Hello doctor,
My 12-year-old daughter has had a skin problem on and off since she was a toddler. We guess it to be eczema. It started in her inner crease of the right elbow as a pink, itchy spot, and it spread to her left hand in between her middle fingers and palm. The skin is pink, peels off, and is itchy. I have tried many creams, lotions, soaps, and medicines that are available over the counter. But nothing helped. She does not have any known allergies before.
I have attached the pictures.
Kindly help.
Hello,
Welcome to icliniq.com.
I have seen the pictures you sent (attachments removed to protect the patient’s identity).
It is hand eczema (dermatitis). Dermatitis is confined mainly to hands with or without minor involvement of other areas. The disease can be acute, lasting less than three months, or chronic. Sometimes there may be recurrent flares in between periods with normal skin. The causes can be endogenous like (atopic), repeated pricking or rubbing, dyshidrosis (increased sweating), and idiopathic like hyperkeratotic hand eczema.
The exogenous causes are chemical contact with detergents, soaps, allergens, contact with irritants, food or drug allergies, infection (bacterial, fungal, or viral).
The differential diagnosis is tinea manuum and keratolysis exfoliativa. The risk factors are wetness, stress, high temperature, cold, dry air, low humidity, occlusion, atopy, and dry skin.
Kindly avoid the known allergens and irritants. And I suggest you apply Emollient Barrier creams (Hemp oil, Canola oil, Soybean oil, Omega acids) and Motium cream (Mometasone) at night for four weeks. And apply Mupirocin ointment in the daytime for 15 days. Wet dressing with Povidone-iodine is needed.
Avoid excessive sweating, stress, dry conditions, and minimize frequent hand washing as it triggers eczema.
Does he have a fever or any fluid oozing from the site?
Kindly revert.
Thanks.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Can I take Nasonex and Zyrtec for sinus block?
.. is correct. The Nasonex (Mometasone furoate) spray removes the inflammation, and Zyrtec (Cetirizine) will eliminate the allergic component. Continue the medicines as advised. If the problem is getting repeated and present for more than three ... Read full
What is the cause for excessive sweating and terrible smell in the feet?.. who have diabetes, hypertension, liver diseases, thyroid issues will have excessive sweating in feet. Please rule out those reasons. According to naturopathy, excess heat in the body is responsible for such an issue. Repeated cough (respiratory di... Read full
Why do I have excessive sweating after stopping the habit of alcohol drinking?.. gone through your problem, and I can understand your concern. Yes, these symptoms are due to alcohol withdrawal. As you have stopped drinking alcohol, you can have these symptoms along with other symptoms such as tremor, palpitations, anxiety, and... Read full
Comprehensive Medical Second Opinion.
