Liver palms in rheumatoid arthritis.

Liver palms or palmar erythema are well recognized as a clinical feature of hepato-cellular disease (Sherlock, 1968). They have also been recorded in many other conditions, such as pregnancy, chronic febrile states, leukaemia, thyrotoxicosis, and rheumatoid arthritis (Copeman, 1964; Ragan, 1966; Sherlock, 1968). In the last-named disease the prevalence of palmar erythema has not been, to our knowledge, ascertained. In this paper we report a study of palmar erythema in 144 patients with rheumatoid arthritis, in whom we have studied the relationship of palmar erythema to the clinical and laboratory features of the disease.