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What Causes Recurring Small Cluster Of Reddish Spots On Hands?

Posted on Mon, 21 Jul 2014

Question: My husband has developed a small cluster of reddish spots on top of his hand from time to time. He does't remember impacting and it is not sensitive. He has had it in about the same spot a couple of times in the last few months. The skin is not broken. What might it be and how should it be treated?
Thanks

Answered by Dr. Geetika Paul (1 hour later)

Brief Answer:
Please provide pictures and details

Detailed Answer:
Hi,

Thanks for your query.

I understand your concern regarding your skin problem and I hope I am able to help you in the same .
Now from the description alone, it is difficult to make out the exact diagnosis . I would like to have a look at the exact skin lesions .

Please click some close up pictures of the skin condition and upload them here on this page .
Also please tell if there is associated itching or pain or discomfort?
What all he applies over the lesions when they develop?
I am sure I will be able to help you more once you provide me the above details and the pictures .

Dr Geetika Paul

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Geetika Paul (8 hours later)

Thank you for your response, Doctor. I have hopefully sent on a photo. There is no itching, pain or discomfort involved and he applies nothing. He thinks now it might be caused by a metal cabinet latch his hand passes by daily to take out daily supplements. Is this a possibility?

Answered by Dr. Geetika Paul (1 hour later)

Brief Answer:
Pictures not uploaded

Detailed Answer:
Hi again,

I don't see the pictures here. Can you try uploading it again. Alternatively you can mail to to my attention at YYYY@YYYY

Dr Geetika Paul

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Geetika Paul (14 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Geetika Paul (35 minutes later)

Brief Answer:
Grouped lesion raise possibility of herpes

Detailed Answer:
Hi

I have seen the attached picture .
I must say that it is not a very clear picture but from what I can make out , I can see few grouped lesions. I strongly suspect that your husband might be developing recurrent episodes of herpetic infection over the hand.
Has he ever noticed any development of fluid filled vesicles at this part?
Recurrent development of grouped lesions at any part of body can be suggestive of a skin herpetic infection.
For confirmation of diagnosis, he might need to investigated by various blood tests for anti herpes antibodies .
As of now, he should apply a topical antibiotic cream like neosporin or mupirocin over the affected areas twice a day.

Dr Geetika Paul

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar