White Bumps on Hands and Feet: Causes and Concerns - Dermatology

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Lump-like lesions?


Hello doctor, I have small, bump-like lesions on my hands and feet that are somewhat white and not small in size.
What could this symptom be? Is it serious?

Chun Chun, 10~19 year old female. Ask Date: 2016/05/07

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2016/05/07

More Info


The presence of white bumps on the hands and feet can be concerning, and it’s essential to understand the potential causes and implications of these symptoms. Based on your description, these bumps could be attributed to several dermatological conditions, and a thorough evaluation by a healthcare professional is recommended for an accurate diagnosis.

One possible cause of white bumps on the skin is milia, which are small, white cysts that typically appear on the face but can also occur on other parts of the body. Milia are formed when keratin, a protein found in the skin, becomes trapped beneath the surface. They are usually harmless and often resolve on their own, but they can be removed by a dermatologist if desired.

Another common condition that could lead to white bumps is pilar cysts, which are benign lumps that often appear on the scalp but can also be found on the arms and legs. These cysts are filled with keratin and can be mistaken for other skin lesions. They are generally not serious and can be surgically removed if they become bothersome.

Keratosis pilaris is another possibility, characterized by small, rough bumps that can appear on the upper arms, thighs, and sometimes on the hands and feet. This condition occurs due to the buildup of keratin around hair follicles, leading to the formation of small, white or red bumps. While keratosis pilaris is harmless, it can be treated with topical exfoliants or moisturizers to improve the skin's texture.

In some cases, the white bumps could be indicative of fungal infections, such as tinea (ringworm), which can present as white patches or bumps on the skin. Fungal infections typically require antifungal treatments, and a healthcare provider can confirm the diagnosis through a physical examination or skin scraping.

Another condition to consider is eczema, which can cause white, itchy bumps on the skin, particularly if there is a history of dry skin or allergies. Eczema can be managed with topical corticosteroids and moisturizers to alleviate symptoms.

Lastly, viral infections, such as molluscum contagiosum, can cause small, raised, white bumps on the skin. This viral infection is contagious and often resolves on its own, but treatment options are available if the lesions are bothersome.

Given the variety of potential causes for the white bumps on your hands and feet, it is crucial to consult a dermatologist or healthcare provider for a comprehensive evaluation. They may perform a physical examination, take a detailed medical history, and possibly conduct tests to determine the exact nature of the bumps. Early diagnosis and appropriate treatment can help manage any underlying conditions and alleviate concerns regarding the symptoms you are experiencing.

In summary, while white bumps on the hands and feet can arise from various benign conditions, it is essential to seek professional medical advice to rule out any serious issues and to receive tailored treatment options. Your health and peace of mind are paramount, so don’t hesitate to reach out to a healthcare professional for guidance.

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