Blisters: Causes, Symptoms, and When to Seek Help - Dermatology

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Blisters on the skin?


Hello doctor, on Wednesday the 14th, I went swimming at the pool.
While swimming, I felt a bit unwell, but I didn't think much of it.
That day, I noticed a few small blisters on my left hand, which had a layer of skin on the surface and were filled with fluid.
I disinfected them with Betadine.
By Friday, the number of blisters had increased by three or four.
However, on Friday night, I stayed up late, and when I woke up the next day, I found that blisters were all over my body—on my face, neck, back, buttocks, hands, and feet.
It looked quite alarming, and I was afraid to go outside.
Today, I woke up and it hasn't improved; I've been sleeping at home all day.
Some blisters are somewhat transparent with fluid inside, some look white, and others are just red spots (which are more numerous).
I have a fever, my throat feels tight, and swallowing saliva and drinking water is painful.
My face feels hot, and the blisters don't hurt unless I touch them.
I sweat while sleeping, and a few days ago I felt a tightness in my chest, but that has since gone away.
I haven't seen a doctor yet.
Is this serious? Am I going to die? If it's something fatal, I might not go see a doctor.

momo, 20~29 year old female. Ask Date: 2004/07/18

Dr. Chen Yiying reply Dermatology


Hello: In response to your question.
Your condition is indeed quite unusual.
Do you have any fever or cold symptoms? If you have never had chickenpox before, it may be worth considering whether you are developing chickenpox.
I recommend that you see a physician for examination and treatment as soon as possible.

Reply Date: 2004/07/18

More Info


Blisters can be a common yet concerning skin condition that arises from various causes, and understanding their nature is crucial for effective management. Based on your description, it sounds like you are experiencing a significant outbreak of blisters that has spread across multiple areas of your body, accompanied by systemic symptoms such as fever and throat discomfort.

Causes of Blisters
Blisters can form due to several reasons, including:
1. Friction: This is the most common cause, often seen in areas where skin rubs against skin or clothing.

2. Burns: Both thermal burns (from heat) and chemical burns can lead to blister formation.

3. Infections: Viral infections, such as herpes simplex or varicella (chickenpox), can cause blisters. Bacterial infections, such as impetigo, can also lead to blistering.

4. Allergic Reactions: Contact dermatitis from allergens (like poison ivy) can result in blisters.

5. Autoimmune Conditions: Diseases like pemphigus vulgaris or bullous pemphigoid can cause widespread blistering.

6. Other Medical Conditions: Conditions such as eczema or psoriasis can also lead to blister formation.


Symptoms to Monitor
In your case, the presence of multiple blisters, fever, throat pain, and a feeling of malaise are concerning. Here are some symptoms that warrant immediate medical attention:
- Widespread blistering: If blisters are covering large areas of your body or if they are increasing in number.

- Fever: A significant rise in body temperature can indicate an underlying infection.

- Pain: If the blisters become painful or if you experience severe discomfort.

- Difficulty swallowing: Pain when swallowing or drinking can indicate a more serious throat infection.

- Chest discomfort: While you mentioned this has subsided, any return of chest pain should be evaluated.


When to Seek Help
Given the symptoms you described, it is highly advisable to seek medical attention as soon as possible. Here are reasons why:
1. Risk of Infection: Blisters can become infected, leading to complications that may require antibiotics or other treatments.

2. Diagnosis: A healthcare professional can provide a proper diagnosis, which is essential for effective treatment. Conditions like shingles, herpes, or other viral infections may require specific antiviral medications.

3. Management of Symptoms: A doctor can help manage your symptoms, including pain relief and hydration, especially if you are having difficulty swallowing.

4. Preventing Complications: Early intervention can prevent complications that may arise from untreated infections or other underlying conditions.


Conclusion
While it is understandable to feel apprehensive about seeking medical help, especially with the fear of a serious condition, it is crucial to prioritize your health. Blisters, particularly when accompanied by systemic symptoms like fever and throat pain, should not be ignored. Please consider visiting a healthcare provider to get a thorough evaluation and appropriate treatment. Remember, your health and well-being are paramount, and seeking help is a strong and positive step towards recovery.

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