Tripe palm

Q: The presence of tripe palm is the possible manifestation of which cancers?

Answer; Gastric or lung cancer

The nomenclature for 'Tripe palm' is acanthosis palmaris or acquired pachydermatoglyphia. It is called tripe palm because it resembles the stomach mucosa of ruminants (tripe). It appears as a velvety thickening of the palms with a ridged or rugose appearance.

It is mostly associated with stomach or lung cancer, though it may be present in other cancers or can be independently idiopathic.

Its clinical significance lies in its possible earliest manifestation of the underlying cancer. It usually resolves with the start of treatment or resolution of malignancy.

#dermatology

#oncology

#pulmonary

References:

1. Güngör S, Topal I. Images in clinical medicine. Tripe palms. N Engl J Med 2014; 370:558.

2. Cohen PR, Grossman ME, Almeida L, Kurzrock R. Tripe palms and malignancy. J Clin Oncol 1989; 7:669.

3. Ameen M, Chopra S, Darvay A, et al. Erythema gyratum repens and acquired ichthyosis associated with transitional cell carcinoma of the kidney. Clin Exp Dermatol 2001; 26:510.