Strange bumps on hands

[Jeffrey77]

On the backs of my hands are several normally unnoticed bumps on hands.  When looked at very close and under the sunlight especially, you can see that there are in fact dozens of small ones and several large ones.  They look slightly darker but not much then the surronding skin.  They do not itch burn or otherwise noticable symptoms othere than they are there.  When you look at them from an angle in the sun you can see so many.  Slightly raised and no specific pattern.  What are they.  I can remeber them being there for a long time but now are getting more and more pronounced and are not going away.
What do you think?

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be lichen nitidus. It is characterized by 1-2 mm, discrete and uniform, shiny, flat-topped, pale flesh-colored or reddish-brown papules. Generally it is self limiting but severe cases may need glucocorticoids.

I would suggest you to consult a dermatologist and get it evaluated. Also then it has to be differentiated from dyshidrotic eczema.
Hope it helps. Take care and please do keep me posted on how you are doing or if you have any additional queries. Warm regards.