Recurring Blisters with Redness and Itching: When to Seek Medical Attention? - Dermatology

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Persistent intermittent blisters on the skin for six months, occurring approximately every three weeks?


A few hours before the formation of blisters, the skin becomes red and itchy, followed by the rapid development of blisters (which appear individually rather than densely clustered, and often have a diameter close to one centimeter).
If the blisters are not forcefully punctured, they will subside within two days.
The sensation at the site of blister formation is located in the deeper layers of the skin, which is very thick.
Most blisters develop on the palms, followed by the fingers and toes.

Currently, I am studying abroad and would like to know if there is an urgent need to return to Taiwan for examination and treatment.

Lai Xiaojie, 20~29 year old female. Ask Date: 2019/12/07

Dr. Li Yufen reply Dermatology


Hello: There are many causes for skin blisters.
From the photos online, it appears that the number of blisters is not significant.
If they are resolving on their own and there are no other associated systemic symptoms, there may not be an immediate need to return to Taiwan for an examination.
However, if the condition changes or worsens, it would be advisable to consider returning to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2019/12/07

More Info


When dealing with recurring blisters accompanied by redness and itching, it is essential to understand the underlying causes and when to seek medical attention. Based on your description, it sounds like you are experiencing a dermatological condition that may be related to contact dermatitis, allergic reactions, or possibly a viral infection such as herpes simplex, especially if the blisters are localized and recurrent.


Understanding Your Symptoms
1. Blister Formation: The rapid formation of blisters after redness and itching suggests an acute inflammatory response. This could be due to an irritant or allergen that your skin has come into contact with. The fact that the blisters are singular and not clustered may indicate a localized reaction rather than a widespread condition.

2. Location: The palms of the hands and the spaces between the fingers and toes are common sites for contact dermatitis, especially if you have been using certain soaps, detergents, or other irritants.
3. Duration and Healing: You mentioned that the blisters typically resolve within two days if not punctured. This rapid healing is a good sign, but it does not eliminate the need for further evaluation if the condition recurs frequently.


When to Seek Medical Attention
You should consider seeking medical attention if you experience any of the following:
- Persistent Symptoms: If the blisters continue to recur frequently or if the redness and itching do not subside after a few days, it is advisable to consult a healthcare professional.


- Increased Severity: If the blisters become larger, more painful, or if you notice signs of infection (such as increased redness, warmth, swelling, or pus), you should seek immediate medical care.

- Systemic Symptoms: If you develop fever, chills, or any other systemic symptoms, this could indicate a more serious condition that requires urgent attention.

- Impact on Daily Life: If the condition is affecting your ability to perform daily activities or causing significant discomfort, it is worth getting evaluated.


Potential Treatments
While waiting for your appointment or if you decide to manage the symptoms temporarily, consider the following:
- Avoid Irritants: Identify and avoid any potential irritants or allergens that may be causing your symptoms. This includes soaps, lotions, or any chemicals you may be using.

- Cool Compresses: Applying a cool, damp cloth to the affected areas can help reduce itching and inflammation.

- Topical Treatments: Over-the-counter hydrocortisone cream may help alleviate itching and redness. However, avoid applying anything directly to open blisters.

- Keep Blisters Intact: It is crucial not to pop or break the blisters, as this can lead to infection.


Conclusion
Given that you are currently studying abroad, it is important to assess the availability of medical care in your area. If your symptoms worsen or if you have any concerns about the nature of your blisters, it would be prudent to seek medical attention locally rather than waiting until you return to Taiwan. Dermatological conditions can often be managed effectively with timely intervention, and a healthcare professional can provide you with the appropriate diagnosis and treatment plan tailored to your specific situation.

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