[33F] With blister-like bumps and numb fingertips

Patient Description

A 33-year-old female presents with blister-like bumps with blood drainage, located on her hips, legs, fingers, and shoulders. These lesions have been present for 3 weeks and do not follow a symmetrical pattern. Additionally, the patient reports numbness in the fingertips and describes the lesions as having circular spots with blood drainage, holes in the middle, and crust around the edges. There is no reported fever, joint pains, or recent exposure to irritants or injuries. The patient has not noticed any new rashes or lesions appearing recently.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible conditions:

  • Eczema (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 (chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever. Treatment usually involves moisturizing your skin regularly and using medications to control symptoms.
  • 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 may include creams, light therapy, and medication.
  • Cutaneous Vasculitis: This refers to inflammation of the blood vessels in the skin. Symptoms can include red or purple discolorations, blister-like lesions, and ulcerations. Treatment typically involves corticosteroids or other immunosuppressive medications.
  • Pyoderma Gangrenosum: This is a rare condition that causes large, painful sores (ulcers) to develop on your skin, most often on your legs. The exact cause is unknown, but it's thought to be a reaction to an illness, injury, or certain medications. Treatment usually involves corticosteroids or other anti-inflammatory drugs.

What you can do

  1. Keep the area clean and dry to prevent infection.
  2. Avoid scratching or picking at the lesions, as this can worsen the condition and potentially lead to infection.
  3. Apply a moisturizer to your skin regularly to help alleviate dryness and itching.
  4. Over-the-counter creams and ointments containing hydrocortisone may help reduce inflammation and itching. However, these should not be used for a prolonged period without consulting a healthcare provider.
  5. Seek medical attention. Your healthcare provider can provide a definitive diagnosis and appropriate treatment.

What you should look out for

  • If the lesions become more painful, larger, or start spreading rapidly, seek immediate medical attention.
  • If you develop a fever, chills, or feel generally unwell, these could be signs of an infection and you should seek medical attention.
  • If you notice any changes in the color, size, or shape of the lesions, or if they start bleeding, these could be signs of a more serious condition and you should seek medical attention.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are the common symptoms of cutaneous vasculitis?

Common symptoms of cutaneous vasculitis include red or purple discolorations on the skin, blister-like lesions, and ulcerations. These symptoms result from inflammation of the blood vessels in the skin.


How can I differentiate between eczema and psoriasis based on symptoms?

Eczema typically presents as red, itchy skin that may be accompanied by asthma or hay fever, and it tends to flare periodically. Psoriasis, on the other hand, causes skin cells to multiply rapidly, leading to bumpy red patches covered with white scales, often appearing on the scalp, elbows, knees, and lower back.


What are the potential causes of pyoderma gangrenosum?

The exact cause of pyoderma gangrenosum is unknown, but it is thought to be a reaction to an illness, injury, or certain medications. It results in large, painful sores, most often on the legs.


What should I do if my skin lesions start to spread or become more painful?

If your skin lesions start to spread or become more painful, it is important to seek immediate medical attention. These changes could indicate a worsening condition or an infection that requires prompt treatment.


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