| Erythema elevatum diutinum, acral Sweet's syndrome, dermatofibroma and drug-induced granulomatous eruptions are other conditions which should be considered in a patient presenting with painful acral papules. |
| Erythema multiforme is a mucocutaneous disease characterized by the typical target-like erythematous papules and plaques especially localized on the acral regions. |
| Acral melanoma is a type of skin cancer that occurs on fingers, palms, soles, and nail beds. |
| Acral lentiginous malignant melanoma arises as pigmented lesions on the palm, sole or under the nail and it usually presents late. |
| It is a rare acral hyperkeratosis, most commonly associated with squamous cell carcinoma of the upper aerodigestive tract or the cervicomediastinal area. |
| Symptoms include fever and arthralgia with a morbilliform skin eruption that often has acral accentuation. |
