Dyshidrotic eczema, causing nail deformities?
I have a body that doesn't sweat easily, but I suffer from severe palmar hyperhidrosis.
Recently, due to the hot weather, my hand sweating has become so severe that it has caused blisters and itching, which happens almost every summer.
Most of the blisters are located at the tips of my fingers and on the fleshy parts of my palms.
I usually visit a dermatologist for topical treatments, and the doctors have diagnosed it as dyshidrotic eczema.
It's a constitutional issue, and I finally managed to get rid of the blisters, but I noticed that the skin near the nail of my left pinky finger seems a bit swollen and red, although it is not painful, itchy, or showing signs of inflammation.
This is the first time I've experienced this.
Additionally, the new nail growing on my pinky appears oddly uneven (which has never happened before).
When I apply pressure, a small amount of yellowish fluid seems to come out (but there is no pain in the pinky).
Could this be caused by dyshidrotic eczema? Should I continue using the medication for dyshidrotic eczema, or is there a possibility of an infection? If I need to see a doctor, should I go to a dermatology clinic or a larger hospital for dermatology? I would appreciate your response.
Thank you!
Jing, 20~29 year old female. Ask Date: 2015/08/20
Dr. Li Yufen reply Dermatology
Hello: Based on the description, the condition of the left little finger does not appear to be a simple dyshidrosis.
It is recommended to consult a nearby dermatologist to confirm whether the yellow fluid is pus, serous fluid, or another condition.
Additionally, check for any associated paronychia that may be causing nail deformity.
Thank you!
Reply Date: 2015/08/20
More Info
Sweat blisters, also known as dyshidrotic eczema or pompholyx, can be a frustrating condition, especially during hot weather when sweating is more pronounced. This condition is characterized by small, itchy blisters that typically appear on the palms of the hands, the sides of the fingers, and sometimes the soles of the feet. The blisters can be filled with clear fluid and may cause discomfort, leading to scratching and further irritation.
In your case, it seems that you have experienced a cycle of sweat blisters that eventually resolved, but now you are noticing some changes in your left pinky finger, including swelling, redness, and an irregular nail. The fact that the area is not painful or itchy is a good sign, but the presence of yellow fluid when you apply pressure could indicate a few possibilities.
Firstly, the swelling and redness around the nail could be a result of a secondary infection, especially if the skin barrier was compromised due to the previous blisters. Bacterial infections can occur when the skin is broken, and while it may not be painful, the presence of yellow fluid suggests that there could be pus, which is a sign of infection. It is essential to monitor this closely.
The irregularity of the nail could be due to several factors, including trauma to the nail bed, fungal infection, or even a reaction to the previous skin condition. Nails can sometimes grow abnormally after an injury or inflammation, and this might take time to resolve.
Regarding your treatment, it is advisable to continue using the medication prescribed for your sweat blisters, as it may help with the underlying condition. However, given the new symptoms you are experiencing, it would be prudent to consult a dermatologist. They can assess the situation more thoroughly and determine whether you need additional treatment, such as antibiotics if an infection is present.
As for where to seek treatment, if your symptoms are mild and manageable, a visit to a local dermatology clinic should suffice. However, if you notice worsening symptoms, such as increased redness, swelling, pain, or fever, it would be wise to go to a larger hospital where they can provide more comprehensive care.
In addition to medical treatment, consider some lifestyle adjustments to help manage your symptoms. Keeping your hands dry and avoiding triggers that cause excessive sweating can be beneficial. Wearing breathable fabrics and using moisture-wicking materials can help reduce sweat accumulation. Additionally, practicing good hand hygiene and avoiding harsh soaps or irritants can help maintain skin integrity.
In summary, while your sweat blisters may have resolved, the new symptoms around your pinky finger warrant further investigation. Continue your current treatment but seek a dermatologist's opinion to ensure that you address any potential infection or underlying issues effectively. Taking proactive steps in managing your condition can lead to better outcomes and improved comfort during the hot summer months.
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