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Chemotherapy-induced acral erythema, also known as palmar-plantar erythrodysesthesia or hand-foot syndrome is reddening, swelling, numbness and desquamation (skin sloughing or peeling) on palms of the hands and soles of the feet (and, occasionally, on the knees, elbows, and elsewhere) that can occur after chemotherapy in patients with cancer.
Adverse drug reaction: palmoplantar erythrodysesthesia (acral erythema) Because circulating levels of estrogen increase in both cirrhosis and pregnancy, estrogen was thought to be the main cause for the increased vascularity. More recently, nitric oxide has also been implicated in the pathogenesis of palmar erythema. [5]
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The pisiform bone is most recognizable as an unassuming palmar projection forming the heel of human hand. [2]The pisiform bone, along with the hamulus of the hamate, defines the medial boundary of the carpal tunnel [2] because the pisiform body acts as one of the four attachments points of the flexor retinaculum. [3]
Corns from an acute injury, such as from a thorn in the sole of the foot, may form due to the weight of the body, when the process that creates the usually evenly developing plantar callus is concentrated at the point of the healing injury, as an internal callus may be triggered by pressure on the transitional scar tissue. Once formed, the corn ...
Mulder's sign is a physical exam finding associated with Morton's neuroma, which may be elicited while the patient is in the supine position on the examination table. The pain of the neuroma, as well as a click, can be produced by squeezing the two metatarsal heads together with one hand, while concomitantly putting pressure on the interdigital space with the other hand.
The palmar plate moves in three phases during joint flexion. First, it slides back toward the hand. Next, it is lifted away from the proximal phalanx by the A3 pulley. Last, a lip on the middle phalanx rolls into a recess on the plate. If the A3 pulley is not intact, the normal three phases of motion do not occur and instead the plate crumples. [7]
The common plantar digital nerves of medial plantar nerve are nerves of the foot. The three common digital nerves (nn. digitales plantares communes) pass between the divisions of the plantar aponeurosis, and each splits into two proper digital nerves: Those of the first common digital nerve supply the adjacent sides of the great and second toes;