Black heel and palm

A dermatological condition characterized by dark macules on the heel and palm

Black heel and palm, also known as talon noir, is a dermatological condition characterized by the appearance of dark macules on the heel and palm of the skin. This condition is benign and is often associated with trauma or friction to the affected areas.

Presentation

Black heel and palm typically presents as small, darkly pigmented spots on the heel or palm. These spots are usually asymptomatic, meaning they do not cause pain or discomfort. The condition is most commonly observed in individuals who engage in activities that involve repetitive trauma or friction to the skin, such as athletes or individuals who frequently use their hands for manual labor.

Pathophysiology

The dark macules seen in black heel and palm are caused by the extravasation of blood into the upper layers of the epidermis. This occurs when small capillaries in the skin are damaged due to repeated trauma or pressure, leading to the leakage of blood and the subsequent formation of dark spots. The condition is not associated with any underlying disease and is considered a cosmetic issue rather than a medical one.

Diagnosis

Diagnosis of black heel and palm is primarily clinical, based on the characteristic appearance of the lesions and the patient's history of trauma or friction to the affected areas. In some cases, a dermatologist may use a dermatoscope to examine the lesions more closely. The condition should be differentiated from other causes of pigmentation such as melanoma or nevus, which may require further investigation.

Management

Management of black heel and palm is generally conservative. Since the condition is benign and self-limiting, no specific treatment is required. Patients are advised to minimize trauma or friction to the affected areas to prevent further development of lesions. In cases where the appearance of the lesions is bothersome, patients may opt for cosmetic treatments such as laser therapy or cryotherapy, although these are not typically necessary.

Prognosis

The prognosis for individuals with black heel and palm is excellent. The condition does not lead to any long-term health issues and the lesions may resolve spontaneously over time, especially if the inciting trauma is avoided.

Related pages

• Dermatology
• Skin pigmentation
• Melanoma
• Nevus