Indian Dermatology Online Journal

THROUGH THE LENS
Year
: 2016  |  Volume : 7  |  Issue : 4  |  Page : 356-

Black discoloration of palms


Feroze Kaliyadan1, KT Ashique2,  
1 Department of Dermatology, King Faisal University, Saudi Arabia
2 Department of Dermatology, KIMS Al Shifa Hospital, Perinthalmana, Kerala, India

Correspondence Address:
Feroze Kaliyadan
Department of Dermatology, College of Medicine, King Faisal University, Al-Hasa Campus, Al Hasa
Saudi Arabia




How to cite this article:
Kaliyadan F, Ashique K T. Black discoloration of palms.Indian Dermatol Online J 2016;7:356-356


How to cite this URL:
Kaliyadan F, Ashique K T. Black discoloration of palms. Indian Dermatol Online J [serial online] 2016 [cited 2020 Apr 9 ];7:356-356
Available from: http://www.idoj.in/text.asp?2016/7/4/356/185493


Full Text

A 30-year-old male patient, presented with black discoloration of both palms of 5 days duration. The lesions started after contact with silver nitrate solution, which the patient had been exposed to occupationally. He was working in a chemical laboratory supplies department. He had washed the area with water but the pigmentation was persisting [Figure 1].{Figure 1}

Silver nitrate is used in various industries such as photography, mirror plating, and manufacture of some hair dyes. Contact exposure to silver nitrate can lead to black discoloration of the skin. Silver nitrate can diffuse into the epidermis and react with sweat chloride to form silver chloride, which is then reduced by ultraviolet light to form colloidal particles of metallic silver, which appear black in color. The discolorations cannot be removed by washing with water or detergents, but they usually disappear after approximately 1–2 weeks.[1],[2] Chronic systemic exposure to products containing colloidal silver can lead to argyria—characterized by bluish gray discoloration, especially of sun-exposed areas. Here the silver deposition is deeper as compared with that due to skin contact with silver nitrate.[3]

This article highlights the need to consider silver nitrate as a possible cause for skin discoloration.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Schanz S, Metzler G. Medical mystery: Skin discolorations—The answer. N Engl J Med 2007;356:2327-8.
2Sankar NS, Donaldson D. Lessons to be learned: A case study approach. Finger discoloration due to silver nitrate exposure: Review of uses and toxicity of silver in clinical practice. J R Soc Promot Health 1998;118:371-4.
3Merchant F, Carpenter T. Blue-gray discoloration of the skin. Am Fam Physician 2011;84:821-2.