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What Causes Itchy Break Out On Hands And Feet?
Question: Hello, I have been suffering from some sort of 'break out' on my hands and feet - it is swollen red spots that are leaving scars - they seem to turn white (they are also on my genitalia). I have been using tube of steroid salve along with hydrocortisone and soaking in Epsom salt for the last 10 days, however it is still apparent and causing a lot of problems - and a lot of itching - my hands in the palms, it seems to be under the skin - I don't know what it is and I am unable to attend a physician. It did seem to help initially but I am not so sure now - the picture was today. Please help - I also moved here from Alaska and I am in the Everglades area with a lot of freaky bugs and contamination (Moore Haven). Thank you, XXXXXXX
Brief Answer:
Lichen planus; Superpotent topical steroid & Oral steroids;Tablet cetrizine
Detailed Answer:
Hello. Thank you for writing to us
I am Dr. Kakkar (Dermatologist). I have gone through your query and I have also reviewed the Image. I can see red to purple colored raised skin lesions on inner side of feet.
I would suggest a possibility of Lichen Planus (LP). LP presents as extremely itchy, red to purple, raised papules which may coalesce into plaques. The skin lesions of LP are usually distributed on ankle, shins, thighs, wrists, arms and abdomen. When LP resolves it usuallly leaves behind bluish/ dark colored spots.
The cream that you are using i.e hydrocortisone is a very mild steroid and it won't help. I would rather suggest a superpotent steroid e.g either clobetasol propionate 0.05% cream Or halobetasol propionate 0.05% cream. In fact If I was the treating doctor I would also start you on a course of an Oral steroid i.e Prednisolone and continue it for 2-4 weeks. Topical superpotent steroid cream and Oral steroids are prescription medications and I suggest that you to talk to your doctor for the needful.
You may take a tablet of cetrizine 10 mg for symptomatic rlief from itching..
Regards
Lichen planus; Superpotent topical steroid & Oral steroids;Tablet cetrizine
Detailed Answer:
Hello. Thank you for writing to us
I am Dr. Kakkar (Dermatologist). I have gone through your query and I have also reviewed the Image. I can see red to purple colored raised skin lesions on inner side of feet.
I would suggest a possibility of Lichen Planus (LP). LP presents as extremely itchy, red to purple, raised papules which may coalesce into plaques. The skin lesions of LP are usually distributed on ankle, shins, thighs, wrists, arms and abdomen. When LP resolves it usuallly leaves behind bluish/ dark colored spots.
The cream that you are using i.e hydrocortisone is a very mild steroid and it won't help. I would rather suggest a superpotent steroid e.g either clobetasol propionate 0.05% cream Or halobetasol propionate 0.05% cream. In fact If I was the treating doctor I would also start you on a course of an Oral steroid i.e Prednisolone and continue it for 2-4 weeks. Topical superpotent steroid cream and Oral steroids are prescription medications and I suggest that you to talk to your doctor for the needful.
You may take a tablet of cetrizine 10 mg for symptomatic rlief from itching..
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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