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Developed painful, red, circular rash at hand joint index finger. Looks likes blisters. What to do?

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Practicing since : 2003
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Developed XXXXXXX red color circle rash with pinpoint white center on rt knuckle hand joint index finger two days ago
Very Painful, itchy , drained clear fluid, dried up, skin burned appearance, dime size or smaller, became slightly burning/pain again this morning, drained slightly clear fluid again - center skin peeled like burn blister -Treated w cortisone ointment - telfa pad & non allergic tape - continues to burn/ hot to touch
No known bite- no allergy- extremely neat/clean - have had painful small breakout on back area on/off past year
Posted Wed, 25 Jul 2012 in Skin Hair and Nails
Answered by Dr. Rohit Batra 12 hours later
Dear Patient,
Thanks for your query to XXXXXXX
It seems that the lesion described by you is a Fixed Drug Eruption or an insect bite.
If there is a history of a drug intake then the likelihood of fixed drug eruption is more but if not then its a simple insect bite which might have gone unnoticed during the night time.
A course of oral antibiotic and a topical antibiotic cream is required alongwith pain killer and antihistamine for pain and itching.
A dermatologists opinion in person should be taken before taking the medicines.


Dr.Rohit Batra
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