Palmar erythema is redening of the palms at the thenar and hypothenar eminences. It is associated with various physiological as well as pathological changes, the principal one of which is portal hypertension. It is also seen in patients with liver dysfunction, such as chronic liver disease, and also in pregnant women. Palmar erythema may also be the result of dermatoses such as eczema or psoriasis, and is related to deep telangiectasias. It may also be a normal finding. It has been attributed to high estrogen levels. Palmar erythema occurs in about 30% of patients with rheumatoid arthritis especially those with elevated hemoglobin levels .