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Rash on palms or soles

Also called: Palm and sole rash

A rash on the palms or soles can be from hand, foot, and mouth disease, syphilis, Rocky Mountain spotted fever, or reactions.

Common causesInfections, reactions
Usually serious?Can be
Get checked ifWith fever or after tick bite
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Few rashes affect the palms and soles.

Some need prompt testing.

When to get medical care

Call 911Fever with confusion.
Get care todayFever after a tick bite.
See a doctor soonRash on palms or soles.

Causes

Causes include viral infections, syphilis, and tick-borne illness.

OwieClear has pages on 1 condition that can cause rash on palms or soles. Each shows how soon to get care.

Common causes

  • SyphilisSee a doctor if it doesn't get better

    A bacterial STI that often starts as a painless sore.

What you can do at home

  • Note other symptoms.

Medicines

Depends on cause.

At the doctor

Tests check.

Questions you may be asked

  • Exposures

The exam

A skin exam.

Tests

  • Blood tests

Prevention

Lower risk.

  • Use condoms
  • Prevent tick bites

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

Start the symptom checker

Sources

Last updated 2026-11-13.