bumps on the palm of hand

for the first time on my palms of both the hands there have been several bumps of the size of lentil seeds.sometimes if i break them a white fluid comes out of them.the whole area is very very itchy.my doctor has advised me to dip my hands in cold water and then apply flucort forte skin lotion  and after some time tacroz forte (tacrolimus ointment 0.1% w/w)and to take one tablet of dapsone 100mg at bedtime.I am following the prescription since last four days but the blisters are not improving ,it is causing lot of itching and inconvinience could you guide me please.

[Bhupinder Kaur, MD]

Hello,
Your symptoms are suggestive of pompholyx. Wash the areas several times with fresh water. Do not use any cosmetic products at the sites. You can apply some calamine lotion at the rash as it will help in soothing the skin. You can take some OTC oral antihistamine medications like Benadryl or Claritin and see if it helps.

For mild-moderate symptoms a weak steroid may be used (e.g. hydrocortisone as dermacort), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).But they are available under prescription and should be taken only after consulting a dermatologist. Symptoms  can be exacerbated by dryness of the skin. Use good quality moisturizers to prevent moisture loss from the skin.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing