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I have eczema-like blisters in hands with dry and flaky skin. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 45 years old. I have developed eczema-like symptoms on the hands, especially. I take Levocet M (Levocetirizine and Montelukast) daily to control itching in my hands and foot. Itching of hands develops blisters, which, when gets cured, leaves behind hard, flaky, and leathery skin. Hard skin leaves cracks when it flakes-off. I am suffering from this for the last four to five years, and now it has been aggravated. Please advise.
Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

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Hello,

Welcome to icliniq.com.

Please send a few good quality photographs taken in natural light.

Patient's Query

Thank you doctor,

I have attached the photos.

Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

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Hello,

Welcome back to icliniq.com.

I have seen the photos (attachment removed to protect patient identity). You are suffering from palmar psoriasis. Consider taking Cyclosporine 100 mg twice daily and use Tenovate cream. I hope this helps.

Patient's Query

Thank you doctor,

I have been taking Cyclosporine 100 mg twice a month and apply Tenovate. There is a 70% improvement. Skin is still leathery at some places on my hand. Shall I taper down the dosage and stop. Cyclosporine is an immunosuppressant drug. How safe is it? How long should I take it? Perhaps it affects renal function? Please advise on the next course of treatment. I have attached the picture of my hand.

Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Go for a renal function test. You are supposed to take it for at least three months and then to taper it down. It is a very safe immunosuppressive medication as compared to others. The thing we have to monitor is serum creatinine level, and if it is WNL you can keep taking it.

Patient's Query

Thank you doctor,

I am also taking Levocet M along with Cyclosporine for itching. Levocet M is fine for me. I will get the serum creatinine levels checked and will let you know if the levels are not normal.

Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Share your serum creatinine report. Keep in touch for further doubts.

Medically reviewed by Dr. Vinodhini J.
Published At October 9, 2020
Reviewed At August 25, 2023

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

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Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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