Differential Diagnosis for Red Swollen Irritated Palm
- Single Most Likely Diagnosis
- Contact dermatitis: This is the most likely diagnosis due to the common occurrence of irritants or allergens causing skin reactions on the palms, leading to redness, swelling, and irritation.
- Other Likely Diagnoses
- Dyshidrotic eczema: Characterized by small, itchy blisters on the palms, which can become red, swollen, and irritated.
- Psoriatic palmoplantar pustulosis: A form of psoriasis that affects the palms, causing redness, swelling, and pus-filled bumps.
- Palmoplantar keratoderma: A condition that causes thickening of the skin on the palms, leading to redness, swelling, and irritation.
- Do Not Miss Diagnoses
- Infectious causes (e.g., bacterial, fungal, or viral infections): These can lead to serious complications if not promptly treated, such as cellulitis or abscesses.
- Erythema multiforme: A skin condition that can be triggered by infections or medications, causing target-like lesions on the palms.
- Kawasaki disease: A rare condition that can cause skin lesions, including on the palms, and is associated with fever, lymphadenopathy, and other systemic symptoms.
- Rare Diagnoses
- Pemphigus: A group of autoimmune diseases that cause blistering of the skin, including on the palms.
- Palmoplantar pustular psoriasis: A rare form of psoriasis that affects the palms, causing pustules and redness.
- Scleroderma: A chronic autoimmune disease that can cause thickening and hardening of the skin on the palms, leading to redness, swelling, and irritation.