[21F] Experiencing itchy rashes on hands

Patient Description

A 21-year-old female has been experiencing itchy rashes on both hands for 1 week. The rashes are described as reddish bumps that are more prominent on one side and spread out over the hands. The itchiness leads to skin irritation upon scratching, which also alters the size and shape of the rashes. The patient has not identified any specific triggers such as food or contact with unfamiliar substances, and there has been no recent travel or known exposure to others with similar conditions. No additional symptoms such as fever, joint pain, blisters, scaling, or oozing have been reported. The patient has not mentioned any alleviating factors or additional treatments tried.

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Arora's Assessment

What might be happening

Based on the information provided, possible causes for your symptoms could include:

  • Contact Dermatitis: This is a type of inflammation of the skin that occurs when substances touching your skin cause irritation or an allergic reaction. The irritation causes the skin to become itchy and red. You may also experience a burning sensation or swelling.

    • Treatment typically involves avoiding the irritant, applying topical creams to relieve itching and inflammation, and in severe cases, taking oral medications to reduce inflammation.
  • Eczema: Also known as atopic dermatitis, this is a condition that makes your skin red and itchy. It's common in children but can occur at any age. Eczema is long-lasting and tends to flare periodically. It may be accompanied by asthma or hay fever.

    • Treatment for eczema often involves hydrating the skin with lotions or creams, using topical corticosteroids to control inflammation, and avoiding triggers that can cause flare-ups.
  • Hives (Urticaria): These are red, itchy welts that result from a skin reaction. The welts vary in size and appear and fade repeatedly as the reaction runs its course.

    • Treatment for hives can involve antihistamines to relieve itching, avoiding triggers, and in severe cases, taking oral corticosteroids.

Please note that these are potential causes based on the limited information provided. It's important to consult a healthcare professional for a proper diagnosis and treatment.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Avoid scratching the affected area as this can worsen the rash and potentially lead to infection.
  2. Apply a moisturizer or over-the-counter hydrocortisone cream to the affected area to help soothe the itchiness.
  3. Avoid potential irritants such as harsh soaps or detergents, as these can aggravate your skin.
  4. Keep the affected area clean and dry to prevent infection.

What you should look out for

You should seek immediate medical attention if:

  • The rash spreads rapidly or covers a large area of your body.
  • You experience other symptoms such as fever, difficulty breathing, or swelling of the face or lips.
  • The rash becomes painful or shows signs of infection, such as increased redness, warmth, swelling, or pus.

Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment.

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10 mo ago

People Also Ask


What are common causes of itchy rashes on the hands?

Common causes of itchy rashes on the hands include contact dermatitis, eczema, and hives. These conditions can be triggered by allergens, irritants, or underlying skin conditions.


How can I differentiate between contact dermatitis and eczema?

Contact dermatitis is usually caused by direct contact with an irritant or allergen and often appears as a localized rash. Eczema, on the other hand, is a chronic condition that can flare up periodically and may be associated with other conditions like asthma or hay fever.


What are some effective treatments for itchy rashes?

Effective treatments for itchy rashes include avoiding known irritants, using moisturizers, applying topical corticosteroids or antihistamines, and keeping the skin clean and dry. In some cases, oral medications may be necessary.


When should I seek medical attention for a rash?

You should seek medical attention if the rash spreads rapidly, is accompanied by other symptoms like fever or difficulty breathing, or shows signs of infection such as increased redness, warmth, swelling, or pus.


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