What causes the itchy rashes and watery eruptions on hands?

Question

Hello doctor,

I am a 66-year-old male with no diabetes, no hypertension, and normal lipid levels. I am working in a remote area where no medical facility is available. Since last week, I have developed a rash on my right hand with a rose-colored circle and several watery eruptions. It is confined to my hand. The eruptions near my right thumb and on the back near the nail are painful.

There is not much itching, except for occasional itching near the rosy area. There are no rashes in other areas, and I haven’t had any fever so far. I’ve taken some photos of the eruptions for your review. A local RMP advised using an antibacterial ointment, but it hasn’t been very effective. I traveled as a pillion rider on a motorbike, holding iron rods at the back, and noticed the eruptions soon after. I am worried it might be chickenpox. I look forward to your advice.

Answer 1

Hello,

Welcome to icliniq.com.

I went through the images (attachment removed to protect patient identity). You are having herpes zoster. This is a viral infection. I suggest taking the following tablet. Valacyclovir 1 g thrice a day for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. The infection will subside in seven days. You might experience some pain for 30 days.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

For the pain, you can take Paracetamol and Ibuprofen. Pain is expected for a month's time. Take the painkiller only if the pain is severe.