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Treatment for fingernails and hand peeling - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1694 Questions
User :   My 7 year old daughter has splitting nails with white specks on them. Also on the top of her fingers and palms she has started to get little blisters that when pop start to peel away at her skin. Do you know what this could be?
Doctor :   Hi
Doctor :
User :   HI
Doctor :   does she have any allergy?
User :   Not as far as I know
Doctor :   is she having ant skin disease in the past
Doctor :   did she take any new food or drug recently
Doctor :   is she having itching there?
User :   When she was younger she had this condition come and go that I never knew what to do about and couldn't get any answers. She would have goose pimple like formation on her skin that would disappear and take the skin pigment with it.
Doctor :   is she having fever?
User :   No fever, no itching.
Doctor :   it can come as allergy to chemicals and even toys
Doctor :   ok did they say about dishydrotic eczema
Doctor :   or lichen planus
Doctor :   does she take normal foods
User :   No, I was just given creams that didn't work. Its gone away now (the pigment problem) but now her fingernails and hands are peeling.
Doctor :   ok
User :   Yes she eats normally and healthily.
Doctor :   is it there anywhere on the body
Doctor :   other than fingers
User :   No
Doctor :   Dyshidrotic eczema is a recurrent or chronic relapsing form of vesicular palmoplantar dermatitis of unknown cause.
Doctor :   do you have any family history of skin disease
User :   Not on my side. My husbands sister did have a bit of eczema but nothing serious
Doctor :   Hands are involved solely in 80% of patients, feet solely in 10%), and both hands and feet are involved in 10% of patients.
User :   I live in a remote town. Should I get her a special test.
Doctor :   yes she might need some allergy test
Doctor :   and also some blood investigations
Doctor :   did she have scabies in the past?
User :   No.
Doctor :   ok
Doctor :   what cream are you using now?
Doctor :   dont u8se steroids
Doctor :   use
Doctor :   without examination
User :   I'm not using any creams. Just rubbing natural oils for eczema.
Doctor :   as it may flare up infection
Doctor :   ok good
Doctor :   continue that
Doctor :   it probably needs a n physical examination to diagnose better
Doctor :   i suspect that as dyshydrotic eczema
Doctor :   only
Doctor :   Sometimes, a skin biopsy or skin scraping may be needed to rule out other causes, such as a fungal infection.
Doctor :   If your doctor thinks the condition may be due to an allergic reaction, allergy testing (patch testing) may be done.
Doctor :   * Anti-itch medicines taken by mouth (antihistamines)
* Moisturizers
* Strong creams or ointments
Doctor :   There is no cure. Dyshidrotic eczema normally goes away without problems, but symptoms may return late
Doctor :   Possible Complications are
* Painthat limits the use of the hands
* Secondary bacterial infection
Doctor :   so get her examined soon
Doctor :   ddi you get what i said?
Doctor :   The cause of dyshidrotic eczema is unknown. The condition often appears related to other skin diseases (eg, atopic dermatitis, contact dermatitis, allergy to ingested metals, dermatophyte infection, bacterial infection, environmental or emotional stress)
User :   I'll take her this week but the doctors here just aren't very good. Yes I get what you said, I just had the big guessing game. It's very frustrating for a mum.
Doctor :   ok i understand
Doctor :   your concern as a mum
Doctor :   i will help you in the best way i can
Doctor :   please continue the moisturizer that you use now
User :   Youve given me some food for thought, I will continue my search for answers and get her checked out.
Doctor :   Exfoliative keratolysis is an excessive peeling of the skin on the palm of the hands and is sometimes called "focal palm peeling." The condition is preceded by an outbreak of air-filled blisters across the fingers and palms, which may be caused by eczema.
Doctor :   it can be an differential diagnosis
Doctor :   so you have to verify that too
User :   I just don't want it to be an underlying illness.
Doctor :   Psoriasis is an infection that often causes peeling of the hands, although it can occur on other parts of the body as well
Doctor :   it will not be mostly
Doctor :   it can be normal in most children
Doctor :   so dont worry at all
Doctor :   as children skin a re very sensitive
Doctor :   dont worry at all
Doctor :   it might be an allergy to common soap even
Doctor :   Thanks for consulting..
Doctor :   Bye for now...
Doctor :   wishing him a speedy recovery
Doctor :   bye for now...
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