Is my painless finger rash related to Raynaud's phenomenon?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

With your description, it seems like a target lesion which is seen in erythema multiforme. Erythema multiforme is a hypersensitivity skin reaction due to underlying infections, some medications, systemic diseases, and autoimmune disorders. Or it could be purpura (blood leak underneath the skin). I am very sorry I cannot make a precise diagnosis unless I see the clinical picture.

I would like to know few more details:

1. How long has it been there?
2. Did you have any recent illness like fever or cough?
3. Did you take any oral medication?

I would suggest you attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions.

Thank you for consulting me.

You can always reach me at icliniq.com.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Plaquenil is Hydroxychloroquine. It is a medication for your vasculitis. Hydroxychloroquine is also known to cause erythema multiforme. Infections being the most common cause. Ibuprofen, Diclofenac, and certain antibiotic are the common medications implicated. Erythema multiforme is usually self-limiting condition. Requires treatment when it is widespread involving oral cavity. Again, I am sorry I cannot confirm if it is erythema multiforme without seeing the clinical picture. I am handicapped here without the picture. It could be traumatic rash or purpura as I mentioned earlier. I would suggest you apply Calamine lotion for the rash three times a day. Watch out for similar rashes. See if you have any lesion inside the mouth.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Thank you for adding the picture (attachment removed to protect the patient's identity). Yes, it looks like target lesion of erythema multiforme. Most of the times it is painless. It is a part of Raynaud's phenomenon also. Topical moisturizer and Calamine lotion would be of help. Use it for a week, it should subside. Keep your hands warm and protected from cold as advised by your dermatologist for Raynaud's phenomenon. Avoid nicotine, it can construct the blood vessels precipitating Raynaud's phenomenon. It is not purpura; I can confirm that. A traumatic wound should have pain, and you are saying it does not hurt. Watch out for similar rashes, if you get more, then you will have to make an appointment with your dermatologist.

Looking forward to your response in order to help you.

Thank you.