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What Causes Tiny Black Dots On The Hands And Feet?
Question: Myself and my son have tiny black dots on our hands and feet and I have little holes on the bottoms of my feet because of them, it also feels like I have hair or something stuck in my throat so I spit in sink and black things that looked like lint came out, could this be scabies?
Brief Answer:
Dry skin and possible diagnoses for the other lesions.
Detailed Answer:
Hello,
Thank you for using HCM to post your health query.
I've reviewed carefully your photos and I understand your concern.
None of the lesions you've attached here is suggestive of scabies, and I'm very confident in this aspect. Scabies would be very much different (you can simply google it and see images there for further reference) and most important would be very itchy.
The little holes in your feet, are because of dry skin, which is caused by walking barefoot, or ill-fitted shoes and several other factors. The way you can treat those are by scrapping the skin when it is moist and wet, for example after a shower. Applying a moisturizing cream, or Vaseline will help heal it. I see also some callus like skin in your foot, which is there for the same reason as the white crusty skin. It is more a cosmetic problem than medical.
The black hole in your hand, seems to me like a nevus or a very tiny wart. Not sure if you have others, do you?- because there is only one photo visualizing them. If you have many, and as I read your son has them also: I suspect those are a virus type wart, or something caused by the surrounding environment . Or it may be a parasite infestation since you said that you are spiting black things too.
What I would recommend to determine the diagnoses are some labs: CBC (complete blood count) and a stool microscopy for ova and parasite. These 2 labs would cover a lot of possible diagnoses we can rule out.
Hope this is helpful.
Let me know if you need more clarifications. Follow-up with me when you get the results, I will be happy to help further.
Regards
Dry skin and possible diagnoses for the other lesions.
Detailed Answer:
Hello,
Thank you for using HCM to post your health query.
I've reviewed carefully your photos and I understand your concern.
None of the lesions you've attached here is suggestive of scabies, and I'm very confident in this aspect. Scabies would be very much different (you can simply google it and see images there for further reference) and most important would be very itchy.
The little holes in your feet, are because of dry skin, which is caused by walking barefoot, or ill-fitted shoes and several other factors. The way you can treat those are by scrapping the skin when it is moist and wet, for example after a shower. Applying a moisturizing cream, or Vaseline will help heal it. I see also some callus like skin in your foot, which is there for the same reason as the white crusty skin. It is more a cosmetic problem than medical.
The black hole in your hand, seems to me like a nevus or a very tiny wart. Not sure if you have others, do you?- because there is only one photo visualizing them. If you have many, and as I read your son has them also: I suspect those are a virus type wart, or something caused by the surrounding environment . Or it may be a parasite infestation since you said that you are spiting black things too.
What I would recommend to determine the diagnoses are some labs: CBC (complete blood count) and a stool microscopy for ova and parasite. These 2 labs would cover a lot of possible diagnoses we can rule out.
Hope this is helpful.
Let me know if you need more clarifications. Follow-up with me when you get the results, I will be happy to help further.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
The black thing on my hand is what came out of my foot the wholes on my feet those same black things were on my son's groin and his inner thighs and when I took them off it left what looks like a bite mark and he said ouch .... the black things I spit out were from the back of my nose and they look a bit different they are long skinny and looks like there is a piece of hair attached to them!
I just added a photo of the bug that came out of my throat and was also on my foot last night ... I thru it in the toilet and it bounced around trying to get out
I just added a photo of the bug that came out of my throat and was also on my foot last night ... I thru it in the toilet and it bounced around trying to get out
Brief Answer:
Cutaneus Larva Migrans
Detailed Answer:
Hello dear,
I saw carefully your picture and we did a long discussion with my colleagues at my office for your case.
We came to a conclusion and I'm pretty sure these diagnoses it is the right one.
It is Cutaneus Larva Migrans (Ancylostoma Brasiliens it is the parasyte causing it).
To confirm it you may do what I have suggested above (a CBC where you will see a raised eosynophile count and also an exam with polarized dermatoscopy or stoop for ova and parasyte).
Generally tests may not be done because the diagnoses it is determined clinically.
The treatment it is Albendazole 400 mg, 1 tb per day for 3-5 days.
Avoid alcohol for 3 days during and after finishing it.
Make sure that your son gets treated as well, and if you have cats or dogs at home, to treat them too.
Come back to me if you have other questions.
Regards,
Dr.Papaqako
Cutaneus Larva Migrans
Detailed Answer:
Hello dear,
I saw carefully your picture and we did a long discussion with my colleagues at my office for your case.
We came to a conclusion and I'm pretty sure these diagnoses it is the right one.
It is Cutaneus Larva Migrans (Ancylostoma Brasiliens it is the parasyte causing it).
To confirm it you may do what I have suggested above (a CBC where you will see a raised eosynophile count and also an exam with polarized dermatoscopy or stoop for ova and parasyte).
Generally tests may not be done because the diagnoses it is determined clinically.
The treatment it is Albendazole 400 mg, 1 tb per day for 3-5 days.
Avoid alcohol for 3 days during and after finishing it.
Make sure that your son gets treated as well, and if you have cats or dogs at home, to treat them too.
Come back to me if you have other questions.
Regards,
Dr.Papaqako
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. Nagamani Ng
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