Indurated reticulate palmar erythema as a sign of paraneoplastic palmar fasciitis and polyarthritis syndrome

Veronica A Preda, Peter Frederiksen, Steven Kossard

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11 Citations (Scopus)


A 62-year-old woman presented with a 6-month history of polyarthritis. She had also noted a 2-month history of indurated palmar erythema and increasing bilateral hand swelling and stiffness. A biopsy from the area of palmar erythema showed interstitial fibroplasia within the dermis and subcutis representing a palmar fibromatosis. This presentation appears to belong to the spectrum of palmar fasciitis and polyarthritis syndrome. Rheumatologists have recognised this syndrome as a paraneoplastic disorder and subsequent investigations in our patient revealed an elevated cancer antigen 125 and an inoperable ovarian carcinoma. Indurated palmar erythema is a sign that is not widely recognised by dermatologists as a clue for this paraneoplastic syndrome, and skin biopsy demonstrating dermal and subcutaneous fibroplasia may help in diagnosis in the absence of advanced signs of palmar fasciitis.

Original languageEnglish
Pages (from-to)198-201
Number of pages4
JournalAustralasian Journal of Dermatology
Issue number3
Publication statusPublished - Aug 2009
Externally publishedYes


  • Adenocarcinoma
  • Arthritis
  • Biopsy, Needle
  • Combined Modality Therapy
  • Diagnosis, Differential
  • Erythema
  • Fasciitis
  • Female
  • Follow-Up Studies
  • Hand Dermatoses
  • Humans
  • Immunohistochemistry
  • Middle Aged
  • Ovarian Neoplasms
  • Paraneoplastic Syndromes
  • Risk Assessment
  • Treatment Outcome
  • Case Reports
  • Journal Article


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