Skin Peeling Concerns: Is It Safe to Wash Hands Normally?

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Hello Doctor, I consulted you yesterday about the disinfectant issue.
The dermatologist said that the skin on my hand will heal gradually, but I forgot to ask this morning if the peeling is considered a minor wound.
The dermatologist advised me to temporarily avoid using that disinfectant or excessive alcohol and to use lotion once it heals.
Can I still wash my hands normally with soap? I'm also a bit worried that this peeling might lead to any infectious diseases, like the risk of COVID-19, hepatitis, or HIV.
Should I be overly concerned, or is regular handwashing with soap sufficient? Thank you!

Ming, 20~29 year old female. Ask Date: 2021/01/21

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Try to use milder, non-irritating soaps to reduce skin irritation.

2.
Peeling skin does not lead to infections and does not cause COVID-19 infection.
Thank you for your question.

Reply Date: 2021/01/21

More Info

When it comes to skin peeling, especially after using disinfectants or alcohol-based sanitizers, it’s important to understand a few key points regarding skin health and hygiene practices.
Firstly, the peeling skin you are experiencing can indeed be considered a minor injury, as it indicates that the outer layer of your skin has been compromised. This is often a result of overuse of harsh chemicals found in many disinfectants and hand sanitizers, which can strip the skin of its natural oils and lead to irritation or peeling. Your dermatologist's advice to avoid using those products for a while and to apply a gentle lotion is sound. This will help your skin to heal and restore its natural barrier.

Now, regarding your question about washing your hands with soap: yes, you can and should continue to wash your hands with a mild soap. It is crucial to maintain good hand hygiene, especially in the context of preventing infections. However, it is advisable to choose a soap that is gentle and moisturizing to minimize further irritation to your peeling skin. Avoid soaps that contain harsh detergents or fragrances, as these can exacerbate the dryness and irritation.

As for your concerns about the risk of infections such as COVID-19, hepatitis, or HIV due to the peeling skin, it is important to clarify that the risk of contracting these viruses through minor skin injuries is extremely low. COVID-19 primarily spreads through respiratory droplets, and while good hand hygiene is essential in preventing its spread, the presence of minor skin peeling does not significantly increase your risk. Similarly, hepatitis and HIV are transmitted through specific routes such as blood or sexual contact, not through casual skin contact or minor abrasions.

However, it is always wise to be cautious. If your skin is peeling and you notice any signs of infection, such as increased redness, swelling, warmth, or pus, you should seek medical attention. Keeping the area clean and moisturized will help in the healing process and reduce the risk of secondary infections.

In summary, continue to wash your hands with a gentle soap, avoid harsh disinfectants for the time being, and apply a moisturizer as recommended by your dermatologist. There is no need for excessive worry regarding the risk of serious infections from minor skin peeling, but always stay vigilant for any changes in your skin condition. If you have any further concerns or if the peeling worsens, don’t hesitate to consult your healthcare provider for personalized advice.

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