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Red Palms Symptoms, Causes & Common Questions

Two hands with red concentric circles emanating from the palms and knuckles.
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Last updated February 3, 2024

Red palms quiz

Take a quiz to find out what's causing your red palms.

Understand your red palms symptoms with Buoy, including 4 causes and common questions concerning your red palms.

Red palms quiz

Take a quiz to find out what's causing your red palms.

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4 possible red palms causes

This list does not constitute medical advice and may not accurately represent what you have.

Rheumatoid arthritis

Rheumatoid arthritis is a chronic inflammatory disorder that affects the lining of the joints, causing them to become thickened and painful. It can also affect other parts of the body such as the heart, lungs, eyes, and circulatory system.

Rheumatoid arthritis is an autoimmune disease, which means the body's immune system turns against itself for unknown reasons.

Most at risk are women from ages 30-60. Other risk factors are family history, smoking, and obesity.

Early symptom include warm, swollen, stiff, painful joints, especially the fingers and toes; fatigue; and fever. Usually, the same joints on both sides of the body are affected.

If untreated, irreversible joint damage and deformity can occur, with other complications. Early diagnosis can allow preventive treatment to begin as soon as possible.

Diagnosis is made through physical examination; blood tests; and x-ray, CT scan, or MRI.

There is no cure for rheumatoid arthritis, but the disease can be managed to improve quality of life. Treatment includes nonsteroidal anti-inflammatory drugs; steroids; anti-rheumatic drugs; physical therapy; and sometimes surgery to repair the joints.

Psoriatic arthritis

Psoriatic arthritis is a complication of psoriasis, which causes the skin to become thickened, red, and scaly. Arthritis may appear before or after the psoriasis appears.

Both conditions are autoimmune diseases, where the body attacks itself, and are thought to be caused by genetic and environmental factors.

Most susceptible are people from 30 to 50 years of age with a family history of the disease and who already have psoriasis.

Symptoms include the joints on one or both sides of the body becoming painful, swollen, and hot; swelling and deformity of the fingers and toes; pitted, flaking fingernails; foot pain in the heels and soles; and joint pain in the low back pain.

It is important to seek treatment, as psoriatic arthritis can permanently damage the joints, eyes, and heart.

Diagnosis is made through physical examination, x-rays, and MRI. Blood tests and joint fluid tests can confirm psoriatic arthritis.

Treatment includes over-the-counter, nonsteroidal anti-inflammatory drugs; anti-rheumatic medication; immunosuppressants; and steroid injections for the joints. Surgery to replace damaged joints may also be tried.

Overactive thyroid

Overactive thyroid, or hyperthyroidism, means that the thyroid gland in the neck produces an excess of the hormone thyroxine and causes a metabolic imbalance.

Hyperthyroidism can be caused by autoimmune disorders such as Graves' disease; by benign growths in the thyroid; or by inflammation of the gland, called thyroiditis.

The condition may run in families. Women seem to be more commonly affected than men.

Hyperthyroidism causes very high metabolism with sudden and unexplained weight loss, rapid and irregular heartbeat, sweating, nervousness, and anxiety.

Goiter, or swelling of the thyroid gland, may appear at the base of the neck. The eyeballs can protrude and become irritated, a condition called Graves' ophthalmopathy.

If not treated, hyperthyroidism can lead to serious heart rhythm abnormalities and osteoporosis. An endocrinologist can diagnose the condition through a physical examination and simple blood test.

Treatment is done with anti-thyroid medications and sometimes radioactive iodine. Surgery to remove part of the thyroid gland may be done. The condition usually responds well to treatment and monitoring, and to improved diet, exercise, and stress reduction.

Non-specific hand rash

A rash is an area of irritated or swollen skin. Often, rashes are unidentifiable and some variation of normal. For example, scratching one's arm causes it to turn red (which is caused by mast cells releasing chemicals into the local area), but that's completely normal.

At this time, you do not need treatment for this rash. If it worsens, you may need to consult a physician.

Irritant contact dermatitis

Irritant contact dermatitis means a skin reaction that is caused by directly touching an irritating substance, and not by an infectious agent such as a bacteria or virus.

Common causes are soap, bleach, cleaning agents, chemicals, and even water. Almost any substance can cause it with prolonged exposure.

Contact dermatitis is not contagious.

Anyone who works with an irritating substance can contract the condition. Mechanics, beauticians, housekeepers, restaurant workers, and health care providers are all susceptible.

Symptoms include skin that feels swollen, stiff, and dry, and becomes cracked and blistered with painful open sores.

A medical provider can give the best advice on how to heal the skin and avoid further irritation. Self-treatment can make the problem worse if the wrong creams or ointments are used.

Diagnosis is made through patient history, to find out what substances the patient comes into contact with, and through physical examination of the damaged skin.

Treatment involves avoiding the irritating substance if possible. Otherwise, the person can use petroleum jelly on the hands underneath cotton and then rubber gloves.

Hemochromatosis

Hemochromatosis is a condition where the body stores too much of the iron it receives from food. This iron builds up in the organs, especially the heart, liver, and pancreas, causing damage and eventually failure.

The condition is inherited. Most often it will first appear in men around the age of 30, and in women after menopause or hysterectomy.

Symptoms include ongoing fatigue; joint pain, especially in the first two fingers; abdominal pain; enlarged heart, liver, and spleen; mental confusion; reddish or ashen skin color; and irregular heartbeat.

It is important that any signs of hemochromatosis be seen by a medical provider so that treatment can begin before organ damage sets in. The condition can lead to many other illnesses including diabetes, cirrhosis of the liver, arthritis, some cancers, and some neurological disorders.

Diagnosis is made through blood tests, with confirmation through genetic testing.

Treatment involves regular blood donation; medication to help remove iron from the blood; and changing the diet to avoid foods high in iron, such as red meat and some fish.

Eczema (atopic dermatitis)

Atopic dermatitis, also called eczema, dermatitis, atopic eczema, or AD, is a chronic skin condition with an itchy rash.

AD is not contagious. It is caused by a genetic condition that affects the skin's ability to protect itself from bacteria and allergens.

AD is most often seen in infants and young children. Most susceptible are those with a family history of AD, asthma, or hay fever.

Infants will have a dry, scaly, itchy rash on the scalp, forehead, and cheeks. Older children will have the rash in the creases of elbows, knees, and buttocks.

Without treatment, a child may have trouble sleeping due to the intense itching. Constant scratching may cause skin infections and the skin may turn thickened and leathery.

Diagnosis is made through physical examination, patient history, and allergen skin tests.

AD cannot be cured, but can be controlled through prescribed medications, skin care, stress management, and treatment of food allergies. Those with AD often have allergies to milk, nuts, and shellfish. Keeping the skin clean and moisturized helps prevent flareups.

Cirrhosis

Cirrhosis is scarring of the liver. Scar tissue forms because of injury or long-term disease. In the United States, alcoholism and hepatitis C are the most common causes. Scar tissue cannot do what healthy liver tissue does - make protein, help fight infections, clean the blood, help digest food and store energy.

You should visit your primary care physician who will likely coordinate care with a specialist. Treatment for cirrhosis usually involves a dietary approach, medication to treat underlying cause, stopping any alcohol use, and liver transplant in serious cases.

Rarity: Common

Top Symptoms:

Urgency: Primary care doctor

Cellulitis

Cellulitis is a bacterial infection of the deep layers of the skin. It can appear anywhere on the body but is most common on the feet, lower legs, and face.

The condition can develop if Staphylococcus bacteria enter broken skin through a cut, scrape, or existing skin infection such as impetigo or eczema.

Most susceptible are those with a weakened immune system, as from corticosteroids or chemotherapy, or with impaired circulation from diabetes or any vascular disease.

Symptoms arise somewhat gradually and include sore, reddened skin.

If not treated, the infection can become severe, form pus, and destroy the tissue around it. In rare cases, the infection can cause blood poisoning or meningitis.

Symptom of severe pain, fever, cold sweats, and fast heartbeat should be seen immediately by a medical provider.

Diagnosis is made through physical examination.

Treatment consists of antibiotics, keeping the wound clean, and sometimes surgery to remove any dead tissue. Cellulitis often recurs, so it is important to treat any underlying conditions and improve the immune system with rest and good nutrition.

Questions your doctor may ask about red palms

  • Have you been experiencing dizziness?
  • Have you experienced any nausea?
  • Are you sweating more than usual?
  • Is your heart beating more quickly or slowly than usual?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

Red palms symptom checker statistics

People who have experienced red palms have also experienced:

  • 6% Fatigue
  • 3% Hand Tingling
  • 2% Swelling Of Both Hands

People who have experienced red palms were most often matched with:

  • 33% Cirrhosis
  • 33% Hemochromatosis
  • 33% Overactive Thyroid

Source: Aggregated and anonymized results from Buoy Assistant.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.

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