Skin issue: Sudden appearance of numerous small blister-like rashes on the hands?
Hello doctor, yesterday around 8 PM, I felt a burning and slightly itchy sensation in my left hand, and I noticed small blister-like rashes forming.
The skin around the rashes was red, possibly due to friction or another cause.
The rashes appeared on my palm, the sides of my fingers, and the back of my hand, with the palm being the most affected and the back of the hand the least.
After noticing the rashes, I immediately washed my hands, and the symptoms improved significantly; the burning and itching sensation subsided, and the rashes diminished considerably.
For a while, there was no itching, and I thought it was over.
However, about an hour later, my right hand developed similar small rashes, but there were many more than on the left hand.
The burning and itching sensation was also more pronounced on the right hand, and the skin around the rashes was red and painful.
Washing my hands did not help, and my right palm continued to itch persistently.
In addition to the itching, the skin was drier than on the left hand, and there were occasional pain sensations.
Yesterday, I applied hand cream, and today both hands have improved a bit.
The rashes on my left hand are now less noticeable, only visible upon close inspection, and the skin is slightly dry.
The right hand, however, continues to itch on the palm, while the other areas like the back of the hand and sides of the fingers are not itchy anymore, and there is no pain.
The rashes have decreased compared to yesterday, and the skin around the itchy areas is less red than before, but the hands remain dry and painful when rubbed.
Before the onset of symptoms, I had contact with several items: my phone, products on a bookstore shelf that hadn't been moved for a long time (I came into contact with the packaging and some unknown debris on the boxes), and alcohol sprayed by staff when entering a department store.
(After spending some time in the department store, I noticed the following situation): 1.
A sudden appearance of numerous rashes.
2.
The rashes resemble small blisters.
3.
Two out of four family members developed similar rashes a few days ago (my family members are still not well; I was the last to develop symptoms).
4.
Initially, there was a burning and slightly itchy sensation.
5.
The skin around the rashes was red.
6.
The areas on my right hand were painful.
7.
Symptoms differ between my left and right hands.
8.
Washing my left hand was effective.
9.
I had contact with various items.
10.
My mother has a history of recurrent symptoms.
11.
Among the three family members who developed symptoms, except for my mother, it was their first occurrence.
12.
My father and brother have atopic constitution, while my mother and I do not (which rules out allergy issues).
13.
The only symptoms among family members, besides the rashes, are itching.
14.
My skin feels dry.
15.
There are no stress-related issues.
16.
My grandparents and father have never had these rashes (which rules out hereditary possibilities).
17.
My right hand has a prickling sensation.
18.
My symptoms differ from my family members (my mother and brother only experience itching without pain).
19.
Rubbing my right hand causes pain.
20.
There are no peeling symptoms.
21.
The itching sensation is not very intense.
I searched online and compared images, and the rashes look like dyshidrotic eczema.
Is it dyshidrotic eczema? (My brother was diagnosed with dyshidrotic eczema two days ago, which is non-contagious, ruling out the possibility of infection).
Should I see a doctor or buy over-the-counter medication?
Mǒu, 10~19 year old female. Ask Date: 2020/05/14
Dr. Wu Yuxin reply Dermatology
No lesions were observed, and it is not possible to determine the issue.
If it is causing significant distress, please seek medical attention promptly.
Reply Date: 2020/05/14
More Info
Based on the symptoms you've described, it sounds like you may be experiencing a condition known as dyshidrotic eczema, commonly referred to as "sweat blisters" or "pompholyx." This condition is characterized by small, itchy blisters that typically appear on the palms of the hands, sides of the fingers, and sometimes the soles of the feet. The blisters can be accompanied by a burning or prickly sensation, and they often become more pronounced with exposure to moisture or certain irritants.
Possible Causes
1. Irritants: Contact with certain substances, such as soaps, detergents, or even the alcohol used for sanitizing hands, can trigger an eczema flare-up. Given that you mentioned exposure to various surfaces and products, this could be a contributing factor.
2. Allergens: While you mentioned that you and your mother do not have a history of atopic conditions, it’s still possible to develop contact dermatitis from allergens. This could include materials in clothing, personal care products, or even environmental factors.
3. Genetic Factors: Although you noted that your family has a history of atopic conditions, it’s important to remember that eczema can manifest in various forms and may not always be directly inherited.
4. Environmental Factors: Changes in humidity, temperature, or exposure to water can exacerbate symptoms. For instance, excessive sweating or prolonged exposure to water can lead to the development of blisters.
Treatment Options
1. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. If the symptoms persist, a stronger prescription corticosteroid may be necessary.
2. Moisturizers: Keeping the skin well-moisturized is crucial. Use thick creams or ointments that can help lock in moisture, especially after washing your hands.
3. Avoiding Irritants: Identify and avoid any known irritants or allergens. This may include switching to gentler soaps, using gloves when cleaning, or avoiding certain fabrics.
4. Antihistamines: If itching is severe, oral antihistamines can help alleviate discomfort.
5. Cold Compresses: Applying a cold compress to the affected areas can provide temporary relief from itching and discomfort.
6. Medical Consultation: If the condition does not improve with home treatment or if it worsens, it is advisable to see a dermatologist. They can provide a definitive diagnosis and may recommend additional treatments, such as prescription medications or phototherapy.
When to Seek Medical Attention
- If the blisters become infected (signs include increased redness, warmth, swelling, or pus).
- If the symptoms do not improve with over-the-counter treatments.
- If you experience significant pain or discomfort that interferes with daily activities.
In summary, while it seems you may be dealing with dyshidrotic eczema, it is essential to monitor your symptoms closely. Given that your family members are also experiencing similar issues, it may be worth considering a common environmental factor or irritant. If symptoms persist or worsen, seeking medical advice is the best course of action.
Similar Q&A
Understanding and Treating Bumpy Skin: Solutions for Your Concerns
Hello doctor, I have small bumps on my arms and face that resemble goosebumps. Sometimes they itch (especially at night) and seem to spread, which is very concerning for me. I went to see a doctor, and they said it was due to my constitution and prescribed a topical ointment, but...
Dr. Zheng Lizhen reply Dermatology
Based on your description, your issue may be keratosis pilaris, folliculitis, or another condition. Please consult a nearby dermatologist for an accurate diagnosis and treatment. Treatment may take about a month to show results, with significant improvement expected over several ...[Read More] Understanding and Treating Bumpy Skin: Solutions for Your Concerns
Understanding Skin Bumps: Causes, Treatments, and Care Tips
Based on the description, it sounds like you may have a skin lesion that is raised, round, and painful to the touch. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment. They may recommend a topical medication, such as a cortic...
Dr. Wu Yuxin reply Dermatology
Medical regulations state that "a physician must personally examine a patient before administering treatment or prescribing medication..." Therefore, online diagnosis is also not permissible. If you are experiencing significant distress, it is advisable to seek medical ...[Read More] Understanding Skin Bumps: Causes, Treatments, and Care Tips
Understanding and Treating Sudden Thigh Bumps: Causes and Solutions
Hello, I would like to ask about the numerous pimple-like bumps that suddenly appeared on my thigh last winter. They were painful when scratched, but they disappeared on their own after a few days, leaving scars. Could you recommend any scar creams that can be purchased at pharma...
Dr. Wu Yuxin reply Dermatology
It is recommended to seek medical attention before medication can be prescribed.[Read More] Understanding and Treating Sudden Thigh Bumps: Causes and Solutions
Sudden Itchy Bumps on Skin: Possible Allergic Reaction and Home Remedies
Hello! After finishing breakfast today, I suddenly felt like my skin was bitten by mosquitoes, and I noticed multiple bumps resembling mosquito bites on my arms, thighs, the inner and outer sides of my legs, neck, and abdomen, totaling about ten. I'm unsure if this is an all...
Dr. Zheng Lizhen reply Dermatology
Hello: It may be urticaria; please visit a dermatology clinic for diagnosis and treatment. Sincerely, Dr. Cheng Li-Chen, Dermatology.[Read More] Sudden Itchy Bumps on Skin: Possible Allergic Reaction and Home Remedies
Related FAQ
(Dermatology)
Pimples(Dermatology)
Lump(Dermatology)
Folliculitis(Dermatology)
Blisters(Dermatology)
Hyperhidrosis(Dermatology)
Warts(Dermatology)
Sebaceous Cyst(Dermatology)
Nodular Erythema(Dermatology)
Spots(Dermatology)