Symmetrical lividity of the fingers

: Symmetric lividity of the soles of the feet was first reported in two children in 1925 by Pernet. The characteristic manifestation of this dermatosis consisted in hyperkeratosis and hyperhidrosis with livid discoloration of the pressure areas of the soles. Later the same name was applied to a similar dermatosis in which the hyperkeratotic and hyperhidrotic patches of skin on the soles had a whitish grey discoloration and the livid color, if present at all, was seen only over the marginal areas not affected by the keratosis. Similar livid keratoses affecting the palmar sides of the fingers have been seen only occasionally. The 17-year-old girl presented in this paper had a 11-year history of emotional hyperhidrosis and is a rare illustration of symmetrical lividity in its original form, localized to the fingers only.