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What Causes Eczema Like Patch On Left Hand?

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Posted on Wed, 9 Dec 2015
Question: HI doc

I have a small patch on my left hand have attached a picture for you to have a look at.

No symptoms noticed it two weeks ago. I did pop it and a fluid was in it. Did become scabby but now looks like the picture attached.

What can this be and how shall I get rid of it?

Never seen anything like this before. I seen a doc said try e45 for dry skin.

It is not herpes or anything like that is it?


image attached
doctor
Answered by Dr. Asmeet Kaur Sawhney (29 minutes later)
Brief Answer:
Can be patch of eczema or insect bite hypersensitivity reaction

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have reviewed the attached photograph and it is not herpes for sure.
According to me it can be either a patch of eczema or some insect bite hypersensitivity reaction. In either of the condition I suggest my patients to apply corticosteroid cream like clobetasol propionate on the affected area twice daily. This is a prescription medicine and you need to consult a doctor in person to get it.
Though you can continue with e45 cream on the hands.
I hope to have answered your query.
I would be happy to clarify any further doubts.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (16 minutes later)
Thanks doc for you quick follow up and the reassurance.

Just two follow up questions?

1 there was a fluid filled In the area when I popped it? Would you know what that is?

Can I get a OTC steroid cream such as hydrocortisone cream 15G is that any good?

And I have uploaded another photograph. What would the difference be if it was herpes? Just for knowledge.

Also doc how long will it take to disappear
doctor
Answered by Dr. Asmeet Kaur Sawhney (18 minutes later)
Brief Answer:
Yes you can use hydrocortisone, will take 2-3 weeks to resolve

Detailed Answer:
Hi again

Sometimes fluid filled blister can be a manifestation of insect bite hypersensitivity reaction or seen in eczema. So thats why I have suggested these two diagnosis.
Yes you can use hydrocortisone cream on the patch. Only thing is that it is a mild steroid and will take a longer time to resolve the lesion. It will take around 2 -3 weeks to disappear.
In case of herpes infection there is history of pain and burning followed by eruption of mutiple small fluid filled vesicles which rupture leading to formation of erosions which heal in 2-3 weeks.

Hope it helps
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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What Causes Eczema Like Patch On Left Hand?

Brief Answer: Can be patch of eczema or insect bite hypersensitivity reaction Detailed Answer: Hi Thanks for being at healthcaremagic I have reviewed the attached photograph and it is not herpes for sure. According to me it can be either a patch of eczema or some insect bite hypersensitivity reaction. In either of the condition I suggest my patients to apply corticosteroid cream like clobetasol propionate on the affected area twice daily. This is a prescription medicine and you need to consult a doctor in person to get it. Though you can continue with e45 cream on the hands. I hope to have answered your query. I would be happy to clarify any further doubts. Regards Dr Asmeet