What Causes Itchy And Painful Blisters On Palms, Legs And Thighs?

Posted on Tue, 18 Aug 2015

Question: hi Dr, I have attached the picture of blisters on my 2 year old daughter. we initially thought it to be diaper rash but it seem to have spread to Palm and legs but not as many as near back thigh or genitals. no fever, no blisters on stomach area, chest or back or face. only near back thigh and genitals and two to three on Palm and legs. it's itchy and at times painful. could it be herpes? or what else it could be?

Answered by Dr. Ilyas Patel (43 minutes later)

Brief Answer:
Molluscum contagiousum most probably

Detailed Answer:
Hi,

Welcome to HCM..

I read history and saw photos. I could conclude that most probably your daughter is having molluscum contagiousum. It is a viral infection caused by pox virus. As in photos, there may be whitish, umbilicated,descrete paupular eruptions. They may be usually asymptomatic. But,sometime may be itchy.Pain may be there due to secondary bacterial infection in the lesions. You consult dermatologist for firm diagnosis and perfect treatment. However, I would suggest as follow..

There may be different modalities for the cure of molluscum contagiosum..

- electrocautery under local anaesthesia
- cryotherapy
- laser treatment
- chemical cautery .. Salicylic acid 12% may be used
- FFU cream

You discuss with dermatologist and go for treatment. Along with any mode of treatment, I advise immunomodulator like levamisole 50 mg daily at night. To improve or control secondary infection,antibiotics may be given. After total cure, long term follow up is neccessary as relapses may be there.

I hope this would help in managing your daughter's problem. Still, any query..you are welcome.

Thanks..

Dr. Ilyas Patel MD

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj