Blisters appearing between the fingers?
I usually wear rings, and at the junction of my middle finger and ring finger, I have developed two bubble-like lesions that do not itch.
They do not resemble the clustered rash of dyshidrotic eczema; instead, there are just two lesions very close to each other.
I accidentally popped one, and it oozed a clear fluid (possibly serous fluid).
Now, it has turned into a soft, white, raised area with redness around it, and it causes a dull pain when touched.
What type of herpes could this be? What methods can help it heal? Are there any precautions I should take? Thank you, doctor.
Niming, 20~29 year old female. Ask Date: 2017/07/05
Dr. Wu Yuxin reply Dermatology
Medical regulations stipulate that "physicians must personally examine patients before administering treatment or prescribing medications," and therefore, online diagnosis is also not permitted.
Reply Date: 2017/07/05
More Info
The blister-like bumps you are experiencing between your middle and ring fingers could be attributed to several potential causes, but based on your description, it seems most likely to be a form of contact dermatitis or a localized skin reaction rather than a herpes virus-related condition.
Contact dermatitis occurs when the skin reacts to an irritant or allergen. Given your habit of wearing rings, it is possible that the metal or any substances used in the ring's manufacturing could be causing an allergic reaction. This condition can manifest as small blisters, redness, and localized swelling, which aligns with your symptoms. The fact that the bumps are not itchy and have a clear fluid suggests that they are not typical of herpes simplex virus infections, which usually present with painful, itchy vesicles.
Another possibility is dyshidrotic eczema, which often presents as small, itchy blisters on the fingers and palms. However, since you mentioned that the bumps are not itchy, this may be less likely.
To treat the condition, here are some recommendations:
1. Avoid Irritants: If you suspect that your ring is causing the reaction, consider removing it for a while to see if the symptoms improve.
2. Keep the Area Clean and Dry: Gently wash the affected area with mild soap and water, and pat it dry. Avoid using harsh soaps or scrubbing the area, as this can exacerbate irritation.
3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and redness. If the area is particularly inflamed or painful, a stronger prescription topical steroid may be necessary, so consulting a dermatologist would be beneficial.
4. Avoid Popping the Blisters: While it may be tempting to pop the blisters, doing so can lead to infection. If they do break, keep the area clean and covered with a sterile bandage to protect it.
5. Moisturize: After the blisters have healed, applying a fragrance-free moisturizer can help restore the skin barrier and prevent future occurrences.
6. Monitor for Infection: If you notice increased redness, warmth, swelling, or pus, these could be signs of infection, and you should seek medical attention promptly.
7. Patch Testing: If the problem persists, consider seeing a dermatologist for patch testing to identify any specific allergens that may be causing your skin reaction.
In terms of prevention, consider the following:
- Choose Hypoallergenic Jewelry: If you suspect that your ring is the cause, look for jewelry made from hypoallergenic materials, such as surgical-grade stainless steel, titanium, or gold.
- Practice Good Hand Hygiene: Regularly wash your hands and apply moisturizer to keep your skin healthy and resilient.
- Be Mindful of Products: Pay attention to any new products you may be using on your hands, including soaps, lotions, or cleaning agents, as these could also contribute to skin irritation.
In conclusion, while the exact cause of your symptoms can only be determined through a physical examination by a healthcare professional, the information provided suggests a non-herpetic skin condition. If symptoms persist or worsen, it is advisable to seek a professional evaluation to ensure appropriate treatment and management.
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