“…Clinically, it consists of symmetrical erythematous to purple nodules and plaques with a predilection for the extensor surfaces overlying joints, particularly hands, feet, elbows, and knees. To date, palmar involvement has been reported only in a few patients 1–5 . Lesions are mostly asymptomatic, although some patients can experience pruritus, tenderness, and a burning sensation after the onset of new lesions 1 …”