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Red, irritated, peeling skin on both middle fingers

Hello,

I'm a 24 year old female. For the past few years I've noticed that the fingertips of both middle fingers is unusual. The skin is sensitive, reddened and peeling. It is sometimes cracked. It feels like I have a layer of glue on the tips of these fingers. When I look closer, I notice tiny dark spots under the irritated skin. I find it hard to do anything that requires me to use these fingers. I wish you could provide an answer as to what condition I have! Thank you!
Poster
  • Female | 24 years old
  • Complaint duration: 90 days
  • Ethnicity: Japanese
May 21, 04:18 AM

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Featured Answer

1 UpVoted this answer
It looks and sounds like you have hand eczema, also known as Dyshidrotic eczema. It is sensitive skin on the hands. Treatment consists of lots of moisturizing creams or ointments at night such as vaseline or Aquaphor. Prescription strength topical steroids are helpful as well.
Edgar Fincher
Edgar Fincher, MD, PhD
Cosmetic Surgeon in Beverly Hills, CA
Level: Contributor (7)
Website: Fincher Dermatology & Cosmetic Surgery
May 21, 04:00 PM
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1 UpVoted this answer
The tiny dots are most likely blood vessels. The skin itself must be a contact dermatitis--something you are touching. there is no other possibiltiy with this distribution and you need to be a detective to determine what touches these areas and not others--musical instrument, some sort of hobby etc. you may need to see a dermatologist to get patch tests to narrow down the possibilities
Melvin Elson
Melvin Elson, MD
Dermatologist in Burns, TN
Level: Master Contributor (67)
Website: http://www.drmelvinelson.com/
May 21, 03:37 PM
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1 UpVoted this answer
This is an eczematous eruption,most probably due to contact exposure to an inrritant or allergenic (allergy causing chemical) I would have to know more about your work history and habits to give you a definite solution to our problem. Think about what these two fingers come into contact with and discontinue the exposure. Using soaks of half milk and half water three times a day,followed by treatment with a topical steroid should be helpful. I suggest you think carefully about your history and then consult a dermatologist .
Albert M. Lefkovits
Albert M. Lefkovits, MD
Dermatologist in New York City, NY
Level: Candidate (4)
Website: Albert M. Lefkovits, M.D.
May 21, 03:36 PM
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1 UpVoted this answer
This is an eczematous eruption,most probably due to contact exposure to an inrritant or allergenic (allergy causing chemical) I would have to know more about your work history and habits to give you a definite solution to our problem. Think about what these two fingers come into contact with and discontinue the exposure. Using soaks of half milk and half water three times a day,followed by treatment with a topical steroid should be helpful. I suggest you think carefully about your history and then consult a dermatologist .
Albert M. Lefkovits
Albert M. Lefkovits, MD
Dermatologist in New York City, NY
Level: Candidate (4)
Website: Albert M. Lefkovits, M.D.
May 21, 03:36 PM
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1 UpVoted this answer
This is an eczematous eruption,most probably due to contact exposure to an inrritant or allergenic (allergy causing chemical) I would have to know more about your work history and habits to give you a definite solution to our problem. Think about what these two fingers come into contact with and discontinue the exposure. Using soaks of half milk and half water three times a day,followed by treatment with a topical steroid should be helpful. I suggest you think carefully about your history and then consult a dermatologist .
Albert M. Lefkovits
Albert M. Lefkovits, MD
Dermatologist in New York City, NY
Level: Candidate (4)
Website: Albert M. Lefkovits, M.D.
May 21, 03:36 PM
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1 UpVoted this answer
could be atopic dermatitis , try using over the counter hydrocortisone first , and follow up with dermatologist in 2 weeks .
TseHwa Yao
TseHwa Yao, MMS, MHS, MPA, CNS
Anti-Aging Medicine Specialist in Great Neck, NY
Level: Contributor (21)
May 21, 03:32 PM
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This looks like dyshidrotic eczema. Treatment consists of using thick moisturizers such as Aquaphor. People who wash their hands frequently or work with chemicals such as in a hair salon can develop this condition. The protective oils on the skin are stripped away from frequent hand washing or exposure to solvents or chemicals. Although the cause is unknown, other factors such as stress, hyperhidrosis or excessive sweating, contact dermatitis to nickel, cobalt, or balsam, seasonal changes, are also associated with these conditions.

Often times prescription strength steroids are necessary to alleviate the symptoms.
Hardik Soni
Hardik Soni, MD
Medical Spa in Summit, NJ
Level: Key Opinion Leader (109)
Website: Ethos Spa, Skin and Laser Center
July 01, 04:43 PM
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Looks like dyshidrotic eczema. Patients often use cortisone ointment under occlusion to help. Finding the cause is important and patch testing for allergies can be performed in office.
James T. Sandwich
James T. Sandwich, MD
Dermatologist in Fayetteville, GA
Level: Key Opinion Leader (157)
Website: Fayette Area Dermatology
May 28, 11:06 PM
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See your doctor for a proper diagnosis and prescription treatment. It most resembles eczema but it may just be an irritant from exposure to something in your life routine either work or hobby or simply from cleaning your home. Lots of hydrating moisturizers help this with the use of gloves when exposed. You will also need a prescription for the skin to improve and resolve. Hope it gets better soon.
Sheila Calderon
Sheila Calderon, MD
Medical Spa in Frisco, TX
Level: Key Opinion Leader (215)
May 22, 07:27 PM
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The photo looks like dyshidrotic eczema. Most people says it gets worse with stress or if your hands are wet ( ie. washing hands, wet work such as cooking, cleaning, gardening, or sweat) . Most people get tiny blisters that itch, then peel. Use a mild soap top wash your hands (Dove, CeraVe, Cetaphil), use a lot of hand cream (Neutrogena, CeraVe) or something greasy like Aquaphor or Aveeno Healing Ointment . Try to protect your hands when doing chores with gloves. A dermatologist can prescribe a topical steroid to sooth the irritation. This disorder can also affect the feet.
Mary Ann Martinez
Mary Ann Martinez, MD
Dermatologist in Austin, TX
Level: Top Contributor (29)
Website: http://www.beecavesdermatology.com
May 22, 04:51 PM
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