Paroxysmal purple palmar macules
This is Achenbach’s syndrome on the left wrist of a woman in her 50s (fig 1). The purple hue had developed within 30 minutes of a sudden stinging at the base of her left palm. No external trauma was…

This is Achenbach’s syndrome on the left wrist of a woman in her 50s (fig 1). The purple hue had developed within 30 minutes of a sudden stinging at the base of her left palm. No external trauma was…