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Suggest Treatment For Itchy Hands With Redness And Mild Burning Sensation

Posted on Wed, 30 Sep 2015

Question: I have itchy hands especially in the night. It's often associated with redness and mild burning sensation.
LFT, thyroid, KFT, CBC are In normal range.
I am 41 years old and the duration of symptoms is around one month.
There is a poor response with oral antihistaminics and steroids

Answered by Dr. Hardik Sanghvi (1 hour later)

Brief Answer:
Diabetes or some skin disease like eczema, psoriasis can cause that.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
You have itchiness at night with burning sensation.
There ate many causes of itching with redness burning sensation.

Diabetes, gout, cholestasis, skin disease, allergy all can leads to this kinds of symptoms.

Tell me your gender. You should also go for blood sugar test. Send your all reports with fasting and post prandial blood sugar levels. So that I can help you further.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (36 minutes later)

Hello Doctor,
I am a 41 year old male. My reports are as follows:
HbA1c 5.5
Blood sugar fasting 90
Blood sugar PP 125
Total cholesterol 202
Triglycerides 217
S Homocysteine 23.2
LDL Cholesterol 133
Blood Urea 6.99
S Creatinine 0.73
S Uric Acid 5.9
S Bilirubin 0.48
GGT 37.9
SGOT 31.8
SGPT 42.5
Total Proteins 7.4
S Albumin 4.6
S Globulin 2.8
Hb 14.7
TLC 9080
DLC N48 L 40 E 4.1 B 0.6
Immature Granulocyte percentage 0.3
Immature Granulocyte count 0.08
Nucleated RBC Nil
MCHC 30.9
MCH 28.4
MCV 92.1
Red cell distribution width 49.8
Peripheral Smear: RBCs normocytic and normochromic. There are no abnormal cells. Platelets are adequate.

Platelet count 2.63 lakhs
Absolute Eosinophil count 370
S Iron 93.6
TIBC 349
%Transferrin saturation 26.82
S Lipase 70
S Amylase 80.2
T3 84
T4 7.8
TSH 1.99
Vitamin D3 18.58
Vitamin B 12 302
S Tetosterone 285.6

Could it be erythromelalgia or a sign of any impending neoplasticism phenomenon?
Thanks
Additionally there are skin rashes or any other overt lesions on the skin

Additionally, there are NO skin rashes or any other pathology. BTW, I am a consultant Psychiatrist practicing in XXXXXXX

I'd appreciate if you could advise if there are any chances of developing myeloproliferative disorders in the future as some websites suggest. (They say that it could be an earliest sign and precedes the onset by 2-3 years)

Answered by Dr. Hardik Sanghvi (23 hours later)

Brief Answer:
It can be erytromelalgia. No risk of myeloproliferative disease.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
I have gone through your all reports.
Your all reports are almost normal. No diabetes, no liver disease, no gout, no hyper cholesterol.
Moreover you don't have any other skin lesions.

So you may have erytromelalgia.
However it is rare condition and very difficult to diagnose.

However don't worry about myeloproliferative disease. Your complete blood count is absolutely normal and there is no sign of any myeloproliferative disease.

Myeloproliferative disease can leads to secondary erytromelalgia but symptoms of erytromelalgia doesn't indicate risk of myeloproliferative disease. So don't worry about that. Just be relaxed.

You should go for erytromelalgia investigation. And take treatment accordingly.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (6 minutes later)

Thanks Doctor,
But is it not right that erythromelagia could be a preceding symptom and there is a risk of myeloproliferative disorders in future.
It was somewhere mentioned that sometimes occurs 2-3 years before MPD .
Please clarify

Answered by Dr. Hardik Sanghvi (7 minutes later)

Brief Answer:
No its not like that.

Detailed Answer:
Hi, dear
I can understand your concern.
But its not like that. Erytromelalgia is not the preceding symptom of myeloproliferative disease.

Myeloproliferative disease can leads to erytromelalgia. But it can be primary without any disease also. It has genetic cause regarding sodium channel.

Moreover your blood work doesn't suggest any sign of myeloproliferative or preneoplastic disease.

So forget about myeloproliferative disease. Just be relaxed. Don't worry about that.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar