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Why do I have dry, cracked hands and tiny finger blisters?

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 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 was 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 eczema or palmar psoriasis. Please send images for further information.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

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 of 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.

Thank you.

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, I suggest a good moisturizer like Aquasoft cream (Glycerol) or Olesoft cream (Sodium pyrrolidone Caroxylic acid, Sodium lactate and olive oil) 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 Fusidic cream (Fusidic acid). Consult your specialist doctor, discuss with him or her, and take the medicine with consent. There is no need for the application of a bandage because it might just irritate your skin more.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I have attached the picture of the bumps. Please take a quick look at this and let me know if it is still eczema.

Thank you.

Hi,

Welcome back to icliniq.com.

When there is eczema, due to constant itching, it leads to erosions, which lead to secondary bacterial infections, as 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 an intense moisturizer. If there is no relief with this cream, then a stronger steroid cream like Halovate cream (Halobetasol propionate 0.05%) can be used for 10 to 15 days.

Do not use these steroid creams for more than two to three weeks. There are side effects like thinning of the skin and telangiectasia (dilated blood vessels). Consult your specialist doctor, discuss with him or her and take the medicine with consent.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 8, 2016
Reviewed AtMarch 5, 2026

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