Why do my friend's blister-like eczema lesions recur at 27?
Patient's Query
Hello doctor,
I would like to ask about my friend's condition. She is 27 years old, with a history of eczema. She has papules and blister-like lesions on her chest, hand (resolved), and currently on her lower limb. Watery discharge and itchy as well.
She is working as a pharmacist. She tried Hydrocortisone cream, but it keeps recurring. She denies the blisters getting worse after stopping Beclomethasone cream (used once or twice a week) and denies shaving her hair. Her fasting blood sugar is normal.
Kindly give your advice on this.
Thank you.
Hello,
Welcome to icliniq.com.
I have seen your query and understand your concern.
I have examined your friend's picture (attachment removed to protect the patient's identity). It seems she has dyshidrotic dermatitis (Podopompholyx). Podopompholyx generally causes itching of the hands and feet, because usually hands and feet directly come in contact with external objects like pollen, dust, and detergent on a day-to-day basis.
The substances that aggravate this condition are pollen, chemicals in detergents, paints, solvents, and rubber materials.
When she has an allergy, she should stay away from the allergens. There are chances of blisters being infected if you puncture them, so do not puncture them.
To control itching, I would suggest your friend start taking tablet Cetirizine and topical steroids like 0.1 percent Mometasone twice daily for one week. Kindly consult a specialist, talk with them, and take medicines with their consent.
I hope this helps.
Please feel free to reach out in case of further queries.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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