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Rash on Palms/Peeling and Sore

Dear Doctor,

I have had a very bad rash near the bottom left and right of my right palm only! It started out to be just very itchy also waking me in the middle of the night, then small raised blisters appeared and the area became inflamed and wider in range. I have been to 3 doctors and we have ruled out any kind of contact dermatitis and I have been on a wide range of different creams and tapes.

My hand now is still itchy, it is peeling, the skin is thick and it is sore and feels like leather, it also now appear on my other hand and in between some fingers..

The next step would be to do patch testing, and they suggest that I go to NY, this is not something I really want to do.

I would appreciate any suggestions you may have, at this point I have been give the strongest ointment there is and it is just making the affected areas more raw in nature.

Thank you for your time.   Leslie Osher

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Avatar universal
I cannot believe I have found all of you, with what seems to be the same affliction. My situation started shortly after I moved to the Pacific Northwest, from the Southwest. I now believe I had this "Dishydrotic Ecezema" when I was in the Southwest as well, however I was never diagnosed. It seems from my evaluation that I will have a worse episode when I seem to eat Shellfish.

I get these little tiny bumps like a rash on my feet it itches so bad I want to bite my limbs off. then the bumps burst open and ooze out a liquid, or some times watery bloody liquid. Then terrible itchiness again, Unbearable, Then I become extremely open to infection. To date I have tried creams, ointments, anti-histmines, Cordan Tape, Ultravate ointment. I must say the Ultravate ointment when I have a breakout, keeping my feet in ice cold water, drying them by dabbing not rubbing has helped.

I place the Ultrate on my feet and then cover them with bandages, wear white cotton socks. I also use a lotion called "Cetaphil" and they make a cleansing moisterizing soap as well at Costco it is cheaper.
When my breakout is horrible I have to use the CORDAN TAPE wrap gause over it and white cotton socks.

I can also tell you I have purchased a pair of socks and gloves which I wear in the evening to bed after my episodes subside that are called Derma Socks they are usually in catalogs. they are a gel sock/glove with aloe and vitamin E I don't think it help merely makes it soothing and I stop scratching until they start bleeding. I also do not pick or touch them.

I made the mistake of going out two weeks ago and Had a Shell fish dinner at a Japanese Restaurant then to the symphony before the symphony was over I had an outbreak right in the Theatre! Had to go to the emergency room I am now going to be set up for PUVA TREATMENTS...

The other night I was invited to go out Crabbing at low tide...
We got several Dungeness Crab and we caught them boiled them and
ate them...after that evening the next day I woke up to the bumps all over my hands they have broken open and liquid and the itching is unbearable...Sorry to be so long but I thought after reading that this may help others Thank you for allowing me to share

Bill
Helpful - 0
Avatar universal
"Sounds like" you could poss. have a case of dishydrosis or psoryisis (sp?)  (The two are very similar).

Dishydrosis starts as tiny blisters on hands and / or feet.  The blisters can itch or not  (mine normally itch, and start on my fingers).  They sometimes just go away or they can peel and can bleed severely.  The blisters can sometimes produce a water - like substance. There is no known cause, but, it is "said" to be caused by stress.  The treatments can be as easy as cortisone creams prescribed by your derm., or UVA Light treatment, (Ask your doc. for more inf.).  

Psoryisis - is severly dry skin...or exzema to the extreme, which also peels and can bleed,  (with no blisters involved).  Itching is caused by the dryness.  The treatments can also be as easy as cortisone creams prescribed by your derm., or UVA Light treatment, (Ask your doc. for more inf.).  


You should use a mild soap like Dove or cetaphil and a moisturizer like cetaphil or Lubriderm...for either...  but, who am i....kc
Helpful - 0
Avatar universal
I can't believe that there is someone out there who has the same symptom as I do.  About 3 1/2 years ago I started having problems with my fingertips.  It is from the tips of my fingers down to the first joint.  It seems that the skin thickens and then peels off and then breaks open and bleeds.  Sometimes the ends of my fingers are so sore I can barely touch anything.  I have been to my family doctor, an allergist for all kinds of tests and two different dermatologists for patch test.  Nothing really showed up.  I have been given at least a half dozen different prescription creams or lotions and nothing has helped.  I have not changed any shampoo, soaps, dish liquid, etc.  The cuticles around my nails become hard and the skins get very dry. I can just peel it off in globs both around the nail, on the finger tip and pad and on around the finger down by the first knuckle.  It seems to only affect my thumbs and first two fingers.  My ring finger and little finger don't really seem to be affected.  The tips of these finger seem to be biger than the other fingers.  Also, if you press into the tip of the finger, the indent mark stays and doesn't go away.  I also found myself sometimes dropping things because it seems like I do not have the same sense of touch in these fingers as I use to.  My fingers look absolutely horrid and I am very embarassed by them. I don't know where to go from here.  None of the doctors I have gone to have helped.  Any ideas?
Helpful - 0
Avatar universal
I have had psyrisis (sp?) and/or eczema (I have symptoms of both) since I was about 3 when it broke out all over my body. It was horrible, I had about 70% coverage of patchy, flaking, itchy, red, cracking, bleeding areas. Now that I'm 24, I only have a few areas that have visable redness and flaking on my back, upper arms, and chest.(it cleared up on my face thank god). When I was younger, I always used plain old vaseline to keep my skin from cracking and bleeding and to get the dead skin to come off easier - I always remember feeling 'tight' because my skin was dry and stretched until I put some vaseline on. It would get especailly bad after swimming because that drys your skin out even more.  Throughout my life, I have tried EVERYTHING to try to manage, control, eliminate this persistant pain in the *** from my life. I have seen more doctors than I can count, tried creams, ointments, tars, oils, ultraviolet light treatment, etc. At this point, I just live with the remaining patches that I have - I just give up and coexist with it... but too this day I still can't take my shirt off in public without feeling like a freak show - as you can guess, this has also seriously hindered my social life.

Some have found linkages to stress, some to allergy, etc. The only thing that I have found that works 100% without fail is sunlight. The only places that I still have problems with are covered areas - I always roll my sleeves up and only get a slight relapse of the patches on my lower arms during winter - in the summer it disappears.

One other cream that I had mild success with is call Dovinex - It is a european cream and it managed to reduce redness and flaking - almost completely erradicating it. However, as soon as I stopped using the cream (which you should not use for a prolonged period of time - thins the skin) it came back in a matter of weeks. You might want to look into this as it is good for temporary relief of this type of 'hyperactive' skin problems. I was never 100% fully diagnosed so I really don't know what I have or if this will help anyone else here. But try the vaseline... it will at least releive the dryness and hopefully prevent cracking of the skin (I know how much this hurts).

Cheers,
Forest
Helpful - 0
Avatar universal
Janet, Leslie, and others,

  Go to www.eczema-assn.org which is the URL for the national
eczema organization based in Oregon.  You can read back issues of
the newsletter and a special section of suggestions from readers
on what treatments have helped them. This site is wonderful, and professional, with dermatologists on the board (no wild claims of secret cures, nobody trying to sell you anything)

  Also search dyshidrotic eczema (which occcurs on either the palms and fingers or the soles of the feet, or both) on yahoo.com and on google.com.

   A depressed immune system because of emotional stress *often*
triggers this type of eczema.  If you've been through a divorce,
death in the family, or similar situation, this *may* be what brought on the eczema.  So, if you're not doing regular exercise
and yoga or meditation or some other form of physical and mental
relaxation, start and keep up such a program. One study showed that children with eczema all improved after receiving regular massages from their parents (who were trained to give the massages).  If you can afford a weekly massage, try it and see if it helps.
Helpful - 0
Avatar universal
I am so upset after reading the postings on this horrible condition I have developed--I am 30 years old with no previous problem and I am just not happy with the "no cure" answer--All the women in my family who have it or have had it have also had a thyroid problem--is there anyway these two conditions can some way be connected--I am going to have mine checked today for it was suggested to me to do so for it seems to be inlarged--Are there any others here with this condition joined with a throid condition as well???---Tracy
Helpful - 0

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