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Cream or something else

hello, i'm having a problem. I have eczema on my feet and now its slowly showing up on hands. It looks like small bubbles filed with liquid and its growing to the point where i have to pop it. I went to dermatologist and was prescribed fluocinonid 0.05% ointment. I used it for 5 days and did't see any results so i stopped. In the winter time i did not have it and now i have again. So i went one more time to the Doctor and got clobetasol propinate ointment 0.05%. I used it for 14 days and bubbles went away for  a month, now its back..... what should i do? Please need help
Best Answer
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
Your symptoms are suggestive of pompholyx or dyshidrotic eczema. 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.

If they prove unsuccessful, then Light treatment: UVA-1, PUVA, Grenz rays, Low Level Light Therapy using a Red + NIR (LED) combination can be used. For recalcitrant cases, corticosteroids combined with immunosuppressants may be used. In addition, you can apply aloe vera to the hands. It will help.
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




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thank you
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