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What Causes Blisters On The Hands And Cheeks?

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Posted on Wed, 19 Oct 2016
Question: Please see attached picture of babies hand. Three blisters total with one on cheek as well.
Does not appear to be sensitive to touch.
Slight cold / runny nose

Picture of babies hand. 3 blisters in total and one on cheek. Does not appear sensitive to touch. Slight cold with runny nose
I do have a history of herpes but no outbreaks in years
doctor
Answered by Dr. Dinah Levillard (32 minutes later)
Brief Answer:
Suggestive of Hand,foot and mouth disease. Treat as advised.

Detailed Answer:
hello XXXXXXX and welcome to HCM.
I'm Dr Dinah and I'll be answering your queries today.
From the image and description, the most probable cause in this age group would be a viral infection called hand,foot and mouth disease. Similar bumps may appear on palms, feet, around mouth, face etc. along with symptoms of viral infection like fever, runny nose, cough etc. The rashes may be a little itchy.
Being a viral infection, it usually runs its course over a week with an increase in rashes and symptoms and then resolves on its own.
treatment would be mainly symptomatic. Paracetamol for the fever if present. Fluids and normal diet. Antihistamine drops for the rash and runny nose if required. Dosage would depend on baby weight(what you normally give your child at present). Apply a calamine lotion on the skin.
Try and recall if there was any contact with other kids or contacts with similar complaints as it tends to spread and there could be an out break around.
We also need to keep in mind other diagnoses such as insect bites/bug bites or allergic reactions to any outdoor exposure, plants, pets, chemicals etc.
In any case, the treatment remains symptomatic.
Do let me know if there is any change in the blisters, arrangement of blisters, pus/discharge from them, or any new symptoms.
I understand your concern regarding herpes, but the lesions do not appear so.

Observe the bumps over the next two days and watch for changes. Do consult a dermatologist if there is a severe increase, fluid discharge, peeling skin or severe general symptoms. They will then need to assess and decide regarding tests and further treatment/antibiotics.

Hope this guides you. Do feel free to get back to me with any doubts or clarifications you may have.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dinah Levillard (29 minutes later)
Thank you for your response. Please see anoother attached photo. She also sucks that paticular area alot. Could that be a symptom of sucking. I have read alot on hand foot mouth, she does not appear to have any other blisters anywhere else .
doctor
Answered by Dr. Dinah Levillard (1 hour later)
Brief Answer:
continue treatment as advised and observe for symptoms as mentioned.

Detailed Answer:
Hi. thanks for getting back to me.
Sucking blisters are also an extremely common cause, especially if your baby is teething. Since there are no blisters anywhere else, it should be considered. But that would not explain the one on the face, unless its inside the lips or mouth.
Babies often get redness, swelling and blisters on area they suck continuously. it generally does not require treatment, but large or infected/pus filled blisters may need to be popped and drained, followed by antibiotic ointment. The baby would also avoid sucking in these cases due to the pain. If not infected, calamine lotion would help, but if it is not possible to prevent sucking, use a cream for cracked nipples.
At present , the blister looks to be in early stages and does not look infected and seems it will resolve on its own. We will still have to observe for progress towards the viral infection.
try to cover with a sock to prevent further sucking.
So, i would advise you to observe them and treat as advised depending on symptoms for a couple of days. Consult the dermatologist anytime you suspect changes or increased severity in symptoms.
Hope this guides you.
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. Raju A.T
doctor
Answered by
Dr.
Dr. Dinah Levillard

Dermatologist

Practicing since :2010

Answered : 263 Questions

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What Causes Blisters On The Hands And Cheeks?

Brief Answer: Suggestive of Hand,foot and mouth disease. Treat as advised. Detailed Answer: hello XXXXXXX and welcome to HCM. I'm Dr Dinah and I'll be answering your queries today. From the image and description, the most probable cause in this age group would be a viral infection called hand,foot and mouth disease. Similar bumps may appear on palms, feet, around mouth, face etc. along with symptoms of viral infection like fever, runny nose, cough etc. The rashes may be a little itchy. Being a viral infection, it usually runs its course over a week with an increase in rashes and symptoms and then resolves on its own. treatment would be mainly symptomatic. Paracetamol for the fever if present. Fluids and normal diet. Antihistamine drops for the rash and runny nose if required. Dosage would depend on baby weight(what you normally give your child at present). Apply a calamine lotion on the skin. Try and recall if there was any contact with other kids or contacts with similar complaints as it tends to spread and there could be an out break around. We also need to keep in mind other diagnoses such as insect bites/bug bites or allergic reactions to any outdoor exposure, plants, pets, chemicals etc. In any case, the treatment remains symptomatic. Do let me know if there is any change in the blisters, arrangement of blisters, pus/discharge from them, or any new symptoms. I understand your concern regarding herpes, but the lesions do not appear so. Observe the bumps over the next two days and watch for changes. Do consult a dermatologist if there is a severe increase, fluid discharge, peeling skin or severe general symptoms. They will then need to assess and decide regarding tests and further treatment/antibiotics. Hope this guides you. Do feel free to get back to me with any doubts or clarifications you may have.