How to treat hand redness in a patient with dermatitis?

Hello,

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I understand your concern. As per the history and images provided (the attachments are removed to protect the patient's identity), it is Tinea manuum. Tinea manuum is a fungal infection specific to hands that may also be associated with onychomycosis, meaning a fungal infection of nails. They include redness, with scaly lesions on hands and the areas in between the fingers sometimes associated with nail affection in the form of discoloration, chipped-off nails, itching, and sometimes pain and burning sensation may also be other less common symptoms. The most common factors for its appearance are frequent washing of hands, sharing belongings of an infected individual, previous history of dermatitis leading to superinfections, genetic factors with similar family history, moisture stagnation and sweating of hands, climatic factors, reduced immunity, and frequently using harsh chemicals and harsh soaps on hands. I suggest Luliconazole cream will be applied every four hours on the hands, between fingers, and nails for six weeks. Take Capsule Itraconazole 200 mg once daily after food at night for four weeks. It would be helpful to use lukewarm saltwater for soaking and cleaning your hands and fingers daily. Use Oilatum emollient (liquid paraffin), one cap full in a liter of water to be used once daily for washing your hands to prevent dryness, scaling, and recurrence of eczema or dermatitis. Avoid frequent hand washing and make sure your hands are wiped well and dry after washing to prevent stagnation of moisture and sweat. Make sure to follow a healthy diet with more fruits and vegetables and cut down on meat, dairy products, and sweets. Consume adequate water daily. Avoid sharing belongings with other individuals if possible. Multivitamin tablets like Becosules Z capsule consisting of vitamin B complex, zinc, and vitamin C may also be used daily for a month after breakfast to increase immunity. Tinea manuum may appear on and off in case of frequent hand washing and stagnation of moisture, and it may take weeks to months to subside, and therefore consistency in treatment and patience becomes essential. I hope you find it helpful. Kind regards.

Hello,

Welcome back to icliniq.com.

The prescription medications may be availed from any medical stores in your country. Among the medications, Luliconazole cream may be readily available in any medical store. I have not mentioned the brand. But the generic name is the one mentioned above so that you may avail of any brand available in your country of residence with the content mentioned above, and it will be easier. Capsule Itraconazole 200 mg is also very readily available and is an over-the-counter medication; therefore may be purchased without a prescription from any medical store. Again, Itraconazole is a generic name rather than a brand name because availing the content in any brand name would be easier depending on the brand available in your country of residence. Oilatum emollient (liquid paraffin) may be available online. As for the multivitamins, capsules Becosules Z is a brand name that may be availed online. But if it is harder to get, the contents mentioned in the previous query included vitamin B complex, zinc, and vitamin C and multivitamins with this combination of any brand may be purchased from any medical store in your country. All the medications I have mentioned can be easily purchased over the counter or online. The Clobetasol ointment, however you had mentioned in the previous query, is a medication I would not suggest being used. It is a potent steroid medication, and the maximum period of its usage should be three weeks, with weekly breaks in between. And if used frequently for an extended period, it can lead to skin thinning and further irritation, redness, and pain due to the normal protective barrier of skin being ruined. Therefore, it is only a short-term medication, and usage is advised to be limited. Thank you. Kind regards.