Is Your Finger Infected with Hand, Foot, and Mouth Disease? - Dermatology

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Is the finger infected with Hand, Foot, and Mouth Disease?


Hello Doctor: Recently, I noticed peeling skin on my right hand fingers, and today I saw some blisters.
When I squeeze them, fluid comes out.
It seems there is also an infection under the nails, but there is no itching.
Could this be hand-foot-and-mouth disease? Thank you.

Mr. Huang, 40~49 year old female. Ask Date: 2015/08/30

Dr. Wu Yuxin reply Dermatology


Only the fingers of the right hand? It is necessary to examine the other fingers or the feet to determine whether it is dyshidrotic eczema, a fungal infection, or another skin condition.

Reply Date: 2015/08/30

More Info


Hand, Foot, and Mouth Disease (HFMD) is a viral infection commonly caused by enteroviruses, particularly coxsackievirus. It primarily affects children but can also occur in adults. The disease is characterized by fever, mouth sores, and a rash, typically on the hands and feet. However, it can also present with lesions on other parts of the body, including the fingers.

Based on your description of peeling skin and the presence of blisters that ooze fluid, it is important to consider several factors to determine if this could be related to HFMD or another condition. Here are some key points to consider:
1. Symptoms of HFMD: While HFMD typically presents with sores in the mouth and a rash on the hands and feet, it can sometimes cause lesions on the fingers. The blisters you describe could potentially be related to HFMD if you have other symptoms like fever or mouth sores. However, the absence of itching is somewhat atypical for HFMD, as many viral rashes can be itchy.

2. Other Possible Conditions: The symptoms you describe could also be indicative of other conditions such as contact dermatitis, a bacterial infection, or even a fungal infection. For example, if you have been in contact with irritants or allergens, this could lead to skin reactions that resemble blisters and peeling. Additionally, if the area has been exposed to moisture or has been injured, it could lead to secondary infections.

3. Infection Risk: If the blisters are oozing, there is a risk of bacterial infection. It is crucial to keep the area clean and dry. If you notice increased redness, swelling, warmth, or pus, these could be signs of a bacterial infection that may require medical attention.

4. Diagnosis and Treatment: To accurately diagnose your condition, it is advisable to consult a healthcare professional. They may perform a physical examination and, if necessary, laboratory tests to determine the exact cause of your symptoms. Treatment will depend on the underlying cause. If it is indeed HFMD, supportive care is usually sufficient, as the condition is self-limiting. However, if a bacterial infection is present, antibiotics may be required.

5. Prevention: If you suspect HFMD or have been in contact with someone who has it, practicing good hygiene is essential. Wash your hands frequently, avoid close contact with infected individuals, and disinfect surfaces to prevent the spread of the virus.

In conclusion, while your symptoms could potentially be related to HFMD, they could also be indicative of other skin conditions or infections. It is essential to seek medical advice for a proper diagnosis and treatment plan. Keeping the affected area clean and monitoring for any changes will be crucial in managing your symptoms effectively.

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