Dry and Wrinkled Skin on the Back of Your Hands - Dermatology

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Skin issues on the back of the hand?


Hello Doctor: I am currently experiencing a condition on the back of my hand where it becomes dry and wrinkled after coming into contact with water, such as after taking a shower.
I have had this symptom before, but it went away after a while.
However, it has returned and has been persistent for some time now.
I would greatly appreciate your help in addressing this issue.
Thank you!

Jason, 20~29 year old female. Ask Date: 2006/08/13

Dr. Hong Zhengsheng reply Dermatology


Hello Jason: There are many potential causes for the symptoms you described.
I apologize that based on your written description, I cannot determine your specific condition at this time.
I recommend that when you experience the mentioned skin symptoms, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
Our physicians are always willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/08/13

More Info


Dry and wrinkled skin on the back of your hands, especially after exposure to water, can be a common issue, particularly in colder and drier climates. This phenomenon is often exacerbated by frequent washing, exposure to harsh soaps, and environmental factors such as low humidity. The skin on the hands is thinner and more delicate than on other parts of the body, making it more susceptible to dryness and irritation.

When you wash your hands or take a shower, the water can strip away natural oils that help keep the skin moisturized. This can lead to a condition known as "xerosis," which is characterized by dry, flaky, and sometimes itchy skin. The wrinkling you observe is a result of the skin losing moisture and elasticity. In colder months, the air tends to be drier, which can further aggravate this condition.

To address the issue, here are some recommendations:
1. Moisturize Regularly: After washing your hands or bathing, it’s crucial to apply a good quality moisturizer. Look for creams or ointments that contain ingredients like glycerin, hyaluronic acid, or ceramides, which help to lock in moisture. Applying moisturizer while your skin is still slightly damp can enhance absorption.

2. Use Gentle Cleansers: Switch to a mild, fragrance-free soap or a moisturizing body wash. Avoid products that contain alcohol or strong fragrances, as these can further dry out the skin.

3. Limit Hot Water Exposure: Hot water can strip the skin of its natural oils. Try to use lukewarm water when washing your hands or bathing, and limit the duration of exposure.

4. Protect Your Hands: When doing household chores or washing dishes, consider wearing rubber gloves to protect your hands from water and harsh cleaning agents. This barrier can help prevent moisture loss and irritation.

5. Humidify Your Environment: If you live in a particularly dry climate, using a humidifier in your home can help maintain moisture in the air, which can be beneficial for your skin.

6. Stay Hydrated: Drinking plenty of water can help keep your skin hydrated from the inside out. Aim for at least 8 glasses of water a day, and consider incorporating foods with high water content into your diet.

7. Consult a Dermatologist: If your symptoms persist despite these measures, or if you notice any signs of infection (such as redness, swelling, or pus), it’s important to consult a dermatologist. They can assess your condition and may prescribe topical treatments, such as corticosteroids or other medications, to help manage inflammation and dryness.

In summary, the appearance of dry and wrinkled skin on the back of your hands can be attributed to environmental factors and the natural aging process of the skin. By implementing a consistent skincare routine that includes gentle cleansing and regular moisturizing, you can significantly improve the condition of your skin. If the problem continues or worsens, seeking professional medical advice is the best course of action.

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