[38M] Experiencing recurrent blisters and additional symptoms

Patient Description

A 38-year-old male reports the reappearance of blisters on the side of his left middle finger, which previously occurred ten months ago in the same location and also on the right pointer finger. Accompanying symptoms include joint pain in the knees, elbows, and thumbs, tiredness, and dry eyes. The patient also notes redness on the glans. The constellation of symptoms may suggest an underlying systemic condition or infection that warrants further medical evaluation.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Psoriatic Arthritis: This is a type of arthritis that affects some people who have psoriasis — a condition that features red patches of skin topped with silvery scales. The main symptoms are joint pain, stiffness and swelling, which can affect any part of your body, including your fingertips and spine. Other symptoms can include fatigue, swollen fingers and toes, and redness of the eye (conjunctivitis).

    • Treatment typically involves medications to reduce inflammation and slow the progression of the disease.
  • Rheumatoid Arthritis: This is a chronic inflammatory disorder that can affect more than just your joints. It can cause painful swelling that can eventually result in bone erosion and joint deformity. Fatigue, joint pain, and dry eyes are common symptoms.

    • Treatment usually involves medications, physical therapy, and sometimes surgery.
  • Sjögren's Syndrome: This is an immune system disorder characterized by dry eyes and dry mouth. It often accompanies other immune disorders, like rheumatoid arthritis. Joint pain and fatigue are also common symptoms.

    • Treatment typically focuses on relieving symptoms, such as using artificial tears for dry eyes.

Remember, these are just possibilities and not a definitive diagnosis. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

In the meantime, here are some things you can do to manage your symptoms:

  1. Over-the-counter pain relievers can help with joint pain. Be sure to follow the package instructions.
  2. Rest and exercise: Balance activity with rest to manage fatigue. Regular physical activity can also help keep your joints flexible.
  3. Use artificial tears: If you're experiencing dry eyes, over-the-counter artificial tear solutions may help.

What you should look out for

If you notice any of the following, you should seek medical attention immediately:

  • Severe joint pain
  • Sudden increase in redness, pain, or blurred vision in your eyes
  • Any new symptoms or a significant worsening of your current symptoms

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for appropriate treatment.

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9 mo ago


People Also Ask


What are the common symptoms of psoriatic arthritis?

Common symptoms of psoriatic arthritis include joint pain, stiffness, and swelling, which can affect any part of the body, including the fingertips and spine. Other symptoms may include fatigue, swollen fingers and toes, and redness of the eyes.


How is rheumatoid arthritis different from other types of arthritis?

Rheumatoid arthritis is a chronic inflammatory disorder that primarily affects the joints, causing painful swelling that can lead to bone erosion and joint deformity. It can also affect other systems in the body, unlike osteoarthritis, which is primarily due to wear and tear.


What are the main symptoms of Sjögren's Syndrome?

Sjögren's Syndrome is characterized by dry eyes and dry mouth. It often accompanies other immune disorders and can also cause joint pain and fatigue.


What should I do if I experience severe joint pain or sudden changes in vision?

If you experience severe joint pain or sudden changes in vision, such as increased redness, pain, or blurred vision, you should seek medical attention immediately as these could be signs of a serious condition.

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