Small Bumps on Hands and Feet: Causes and Treatments

Skin issues on the hands and feet?

Hello, Doctor: Recently, I have noticed small, round, raised bumps on my hands and feet.
They are not blisters and do not have any specific color, but they are itchy.
Usually, they appear in certain areas of my hands and feet, not all over.
If I scratch them, there is some serous fluid that comes out.
What could these symptoms indicate? Is there a way to improve this condition?

Miss Chen, 20~29 year old female. Ask Date: 2015/09/10

Dr. Wu Yuxin reply Dermatology

Based on the literal description, it is not possible to confirm the condition without actually seeing the lesion.
It is recommended to have a physician evaluate it for a proper diagnosis.

Reply Date: 2015/09/10

More Info

The small, round bumps you are experiencing on your hands and feet, which are itchy and may leak fluid when scratched, could be indicative of several dermatological conditions. The symptoms you describe suggest the possibility of a few common skin issues, such as contact dermatitis, eczema, or even a viral infection like molluscum contagiosum.
Contact Dermatitis is a common cause of itchy bumps and can occur when the skin comes into contact with an irritant or allergen. This could be due to soaps, lotions, or even materials in clothing or jewelry. The bumps may appear as small, raised areas that can become inflamed and may ooze if scratched.

Eczema, or atopic dermatitis, is another possibility. This condition often manifests as itchy, inflamed patches of skin and can lead to small bumps that may weep fluid. Eczema can be triggered by various factors, including stress, allergens, and environmental conditions.

Molluscum contagiosum is a viral infection that results in small, painless bumps on the skin. These bumps can be itchy and may leak a clear fluid if scratched. This condition is more common in children but can affect adults as well, especially in cases of compromised immune systems.

To determine the exact cause of your symptoms, it is essential to consult a healthcare professional, preferably a dermatologist. They can perform a physical examination and may conduct tests, such as a skin scraping or biopsy, to identify the underlying issue.

Treatment Options:
1. Avoid Irritants: If contact dermatitis is suspected, identifying and avoiding the irritant or allergen is crucial. This may involve changing soaps, detergents, or personal care products.

2. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. For more severe cases, a dermatologist may prescribe stronger topical steroids or other medications.

3. Antihistamines: Oral antihistamines can help alleviate itching and discomfort, especially if the bumps are due to an allergic reaction.

4. Moisturizers: Keeping the skin well-moisturized can help manage conditions like eczema. Look for fragrance-free products that are designed for sensitive skin.

5. Cryotherapy or Curettage: For viral infections like molluscum contagiosum, treatments may include cryotherapy (freezing the bumps) or curettage (surgical removal).

6. Avoid Scratching: It is essential to avoid scratching the bumps, as this can lead to secondary infections and worsen the condition.

7. Follow-Up Care: Regular follow-ups with your healthcare provider can help monitor the condition and adjust treatment as necessary.

In summary, while the small, itchy bumps on your hands and feet can be concerning, they are often manageable with appropriate treatment. Consulting a dermatologist is the best course of action to obtain a definitive diagnosis and tailored treatment plan. Remember, early intervention can prevent complications and promote quicker healing.

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