A Palm Reading You Can’t Ignore

A 73-year-old woman presents with painful, velvety palms. Explore this rare dermatological sign and its serious systemic implications.

Tripe palms


A 73-year-old woman presented to the dermatology clinic with a 9-month history of pruritic and painful lesions on the palms of her hands. Physical examination showed sharp demarcation of the folds in the lines of her hands, a velvety appearance of palmar surfaces, and ridging of the skin. What is the most likely diagnosis?

What is the most likely diagnosis?

Palmarpsoriasis
Tripe palms
Acromegaly
Palmoplantar keratoderma
Tinea manuum

Acanthosis Palmaris, Dermatology, Lung cancer, Paraneoplastic syndrome, Tripe palms

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