What could cause skin infections with itching on the wrist?

Hi,

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

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

I saw your clinical pictures (attachment removed to protect patient identity). I am listing the possibilities in the order of highest probability:

1. Herpes simplex infection.
2. Recurrent furunculosis.
3. Allergic contact dermatitis.
4. Subcutaneous fungal infection.

I would like to know:

1. Are you getting this lesion at the same site every time?
2. How does it start?
3. Did it start with blisters and then get filled with pus? Is it painful?
4. Is there a complete resolution of the lesion when you use medicine?
5. Did you have any trauma or injuries at that site like thorn prick or injury with wooden objects?
6. Any contact with nickel metal in that sacred thread?
7. Do you have similar lesions anywhere else in the body?

Thank you for consulting me.

You can always reach me at icliniq.com.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Thank you for your questions. Based on your symptoms, I am narrowing down my diagnosis to recurrent herpes simplex caused by HSV-1, possibly accompanied by a secondary bacterial infection. Herpes simplex is a viral infection characterized by blisters that commonly appear in groups around the mouth or hands (above the waist), often recurring at the same site. It is typically triggered by stress, whether emotional or physical, such as illness or injury. The initial episode tends to be painful, while subsequent episodes are usually milder. The pus-filled lesions on your hand are likely a result of the secondary bacterial infection. To address this, it's important to discontinue the use of the Mometasone combination cream, as Mometasone is a steroid that can exacerbate the infection. Instead, I recommend applying T-bact cream (Mupirocin), an antibiotic, twice daily. Before applying the cream, cleanse the affected area with a clean cotton cloth soaked in warm salt water. Additionally, I advise taking Valacyclovir tablets, 1 mg, two tablets twice a day (12 hours apart), for a total of four tablets in a day. This treatment is only required for one day and should be taken after food. However, it's crucial to consult your specialist doctor, discuss the treatment plan with them, and obtain their consent before starting any medication regimen. Before proceeding, may I ask how long you have been using the Mometasone cream? Do you have any allergies to oral medications? This information will help tailor the treatment plan more effectively.

Looking forward to your response in order to help you.

Thank you.