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Syphilis Rash on Palms and Soles #Syphilis #Rash #Palms #Soles #clinical #dermatology #skin #secondary #PhysicalExam
Syphilis Rash on Palms ... and Soles #Syphilis ... #Rash #Palms #Soles
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 Differential Diagnosis of Palmar and Plantar Rashes #Diagnosis #Dermatology #Rashes #Palmar #Plantar #Palms #Soles #Differential #Causes #Table
Palmar #Plantar #Palms ... #Soles #Differential
Christmas Tree Rash of Pityriasis rosea - small oval scaling patches - Christmas tree pattern -
Do not involve palms ... /soles - Differential ... syphilis (involve palms ... /soles!)
Endocarditis Signs - Osler's Node: Painful red fingers/toes ➔ immune - Janeway Lesion: Painless palms/soles ➔
Lesion: Painless palms ... /soles ➔ emboli
Skin Findings in Endocarditis - Skin findings include palpable petechiae, splinter hemorrhages (nail bed lesions), Janeway
macular spots on the palms ... and soles) and
Molluscum Contagiosum Clinical • Most common in school-age children • Transmitted by direct contact
• Spares the palms ... and soles Management
Reactive Skin Rash - Differential Diagnosis Algorithm Reactive erythematous with various morphology • Urticaria - Firm /
&/or bullae on palms ... soles and mucous
Papulosquamous Skin Rash - Differential Diagnosis Algorithm Erythrematous or violaceous papules & plaques with overlying scale •
papules on wrists/ankles ... and plaques on palms ... and soles • Discoid
Acral Lentiginous Melanoma (involving nail) While acral lentinginous melenoma is often seen anywhere on the palms, soles,
anywhere on the palms ... , soles, and even
Stages of Syphilis Early Primary: • Painless chancre • Regional lymphadenopathy Early Secondary: • Fever, malaise • Rash
Rash (can include palms ... and soles) • Pharyngitis
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