Cracked Skin on Hands: Causes, Treatments, and When to See a Doctor

Cracked skin on the back of the hand?

Hello doctor, I am a freshman in college.
Every winter, I experience cracking on the back of my hands, and it hasn't improved even now.
The skin on my hands becomes rough, with noticeable cracks, and sometimes it even bleeds.
I've been using hand cream, but there hasn't been any improvement.
Should I pay attention to anything else, or would it be better to seek medical attention directly?

Xiao Mi, 10~19 year old female. Ask Date: 2023/03/06

Dr. Wu Yuxin reply Dermatology

Is the frequency of hand cream application sufficient?

Reply Date: 2023/03/06

More Info

Cracked skin on the hands, especially during winter, is a common issue that many people face. This condition can be particularly bothersome for students like yourself, as it can affect daily activities and overall comfort. The symptoms you describe—roughness, visible cracks, and even bleeding—indicate that your skin barrier may be compromised, which can lead to further irritation and potential infections if not addressed properly.

Causes of Cracked Skin
1. Dryness: The most common cause of cracked skin, especially in winter, is dryness. Cold air holds less moisture, and indoor heating can further dehydrate the skin. This lack of moisture can lead to the skin becoming rough and cracked.

2. Frequent Hand Washing: As a student, you may wash your hands frequently, especially in a campus environment where hygiene is emphasized. While hand washing is essential, over-washing can strip the skin of its natural oils, leading to dryness and cracking.

3. Environmental Factors: Exposure to harsh weather conditions, such as wind and cold temperatures, can exacerbate skin dryness. Additionally, using cleaning products or soaps that contain irritants can contribute to skin damage.

4. Underlying Skin Conditions: Conditions such as eczema or psoriasis can also cause cracked skin. If you have a history of skin issues, it may be worth considering whether these could be contributing to your symptoms.

Treatment Options
1. Moisturizers: While you mentioned using hand cream, it’s crucial to choose a thick, emollient-rich moisturizer. Look for products containing ingredients like glycerin, urea, or hyaluronic acid, which help to attract moisture to the skin. Applying moisturizer immediately after washing your hands can help lock in moisture.

2. Avoid Irritants: Use mild, fragrance-free soaps and avoid products that contain alcohol or other harsh ingredients. When washing your hands, try to use lukewarm water instead of hot water, as hot water can further dry out the skin.

3. Protective Measures: Wearing gloves when doing dishes or using cleaning products can help protect your hands from irritants. Additionally, wearing gloves outdoors in cold weather can shield your skin from harsh environmental factors.

4. Over-the-Counter Treatments: If your skin is very cracked and painful, consider using an over-the-counter hydrocortisone cream to reduce inflammation and itching. However, this should be used sparingly and not as a long-term solution.

5. Humidifiers: Using a humidifier in your living space can help maintain moisture in the air, which can be beneficial for your skin during the dry winter months.

When to See a Doctor
If your symptoms persist despite trying these measures, or if you notice signs of infection (such as increased redness, warmth, swelling, or pus), it’s essential to seek medical advice. A dermatologist can evaluate your skin condition and may prescribe stronger topical treatments or investigate for underlying skin conditions that could be contributing to your symptoms.

In summary, cracked skin on your hands can be managed effectively with proper skincare routines and protective measures. However, if the condition does not improve or worsens, consulting a healthcare professional is advisable to ensure appropriate treatment and care. Taking proactive steps now can help prevent further complications and improve your skin health in the long run.

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