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Suggest Treatment For Swelling And Itching In The Knuckles

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Posted on Thu, 22 Jun 2017
Question: one of my knuckles is swollen and itchy and has been for several weeks. I thought it was just because of washing my hands frequently, but now i have bumps on the back of my hand that are itchy as well. Should I be worried and see a doctor?
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Answered by Dr. Bonnie Berger-Durnbaugh (14 minutes later)
Brief Answer:
Information

Detailed Answer:
Hello XXXXXXX

There are a number of things this could be. Are you able to upload a good quality digital picture of the bumps on the back of the hand, preferably at least one that is taken close up?

Possibilities include a contact dermatitis (reaction to a plant or something else you've come in contact with), an allergic reaction, and other immune reactions.

Also, I would avoid antibiotic ointment, because it doesn't sound like there is a wound with a bacterial infection from your description, and antibiotic ointment can cause allergic reactions.

I'll wait to see pictures - hopefully you can upload some.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (7 minutes later)
one from my knuckle and one from my hand.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (18 minutes later)
Brief Answer:
Thoughts on this.

Detailed Answer:
Thanks for sending these.

This could be a contact dermatitis, or eczema, but I am concerned about the possibility of infection, either fungal or bacterial. In particular the finger looks quite red/inflamed.

You could try some over the counter hydrocortisone cream but I'd rather you go in for a couple of reasons. The amount of redness is significant on your finger and I think it should be seen in person. Secondly, I don't think 1% hydrocortisone cream will be enough, and if there is infection present, it would only be decreasing the inflammation and not treating the underlying cause.

So - I wouldn't worry, but I do advise that you go in to be seen in person.

If you go to an urgent care clinic, request seeing an experienced doctor, as sometimes they will have people seen by a PA or NP and this should be seen by a physician.

I'm sorry I can't say specifically what it is, but I can say that it should be seen in person.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Swelling And Itching In The Knuckles

Brief Answer: Information Detailed Answer: Hello XXXXXXX There are a number of things this could be. Are you able to upload a good quality digital picture of the bumps on the back of the hand, preferably at least one that is taken close up? Possibilities include a contact dermatitis (reaction to a plant or something else you've come in contact with), an allergic reaction, and other immune reactions. Also, I would avoid antibiotic ointment, because it doesn't sound like there is a wound with a bacterial infection from your description, and antibiotic ointment can cause allergic reactions. I'll wait to see pictures - hopefully you can upload some.