Dupuytren’s Contracture

Thickening of the palmar fascia, caused by a variety of conditions (hereditary, trauma, diabetes), but also associated with alcoholic liver disease.
 
 

Patient 1:

This patient has Dupuytren’s contracture.

Patient 2:

This patient has Dupuytren’s contracture related to underlying liver disease. Note the concurrent palmar erythema.

This patient also has a vigorous peripheral pulse.