Pressure Palms-A Novel Occupational Dermatosis?

A 79-year-old woman presented with symmetric, fixed erythematous patches on the hypothenar eminences of both palms, present for over 30 years, with finely visible telangiectasias. Initially asymptomatic, the lesions later caused stinging discomfort. Her occupational history revealed 24 years of daily use of a pneumatic pinner, alternately held in each hand, causing repetitive pressure on those palm areas. Investigations excluded systemic causes of palmar erythema, and laboratory findings were normal. Similar lesions termed 'computer palms' have been described in chronic keyboard users, attributed to pressure-induced vascular changes. We propose the broader term 'pressure palms' to encompass analogous lesions caused by chronic mechanical stress in any occupational context. This case illustrates that sustained localized mechanical factors can induce permanent vascular and dermal changes, often overlooked, and underscores the need for dermatologic surveillance and preventive ergonomic measures in susceptible occupations.