Recurring Skin Lesions on Hands and Feet: Causes and Treatments - Dermatology

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The recurring skin lesions you are experiencing on your hands and left foot, which have been present for the past two to three years, could be indicative of a few different dermatological conditions. Based on your description, it seems that these lesions are not itchy or painful, which can help narrow down the potential causes.
One possible explanation for your symptoms is xerotic dermatitis, often referred to as eczema due to dry skin. This condition is characterized by dry, flaky patches that can become more pronounced after washing or exposure to water. The fact that you notice the lesions becoming more severe after bathing or washing your hands suggests that your skin may be losing moisture, leading to increased dryness and subsequent cracking or peeling.
Another possibility is contact dermatitis, which can occur due to exposure to irritants or allergens. If you have changed your environment or the products you use (such as soaps, detergents, or lotions) since moving to the Netherlands, it could be that your skin is reacting to something new. Even if the lesions are not itchy or painful, contact dermatitis can still manifest as dry, cracked skin.

Additionally, conditions like psoriasis or even fungal infections could present with similar symptoms, although these typically come with more pronounced discomfort or scaling. Psoriasis, for instance, often leads to red, scaly patches that can be itchy or painful, while fungal infections may cause localized peeling or redness.

As for treatment, it is essential to maintain proper skin hydration. Regularly applying a high-quality moisturizer can help alleviate dryness and prevent the lesions from worsening. Look for products that are fragrance-free and designed for sensitive skin. In some cases, topical corticosteroids may be prescribed to reduce inflammation and promote healing, particularly if there is any redness or irritation associated with the lesions. However, it is crucial to use these medications under the guidance of a healthcare professional, especially when considering their use on sensitive areas or in children.

Regarding your question about whether to seek treatment at a larger hospital, it would be advisable if your symptoms persist or worsen despite home care. A dermatologist can provide a thorough evaluation, possibly including a skin biopsy or allergy testing, to determine the exact cause of your skin issues. This can lead to a more targeted treatment approach.

To prevent future occurrences, consider the following strategies:
1. Moisturize Regularly: Apply a thick moisturizer immediately after washing your hands or bathing to lock in moisture.

2. Gentle Cleansing: Use mild, fragrance-free soaps and limit the frequency of handwashing if possible. When washing, avoid hot water, as it can strip the skin of natural oils.

3. Protect Your Skin: Wear gloves when using cleaning products or when your hands will be exposed to water for extended periods.

4. Monitor Your Environment: Be aware of any new products or environmental changes that could be contributing to your skin issues.

In conclusion, while it is difficult to provide a definitive diagnosis without a physical examination, your symptoms suggest a possible case of xerotic dermatitis or contact dermatitis. Maintaining skin hydration and seeking professional evaluation if symptoms persist will be key to managing your condition effectively.