Q. Please clarify if dry, cracked hand is a symptom of eczema.
Hi doctor,
I have had severely dry, cracked hands for the last six months. Sometimes, I sleep with Aquaphor and gloves on my hands. There have been two occasions where I have noticed one or two tiny bumps or blisters on the side of one of my fingers. It was on a different finger each time and is towards the bottom of the finger. I was just wondering if it is a symptom of eczema or perhaps something more. Please explain.
Hi,
Welcome to icliniq.com.
It can be either eczemaor palmar psoriasis. Please send images for further information.
Thank you doctor,
I noticed one small bump on the side of my middle finger. I squeezed it open and then put on a bandage since I was not sure what it was. Left the bandage on for a couple days and when I took it off there were two more bumps on the front of the same finger under the bandage. I have attached pictures of my dry hands and bumps.
Hi,
Welcome back to icliniq.com.
It is hand eczema (attachment removed to protect patient identity). I suggest you use Momate cream (Mometasone furoate 0.1%) twice a day for 10 to 15 days. As it is a steroid-based cream, it will reduce redness and itching. Also, suggest good moisturizer like Aquasoft cream or olesoft cream two to three times a day. It is very important to moisturize. Avoid contact with detergent or frequent contact with water. Do not burst vesicles. Apply plain antibacterial cream like Fudic cream (Fusidic acid). Consult your specialist doctor, discuss with him or her and take the medicine with consent. There is no need of application of bandage because it might just irritate your skin more.
Thank you doctor,
I have attached the picture of the bumps. Please take a quick look at this and let me know if it is still eczema.
Hi,
Welcome back to icliniq.com.
When there is eczema, due to constant itching it leads to erosions, which leads to secondary bacterial infections like in your case. There are two pustules. You can also get Momate-F cream, a combination of Mometasone furoate 0.1% with or without Fusidic acid. Once these pustules subside, then plain Momate cream can be used. Also, use intense moisturizer. If there is no relief with this cream, then stronger steroid cream like Halovate cream (Halobetasol propionate 0.05%) can be used for 10 to 15 days. Do not use these steroid creams more than two to three weeks. There are side effects like thinning of skin and telangiectasia (dilated blood vessel). Consult your specialist doctor, discuss with him or her and take the medicine with consent.
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