2013
DOI: 10.1001/jamadermatol.2013.4299
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Green Pigmentation on the Palms and Soles

Abstract: A man in his 50s presented with abrupt-onset asymptomatic green and brown pigmented lesions on both his palms and soles (Figure, A). He had had progressive jaundice for a month and was recently diagnosed as having advanced intrahepatic cholangiocarcinoma. The cutaneous eruption developed 3 days after a high-grade fever during admission for palliative endoscopic retrograde cholangiopancreatography with metallic stent insertion. The investigation for cause of fever showed influenza A infection. He denied histor… Show more

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Cited by 17 publications
(13 citation statements)
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“…Hair and nails can become green from the deposition of copper or from Pseudomonas infection. A greenish-black discoloration of the palms and soles, as seen in our case, is also rare 1, 2, 3…”
Section: Discussionsupporting
confidence: 62%
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“…Hair and nails can become green from the deposition of copper or from Pseudomonas infection. A greenish-black discoloration of the palms and soles, as seen in our case, is also rare 1, 2, 3…”
Section: Discussionsupporting
confidence: 62%
“…In any patient with hyperbilirubinemia and palmoplantar vesicles, the differential diagnosis should include eccrine chromhidrosis, a rare condition in which pigment from dyes or medications are excreted via the eccrine sweat glands 1, 2, 3. Histopathology of eccrine chromhidrosis finds hyperkeratosis, diffuse acanthosis, and increased number and size of intraepidermal eccrine ducts surrounded by homogenous eosinophilic materials, which can sometimes be seen in the stratum corneum 1, 2, 3.…”
Section: Discussionmentioning
confidence: 99%
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