pictures of the genital lesions as well. I am sure I will be able to help you better once you provide me the pictures along with the above details. Dr Geetika Paul