[21F] Experiencing itching, pins and needles, and skin changes on hands

Patient Description

A 21-year-old female reports a moderate to severe itchy sensation accompanied by a pins and needles sensation on the palms and fingers of both hands, which has been present for approximately 3 weeks. The pins and needles sensation, described as tingling and shock-like, has been ongoing for about 1 week and 4 days, worsening with gripping actions. Initially localized to the palms, this sensation has now spread to the fingers. The patient notes that the itching and pins and needles sensations come and go. Additionally, there are changes in the skin color, scaling, peeling, and redness in the affected areas, but no blisters or fluid-filled bumps have been observed. The patient has experienced itching before but has not found anything that relieves the symptoms. No known exposure to others with similar symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, some possible conditions include:

  • Eczema: This is a condition that causes the skin to become itchy, red, dry and cracked. It is a long-term (chronic) condition in some people, although it can improve over time.

    • Treatment typically involves moisturizing the skin regularly and using topical treatments to reduce inflammation.
  • Contact Dermatitis: This is a type of inflammation of the skin that results from contact with allergens or irritants. This can cause a variety of symptoms including redness, itching, and dry, cracked skin.

    • Treatment typically involves avoiding the allergen or irritant and using creams to help reduce the symptoms.
  • Carpal Tunnel Syndrome: This is a condition that causes numbness, tingling, or weakness in your hand. It happens because of pressure on your median nerve, which runs the length of your arm, goes through a passage in your wrist called the carpal tunnel, and ends in your hand.

    • Treatment may include wrist splinting, medications, and, in severe cases, surgery.

What you can do

  1. Try to identify any potential irritants or allergens that may be causing your symptoms. This could be anything from a new soap or lotion to a type of fabric or rubber gloves.
  2. Keep your skin moisturized. Use a gentle, unscented moisturizer on your skin every day. Moisturizers that are too harsh can actually make your symptoms worse.
  3. Avoid scratching your skin. Scratching can make your symptoms worse and lead to skin damage, infections, and scarring.
  4. Over-the-counter creams and ointments may help to reduce itching and other symptoms. Look for products with hydrocortisone for mild to moderate eczema. If your symptoms are severe, you may need a prescription-strength product.
  5. If you're experiencing symptoms of carpal tunnel syndrome, try to take frequent breaks from activities that involve repetitive motion of your hands and wrists. Wrist splints may also be helpful.

What you should look out for

  • If your symptoms do not improve after trying over-the-counter treatments, you should seek medical advice.
  • If you develop any new symptoms, such as severe pain, swelling, or if your skin becomes hot to touch, you should seek medical attention immediately.
  • If your symptoms are affecting your ability to complete daily activities, you should seek medical advice.

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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8 mo ago

People Also Ask


What are the common symptoms of eczema and how can it be managed?

Common symptoms of eczema include itchy, red, dry, and cracked skin. It can be managed by regularly moisturizing the skin, using topical treatments to reduce inflammation, and avoiding known irritants.


How can I identify if I have contact dermatitis and what should I do about it?

Contact dermatitis can be identified by symptoms such as redness, itching, and dry, cracked skin after contact with an allergen or irritant. Management involves avoiding the allergen or irritant and using creams to alleviate symptoms.


What are the signs of carpal tunnel syndrome and how is it treated?

Signs of carpal tunnel syndrome include numbness, tingling, or weakness in the hand, often worsening with repetitive hand movements. Treatment may involve wrist splinting, medications, and in severe cases, surgery.


What steps can I take to prevent worsening of skin conditions like eczema or dermatitis?

To prevent worsening of skin conditions like eczema or dermatitis, keep the skin moisturized with gentle, unscented products, avoid scratching, and identify and avoid potential irritants or allergens.


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