[22F] Experiencing peeling dry skin on palms

Patient Description

A 22-year-old female presents with dry skin localized to the palms and fingers, primarily affecting the palms. The condition has been ongoing for a few months and is characterized by peeling skin. The patient reports that the dryness suddenly started and has not identified any activities or environmental factors that exacerbate the condition. No interventions have been noted to provide relief. The patient does not report any other associated symptoms, and there is no mention of any underlying medical conditions or medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your dry, peeling skin on the palms include:

  • Eczema (Dermatitis): This is a condition that makes your skin red and itchy. It's common and can occur anywhere on your body. Eczema is long lasting and tends to flare periodically. It may be accompanied by asthma or hay fever.

    • Treatment typically involves moisturizing your skin regularly and avoiding triggers that can make your symptoms worse. Topical ointments and creams can also be prescribed by a doctor.
  • Psoriasis: This is a skin disorder that causes skin cells to multiply up to 10 times faster than normal. This makes the skin build up into bumpy red patches covered with white scales. They can grow anywhere, but most appear on the scalp, elbows, knees, and lower back.

    • Treatment usually involves creams and ointments to slow down skin growth, reduce inflammation and ease itching.
  • Contact Dermatitis: This is a skin reaction resulting from exposure to allergens or irritants. Frequent hand washing, skin infections, exposure to harsh chemicals can cause this condition.

    • Treatment involves avoiding the irritants or allergens that cause your symptoms. Creams or ointments containing corticosteroids may help.
  • Keratolysis Exfoliativa: This is a common skin condition where there is focal peeling of the palms and less often the soles. It's harmless and the cause is often unknown.

    • Treatment is usually not necessary, but moisturizing cream or an ointment can help.

What you can do

  1. Moisturize your hands regularly: Use a moisturizer that's oil-based as it will create a protective layer on the skin that retains more moisture.

  2. Avoid triggers: Try to figure out if you're allergic to a certain product or substance that might be causing your skin to react.

  3. Protect your hands: Wear gloves when doing activities that can irritate your skin like washing dishes or gardening.

  4. Stay hydrated: Drink plenty of water throughout the day.

  5. Don't scrape off the dead skin: This can lead to infections or further damage the skin.

Remember to consult with a healthcare professional for a formal diagnosis and treatment.

What you should look out for

  • If your symptoms worsen or spread to other areas of your body
  • If you develop other symptoms such as redness, swelling, or a fever
  • If your skin becomes painful or itchy
  • If your skin starts to bleed or ooze

These could be signs of a more serious condition and should be evaluated by a healthcare professional.

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11 mo ago

Top picked over-the-counter products for Eczema: American Academy of Dermatology Guidelines

People Also Ask


What are the common causes of dry, peeling skin on the palms?

Common causes of dry, peeling skin on the palms include eczema, psoriasis, contact dermatitis, and keratolysis exfoliativa. These conditions can be triggered by environmental factors, allergens, or unknown causes.


How can I differentiate between eczema and psoriasis on my hands?

Eczema typically presents as red, itchy patches that may be accompanied by a history of allergies or asthma, while psoriasis often appears as red patches with white scales and may have a genetic component. A healthcare professional can provide a definitive diagnosis.


What are some effective treatments for dry skin on the palms?

Effective treatments for dry skin on the palms include regular moisturizing with oil-based creams, avoiding known irritants, wearing protective gloves during activities that may irritate the skin, and staying hydrated. In some cases, topical corticosteroids may be prescribed.


When should I see a doctor for dry, peeling skin on my hands?

You should see a doctor if your symptoms worsen, spread to other areas, become painful or itchy, or if you notice signs of infection such as redness, swelling, or oozing. A healthcare professional can provide a proper diagnosis and treatment plan.


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