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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rash, Occasional Itching, Recurring Blister Like Spots, Dry, Hard Skin After Using Antiseptics, Creams. Advise?

I have a persistent problem with a rash that itches sometimes - and it just partly covers three fingers - from my index finger to my ring finger and a small area below my index finger too on my left hand only. This rash dosent reach the finger ends. there are tiny 'blister like spots that seem to break out now and again. But is underlying most of the time and is quite uncomfortable. I have tried various creams and antiseptics which help the initially - but the area goes very very dry and the skin is quite hard .
Mon, 27 May 2013
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Dermatologist,  's  Response
Hi

Thanks for your query

From your description of the skin rash that you are having, it looks like you have developed cheiropompholyx lesions over your hand.

Now this skin disease is a kind of skin eczema which is characterized by development of deep seated fluid filled vesicular lesions over the hands.

These are very itchy in nature and sometimes there is fluid discharge from the lesions on scratching.
You need to apply a topical potent steroid cream over the affected area atleast twice a day.
Keep the area moisturized by applying enough cold creams to reduce the associated itching.
Avoid the use of oils over the hands.
You may take oral antihistamines the itching is very severe in nature.
Sometimes short courses of oral steroids have to be given in sever cases, so that you might need proper assessment by a dermatologist.

Hope it helps

Dr Geetika Paul
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Rash, Occasional Itching, Recurring Blister Like Spots, Dry, Hard Skin After Using Antiseptics, Creams. Advise?

Hi Thanks for your query From your description of the skin rash that you are having, it looks like you have developed cheiropompholyx lesions over your hand. Now this skin disease is a kind of skin eczema which is characterized by development of deep seated fluid filled vesicular lesions over the hands. These are very itchy in nature and sometimes there is fluid discharge from the lesions on scratching. You need to apply a topical potent steroid cream over the affected area atleast twice a day. Keep the area moisturized by applying enough cold creams to reduce the associated itching. Avoid the use of oils over the hands. You may take oral antihistamines the itching is very severe in nature. Sometimes short courses of oral steroids have to be given in sever cases, so that you might need proper assessment by a dermatologist. Hope it helps Dr Geetika Paul