What should I do if I have small bumps on my hands?
Pompholyx is often accompanied by excessive sweating in the hands and feet, manifesting as thick-walled blisters filled with transparent fluid, causing itching or pain. It tends to heal spontaneously but is prone to recurrence. In addition to oral and topical medications, it is important to balance work and rest, and maintain emotional stability. Here are some details:
Pompholyx typically recurs in fixed seasons, especially in spring and summer. The typical lesions are deep, small water blisters distributed diffusely on the palms and soles, as well as the flexor sides and interspaces of the fingers and toes. These blisters range from pinhead to rice grain size, with thick walls and transparent fluid. They are accompanied by excessive sweating in the hands and feet, causing itching or burning pain. There is no significant inflammatory reaction, and the blisters generally do not rupture spontaneously. After about 2 to 3 weeks, they absorb and dry up, resulting in peeling, revealing a red, thin, and tender new epidermis, which may cause pain. The course of the disease can last for several weeks or months, with the potential for spontaneous healing but easy recurrence.
Oral medications: Short-term oral administration of glucocorticoids such as prednisone can provide rapid relief. For those with emotional stress, appropriate use of sedatives may be considered.
Topical medications: In the early stage of vesicular lesions, the treatment focuses on drying and itching relief. Calamine lotion can be used topically. When peeling begins, glucocorticoids creams or ointments, such as triamcinolone acetonide ointment, can be applied. For localized recurrent peeling, dryness, and pain, salicylic acid ointment, urea ointment, etc., can be used.
Dietary adjustment: Increase the intake of vegetables, grains, and other foods rich in vitamins.
Balance work and rest, maintain emotional stability and a peaceful mindset, and avoid emotional fluctuations.
