[22M] Experiencing hand swelling, numbness, and rash

Patient Description

A 22-year-old male presents with symptoms that started in the afternoon and have persisted into the evening. The patient reports bilateral hand swelling and numbness, with one hand entirely numb and the other exhibiting numbness in the thumb and index finger. The hands are red but the swelling is not described as painful or warm. Additionally, a small rash with tiny red bumps is present on the hands and underarms. The patient also notes white patches on the upper arms and back, along with a swollen spot on the neck. Mild itching, mainly on the hands and between fingers, has been reported. The itching and some other symptoms have slightly improved after taking Benadryl. There has been no recent travel, exposure to new environments, or contact with individuals with similar symptoms. The patient has not experienced itching before and denies any worsening of the rash after eating certain foods.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Allergic Reaction: The symptoms of swelling, numbness, and a rash that you're experiencing could be due to an allergic reaction, possibly to something you encountered while cutting brush outside.

    • Treatment typically involves avoiding the allergen, taking antihistamines (like Benadryl), and in severe cases, corticosteroids or epinephrine.
  • Contact Dermatitis: This is a skin reaction resulting from exposure to allergens or irritants. Brush, plants, and certain chemicals can cause such a reaction.

    • Treatment usually involves avoiding the irritant, applying topical creams to relieve itching, and taking oral medications if necessary.
  • Insect Bites: Certain insect bites can cause the symptoms you're describing, especially if you've been outside.

    • Treatment usually involves cleaning the area, applying a topical cream to relieve itching, and taking oral antihistamines if necessary.

What you can do

  1. Continue taking the Benadryl as directed on the package, unless a healthcare professional advises otherwise.
  2. Apply a cool, damp cloth to your skin to help soothe the rash and reduce itching.
  3. Avoid scratching the rash as this can lead to infection.
  4. If you suspect an insect bite or contact with a specific plant caused your symptoms, try to avoid further contact.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or spread to other parts of your body.
  • You experience difficulty breathing or swallowing.
  • The swelling does not decrease after taking Benadryl.
  • You develop a fever or other signs of infection, such as pus or increased redness at the rash site.

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

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10 mo ago

People Also Ask


What are common causes of hand swelling and numbness?

Common causes of hand swelling and numbness include allergic reactions, contact dermatitis, insect bites, and sometimes more serious conditions like carpal tunnel syndrome or circulatory issues. It's important to consider recent activities or exposures that might have triggered these symptoms.


How can I differentiate between an allergic reaction and contact dermatitis?

An allergic reaction often involves a rapid onset of symptoms like swelling, redness, and itching after exposure to an allergen, while contact dermatitis usually develops after direct contact with an irritant or allergen and may take longer to appear. Both can present with similar symptoms, so identifying recent exposures can help differentiate them.


What should I do if my rash and swelling do not improve with antihistamines?

If your rash and swelling do not improve with antihistamines like Benadryl, you should consult a healthcare professional. They may recommend stronger medications, such as corticosteroids, or investigate other potential causes of your symptoms.


Are white patches on the skin related to an allergic reaction?

White patches on the skin are not typically associated with allergic reactions. They could be due to other conditions such as vitiligo, fungal infections, or post-inflammatory hypopigmentation. It's best to have these evaluated by a healthcare professional for an accurate diagnosis.


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