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What causes mottled red palms?

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Posted on Fri, 22 Jul 2016
Question: Dear Doctors of HealthCareMagic
I would kindly wihs to ask for a second opinion, as I get an answer from HealthCareMagic (for which I'm grateful) but also a conflicting opinon from another source.

The palms of my hands, especially the left one, get a kind of mottled-red appearance. It's a permanent pattern but never seen when I lay in bed, mostly subtle indoors and mostly seen outdoors. I may had it for a long time but less pronounced. I don't have any reticular changes on any other part of the body. I was wondering if it is livedo reticularis or Bier spots or some palmar erythema or just my natural circulation pattern. It may be worth of not that I am in a fairly stressful moment in my life and that I have lost (through changes in diet, willingly) ca. 66 pounds) in the last 7-8 months.

Image (IMG_3543) show this pattern far less pronounced when sitting in a bus.
doctor
Answered by Dr. Dr. Kakkar (57 minutes later)
Brief Answer:
Could be due to unequal blood flow

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatologist). I have gone through your query and i have reviewed the images.

This mottled pattern could be due to reduced blood flow on the affected side. I suggest you to measure pulse rate and blood pressure of each limb seperately.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (1 minute later)
Does it look like palmar erythema?

Also I forgot to add that the redness may be somehow more pronounced in warmer temperature.
doctor
Answered by Dr. Dr. Kakkar (6 hours later)
Brief Answer:
Any associated symptoms

Detailed Answer:
Hi.


Do you have any symptoms like burning? Itching? Pain?

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (4 hours later)
Sometimes fingers feel swollen a bit. No pain, itching or burning .
doctor
Answered by Dr. Dr. Kakkar (24 hours later)
Brief Answer:
oral cetrizine

Detailed Answer:
Hi.

Thank you.

This could be a manifestation of contact urticaria. You may try an oral antihistamine e.g cetrizine 10 mg once daily for a few days and see how it goes. Follow up with me after a few days.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9628 Questions

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What causes mottled red palms?

Brief Answer: Could be due to unequal blood flow Detailed Answer: Hello. Thank you for writing to us I am dr.kakkar(dermatologist). I have gone through your query and i have reviewed the images. This mottled pattern could be due to reduced blood flow on the affected side. I suggest you to measure pulse rate and blood pressure of each limb seperately. Regards