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What causes a rash-like bump on the finger post-silver ring?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a rash or bumpy area on the base of my ring finger on the side where it touches my middle finger. That occurred several days ago while I was wearing a silver ring on that finger. I have taken off the ring, but the area is getting painful and irritating, and it seems to be getting worse. I have used an antifungal cream on it for one day so far, but I am not sure how to tell if it is actually fungal or not. Please help.

Thank you.

Answered by Dr. Chaitra. P

Hi,

Welcome to icliniq.com.

From the picture provided (attachment removed to protect patient identity), it is most likely to be a viral infection like herpes or contact dermatitis.

These lesions are usually tiny grouped blisters and cause pain. They last for about 7-10 days and resolve spontaneously. However, they may get infected secondarily, oozing pus and spreading to the surrounding area.

You can apply Mupirocin cream to prevent further infection. I would also suggest you see your dermatologist, as you may require oral medications to prevent complications.

I hope this helps.

Thank you.

The Probable causes

The probable cause is herpes infection, contact dermatitis, and fungal infection is the rare possibility.

Investigations to be done

Investigations like tzanck smear or pus culture can help.

Probable diagnosis

The probable diagnosis is herpes infection.

Treatment plan

For treatment, it may require oral antiviral and analgesic medications.

Answered byDr. Chaitra. P

Medically reviewed byDr. Hemalatha

Published At September 6, 2019
Reviewed AtJanuary 29, 2025

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