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Pool Palms

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Case Presentation

An otherwise healthy 5-year-old girl presented during the summer with painful shiny erythematous patches and some blisters on the finger pads of both hands and on the palms of 1 week’s duration ( Figure 1 ). On further questioning, her father mentioned that she had been playing and swimming all week in a swimming pool. A diagnosis of pool palms was made. Avoidance of the swimming pool for a couple of days was recommended. No further treatment was indicated.

Figure 1 .

Pool palms. Shiny erythematous patches and some blisters on the finger pads of both hands and on the palms of a 5-yearold girl.

Teaching Point

Pool palms is a relatively frequent benign disorder, although scarcely described in the literature. It is a frictional dermatitis that affects the skin of the hands and feet after repeated contact with rough pool surfaces [ 1 ] . It is more frequent in childhood, probably because of children’s skin fragility and their tendency to rub against the pool surface when playing [ 2 ] . Cessation of the activity leads to rapid symptom resolution.

References

  1. Pool palms Wong LC, Rogers M. Pediatr Dermatol.2007;24(1):95.
  2. Pool palms Novoa A, Klear S. Arch Dis Child.2016;101(1):41.

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