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Suggest treatment for white spots on the hands and skin

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Posted on Fri, 25 Sep 2015
Question: expreincing whitish spots on hand s skin
itss rough !! am 25 yrs old male !! what may the cause!!
doctor
Answered by Dr. Kakkar S. (3 hours later)
Brief Answer:
Tinea; oral and topical antifungals

Detailed Answer:
Hello. Thank you for writing to us.

I have gone through your query abd i have reviewed the images.

I can see scaly patches on dorsum of hands and some scaling at palmar creases of fingers.
I will keep a possibility of fungal infection i.e tinea mannum.
Is it on both hands? Is it itchy?
If i was the treating doctor i would suggest treatment with oral antifingal e.g terbinafine or fluconazole tablets. In addition I would also ask you to apply a topical antifungal cream e.g terbinafine 1% cream twice daily.
These are prescription medication and should be used under supervision of a doctor. I suggest that hou visit a dematologist in your vicinity fir a confirmatory diagnosis and for the needful.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. (2 minutes later)
what r its casuses sir!!not so ithcy !! if i wash hands it goes off !! is it something serious?
doctor
Answered by Dr. Kakkar S. (46 minutes later)
Brief Answer:
Tinea mannum

Detailed Answer:
Hi.

Cause is fungus also known as Dermatophytes.
No, its not serious.

Is it on both hands Or only on one hand?

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. (8 hours later)
its on both hands ! n wat r the casuses of this!?!
doctor
Answered by Dr. Kakkar S. (11 hours later)
Brief Answer:
I suggest a KOH preparation made from a scraping as a confirmatory test

Detailed Answer:
Hi.

Tinea mannum is a fungal infection. Most common cause is trichophyton rubrum.This fungus is ubiquitous and is present in soil.
I suggest you to take a KOH preparation made by scraping a small amount of scale from affected area which should show fungal elements i.e hyphae under microscope. This would be confirmatory in case this is fungal infection. If this test shows as positive that would be confirmatory. Treatment would be with oral and topical antifungals.
However if KOH from scraping is negative then we would have to consider other possibilities like hand eczema.
Clinically this looks like tinea however tinea is usually unilateral i.e on one side and rarely on boh hands. Since you have it on both hands therefore a KOH preparation made from a scraping would be either confirmatory of tinea or rule it out.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8971 Questions

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Suggest treatment for white spots on the hands and skin

Brief Answer: Tinea; oral and topical antifungals Detailed Answer: Hello. Thank you for writing to us. I have gone through your query abd i have reviewed the images. I can see scaly patches on dorsum of hands and some scaling at palmar creases of fingers. I will keep a possibility of fungal infection i.e tinea mannum. Is it on both hands? Is it itchy? If i was the treating doctor i would suggest treatment with oral antifingal e.g terbinafine or fluconazole tablets. In addition I would also ask you to apply a topical antifungal cream e.g terbinafine 1% cream twice daily. These are prescription medication and should be used under supervision of a doctor. I suggest that hou visit a dematologist in your vicinity fir a confirmatory diagnosis and for the needful. Regards