Red palm trees (palmer erythema): causes, symptoms, treatment

Palmaire erythemaSometimes hepatic palm, it is when your two palms go red. This redness generally does not hurt or itching, but your hands may feel warm.

Palmaire erythema sometimes has no clear cause, but it can also occur due to health problems such as liver disease, thyroid problems or diabetes.

If your palms suddenly become red, redness does not disappear or if you feel symptoms such as fatigue, joint pain or yellowing skin, talk to a health care provider to learn the cause.

The palmar erythema occurs when capillaries (tiny blood vessels) in the hands widen, increasing the blood flow to the skin. Primary palmar erythema occurs alone, while secondary palmar erythema is a symptom of another condition.

Primary Palmaire Erythema

Primary palmar erythema occurs without underlying disease or environmental trigger. There are three types of palmar erythema:

• Idiopathic: This guy occurs at random for no clear reason. Experts do not know exactly why it happens. As this does not cause health problems, there is little research on this type.
• Hereditary (track disease): It works in families and generally appears at birth or during childhood. However, this can happen later in life. It can appear in each generation or generation of jumps. Researchers think that many cases go unnoticed because the condition is harmless.
• Linked to pregnancy: During pregnancy, around 33% of people with darker skin and 66% of lighter skin people develop palmar erythema. This happens due to an increase in estrogen and blood flow, which causes a temporary expansion of blood vessels. Pregnancy can also trigger autoimmune conditions that can cause red palm trees. Palmar erythema during pregnancy is generally harmless and disappears after childbirth.

Secondary Palmaire Erythema

The secondary types occur due to health problems that cause liver problems, hormonal imbalances or inflammation (swelling and irritation), widening small blood vessels.

Liver disease

Cirrhosis occurs when the liver becomes marked by long -term damage, making it stiff and unable to function properly. When the liver does not work well, the estrogen levels increase, causing the widening of the blood vessels and turning the red palms. Cirrhosis can develop due to hepatitis (inflammation of the liver), alcohol consumption, viral infections, toxins or hepatic steatosis.

The other liver diseases linked to palmar erythema include Wilson’s disease (a rare disease that causes copper accumulation) and hereditary hemochromatosis (where the body absorbs too much iron).

Autoimmune disorders

Autoimmune disorders occur when your immune system mistakenly attacks your body, causing inflammation and damage to organs. If this affects your liver, you can develop autoimmune hepatitis, which can lead to changes in blood vessel and red palms.

If an autoimmune condition causes your palmar erythema, redness may not disappear and can worsen over time. You can also notice joint pain, fatigue or rashes. Certain autoimmune conditions linked to the red palms include:

• Autoimmune hemolytic anemia: Destroys red blood cells, leading to fatigue and pale skin
• Juvenile dermatomyositis (JDM): Causes muscle inflammation and rashes in children
• Raynaud phenomenon: Thrown the blood vessels in response to the cold, reducing blood flow and turning white or blue skin; When the vessels reopen, an increase in blood flow can cause redness
• Rheumatoid arthritis: Causes joint pain and swelling
• Sarcoidosis:: Causes small pieces of fiery fabric in different organs
• Scleroderma: Thickened and tightens the skin, which can affect blood circulation
• Systemic lupus erythematosus (lupus): Affects the skin, joints and organs
• Undifferentiated connective tissue (UCTD): A light autoimmune disease that causes joint pain, fatigue or changes in skin color, although the results do not point to a specific disease

Skin conditions

Several skin conditions can cause redness on your palms. These include:

• Eczema: Leads to dry skin, itching and inflamed, which can affect your hands
• Psoriasis: A autoimmune disease that causes red spots with silver scales that may appear on the palms
• Contact dermatitis: Occurs when your skin reacts to irritants or allergens, leading to redness and inflammation; The frequent use of hands or hard soap disinfectants can trigger this reaction
• Erythromelalgia:: A rare condition that causes burning pain, redness and heat in the hands or feet due to the abnormal function of blood vessels

Hormonal disorders

Hormonal imbalances in endocrine disorders can affect blood circulation and blood vessels, causing palmar erythema.

Hyperthyroidism (hyperactive thyroid) increases the levels of thyroid hormones, which accelerates metabolism and blood flow, which makes redness more visible. Diabetes keeps blood sugar too high for too long, damaging blood vessels and reducing traffic.

Infections

Certain viral and bacterial infections cause generalized inflammation, which can irritate and widen blood vessels, leading to red palms. Palmaire erythema infections include:

• Brucellosis: A bacterial infection of non -pasturized dairy products
• Gestational syphilis: A syphilis infection went from mother to baby
• Hepatitis B, C or D: Viral infections that cause liver damage
• MYYLOPATHY DU VIRUS 1 HUMAN LYMPHOTROP (HTLV-1): A virus that affects the spinal cord
• Trichinellosis: A parasitic infection of the undercuding meat
• Kawasaki disease: Rare disease – perhaps an infection or an environmental trigger like cleaners – which causes swelling of blood vessels, mainly in young children

Environmental or lifestyle factors

Smoking, alcohol consumption and the poisoning of heavy metals (as with mercury) can affect the liver and blood circulation, causing palmar erythema.

Some drugs may have the same effect on the liver and blood flow, also causing red palms. These drugs include:

• Antiarrhythmic:: Regulate the heart rate; Pacerone (Amiodarone) is an example
• Anticonvulsants: Prevent convulsions; Topamax (topiramate) is an example
• Beta-blockers: Lower heart rate; The examples include the Lopresseur (metoprolol) and the Inderal (Propranolol)
• Bronchodilators: Open Airways; Ventolin (Albiterol) is an example
• Hypocholesterolic drugs: Examples include Lipitor (Atorvastatin), Crestor (Rosuvastatin), Zocor (Simvastatin), Lopid (Gemfibrozil) and Prevalite (Cholastyramine)

The redness generally appears on the two palms and can also spread to the lower parts of your fingers and your thumbs. In some cases, redness can also appear on the back of the hands, fingers, nail beds or even soles of the feet. When you press red areas, the color blocks (temporarily fades).

Palmaire erythema generally does not cause pain or itching, but some people feel heat in red areas. In rare cases, people with hereditary palmar erythema may feel discomfort or burns in cold weather. People with autoimmune diseases can see that their red palms are tender.

If your palms are red, consider seeing a health care provider to determine whether this is due to a harmless hereditary condition or the sign of a more serious health problem. A medical assessment is particularly important if the symptom persists, worsens or is delivered with other symptoms concerning.

Here are some examples of concomitant symptoms that justify a visit with a health care provider:

• Easy bruises or bleeding
• Fever
• Headache or memory problems
• High blood pressure
• Joint pain
• Persistent
• Redness or pain in one hand
• Swelling in the abdomen, feet or legs
• Difficulty breathing
• Jaundice (yellowing of the skin or eyes)

What they will do

Your primary care provider is often the first step to assess red palm trees. They can examine your hands and tell you about your history of medicines and your medication. Depending on the suspected cause, they can refer to a supplier specializing in:

• Rheumatology (autoimmune disorders)
• Endocrinology (hormonal disorders)
• Hepatology (liver conditions)
• Dermatology (skin conditions)

To determine the cause of red palm trees, health care providers can order:

• Blood tests: To check the liver function, thyroid hormones, blood sugar and autoimmune markers
• Imaging tests: Including an ultrasound or radiography
• Urine tests: To help identify certain metabolic or liver conditions
• Skin biopsy: Examination of a skin sample under a microscope
• DERMOSCOPY: Implies a special enlargement tool to examine the skin

The treatment depends on the cause. If an underlying condition, such as a liver disease or infection, is responsible for red palms, the treatment of this condition can help.

Palmaire erythema linked to pregnancy generally disappears after childbirth without treatment. In some cases, botox injections (onabotulinumtoxina) can help relax blood vessels and reduce sensitivity to temperature changes.

You cannot prevent certain causes, such as pregnancy and genetics, but there are ways to reduce your risk of developing palmar erythema in some cases. Strategies include:

• Avoid irritants, such as hard hard disinfectants
• Limit alcohol
• Manage chronic health problems
• Protect your hands from extreme temperatures
• Talk to your supplier side effects of drugs
• Use gentle care products and moisturizers

Palmaire erythema, or red palm, can occur without apparent cause or be hereditary. This can also happen due to pregnancy, liver diseases, thyroid conditions or other health problems.

Talk to a health care provider if redness is persistent or occurs in parallel with other symptoms. Treatment of the underlying cause can help improve or eliminate redness.