Palmar rash may be a manifestation of syphilis, a bacterial infection such as staphylococcus, Rocky Mountain Spotted fever, West Nile virus infection, HIV manifestation , sarcoidosis and hematologic disease. Hematologic diseases may present as a palmar rash due to the small pinpoint bleeding usually noted. The bleed however which may manifest as rash like should also be noted in other parts of the body. In staphyloccocal infections, the rash may precede peeling off of the skin as in cases of a severe infection. This is an emergent case and needs prompt consult.
Palmar rash is basically a manifestation of an infectious, autoimmune or hematologic disease.
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