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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Rash On The Finger After Taking A Local Anesthesia?

hi there,
i had a local anesthetic on my finger as the surgen needed to drain my index finger since it was swollen with a felon infection. i now have an rash going down my finger and onto my hand that is small bumps and very very itchy. I live in Thailand and not sure of the diagnosis. I was told it could also be due to the anesthetics that were used.
Tue, 14 Apr 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

Rather than the local anesthetic this itchy eruption is most likely a result of contact dermatitis, probably to an antiseptic that was used to clean/ prepare the area, preoperatively e.g betadine or savlon very frequently cause this type of a localized eruption at the point of contact.
If I was the treating doctor I would suggest an OTC oral antihistamine e.g cetrizine once or twice daily for a week.
Cetrizine is antiallergic and would improve the rashes as well as itching.
Topically, I would suggest a moderately potent topical steroid e.g mometasone furoate 0.1% cream Or fluticasone propionate 0.05% cream, twice daily over the rashes, for a few days.

Regards
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What Causes A Rash On The Finger After Taking A Local Anesthesia?

Hello. Thank you for writing to us Rather than the local anesthetic this itchy eruption is most likely a result of contact dermatitis, probably to an antiseptic that was used to clean/ prepare the area, preoperatively e.g betadine or savlon very frequently cause this type of a localized eruption at the point of contact. If I was the treating doctor I would suggest an OTC oral antihistamine e.g cetrizine once or twice daily for a week. Cetrizine is antiallergic and would improve the rashes as well as itching. Topically, I would suggest a moderately potent topical steroid e.g mometasone furoate 0.1% cream Or fluticasone propionate 0.05% cream, twice daily over the rashes, for a few days. Regards