Brief Answer:
Consultation

Detailed Answer:
Hi XXXX, thanks for asking from HCM.


I can understand your concern. The cause of wrinkling on fingers and fingertips without water can be many like

: Excessive sweating

: Fluid imbalance in body like hormonal problems e.g. hyper or hypothyroidism, ADH deficiency, cortisol imbalance

: Age and family history

: Connective tissue disorder like lupus erythematosis, Sclerosis

: Fibromyalgia

: Autonomic disturbance in hand and fingers like in peripheral vascular disease, Raynaud's phenomenon.

You need to consult dermatologist whenever you develop such symptoms again. He will investigate you after examining you. Also note few features and tell me

: Any change in skin texture over body
: History of some skin disease in family
: Do you smoke regularly
: Is there any history of diabetes, thyroid dysfunction?
: Is there any problem in digestion, recent jaundice, or any illness, which persisted for long?

All these answers will help me in reaching unto some conclusion. Then I will describe you what investigation do you need and what will be the treatment of it.

Hope you got my point. If still in doubt, do let me know. Thanks. Take care.

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Brief Answer:
Differential Diagnosis of disease and approach

Detailed Answer:
Hi XXXX, welcome back.


I have read your clinical history. I really appreciate your efforts to answere my all questions. According to it, autoimmune and connective tissue disorders are ruled out. You are right that the cause could be

: Age related skin changes
: Hormonal imbalance

To confirm it, my advise is consult dermatologist and get hormone level done. Investigations which are required to confirm are

: Thyroid function test - T3, T4 and TSH level

: Blood sugar level. If high, get HbA1c level done also.

: Serum cortisol level

After ruling out all causes, we can suspect "age" as the causative factor. Further treatment will depend upon the level of hormone.

Hope it will help you. Thanks. Take care.
If any doubt, do let me know.

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