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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blotchy Red Hands, Skin Peeling, Small Blisters On My Fingers, Tingling Sensation

I ve over the last 2 weeks gotten blotchy red hands which are beginning to peel now. Occasionally I get what appear to be small blisters on my fingers. I get a tingling sensation every so often in them. It s making me uncomfortable. I have a fungal infection in my groin/genital region. Could it have spread? I recently moved to Thailand so I was wondering if the dramatic climate change has had an effect also?
Wed, 6 Nov 2013
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Dermatologist,  's  Response
hi. It could be dyshidrotic eczema, inflammtory tinea Mannum or simply keratolysis exfoliativa.

Get a KOH scraping from the scale which will help confirm or rule out tinea Mannum.
>If KOH come negative it seems most likely to be either Dyshidrotic eczema or keratolysis exfoliativa.
>If KOH is positive then apply antifungal creams like clotrimzole, ketoconazole, sertaconazole or luliconazole for 4 weeks and also take oral fluconazole once every week for 4-6 weeks.

Treatment of both conditions is somewhat similar. Use a moisturising cream mixed with a moderately potent steroid like mometasone and apply twice daily for 2 weeks. Avoid using excessive soaps.
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Blotchy Red Hands, Skin Peeling, Small Blisters On My Fingers, Tingling Sensation

hi. It could be dyshidrotic eczema, inflammtory tinea Mannum or simply keratolysis exfoliativa. Get a KOH scraping from the scale which will help confirm or rule out tinea Mannum. If KOH come negative it seems most likely to be either Dyshidrotic eczema or keratolysis exfoliativa. If KOH is positive then apply antifungal creams like clotrimzole, ketoconazole, sertaconazole or luliconazole for 4 weeks and also take oral fluconazole once every week for 4-6 weeks. Treatment of both conditions is somewhat similar. Use a moisturising cream mixed with a moderately potent steroid like mometasone and apply twice daily for 2 weeks. Avoid using excessive soaps.