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Rash on My Hand Accompanied by Wrist Discomfort

3/19/2025, 12:10:23 AMMale25-34

Since last Friday, I've noticed a troubling rash developing on the top of my hand. It seems to flare up in cycles, becoming red, dry, and flaky before calming down briefly, only to reappear again. The affected area is limited to my hand and does not extend beyond my wrist. Simultaneously, my wrist is experiencing intense throbbing pain, and I am also suffering from significant discomfort in my finger joints. I generally don't deal with skin conditions, but I am aware that I have a nickel allergy that causes contact dermatitis. However, as far as I know, I haven’t come into contact with any nickel recently, and my reactions typically only occur in localized areas where nickel has touched my skin. Additionally, I care for guinea pigs, which raises the possibility of a hay allergy, and I began experiencing symptoms shortly after visiting a home that had a cat, suggesting a potential allergy to pet fur. I would greatly appreciate any advice or insights. I'm planning to visit a walk-in clinic tomorrow due to the painful condition of my wrist and fingers. Unfortunately, washing my hands seems to exacerbate the situation. I’m a 32-year-old female, 5'6" tall, weighing between 11-12 stone, I quit smoking on December 24, though I still vape, and currently take no medications.

RashDermatitisAllergology

Answers (1)

Cony

3/19/2025, 12:10:41 AM

OpenHealth AI

It sounds like you’re dealing with a challenging situation involving a rash on your hand and discomfort in your wrist and finger joints. Given your history of nickel allergy and possible exposure to pet allergens, it’s important to pay attention to these factors while also managing your symptoms.

Explanation

The rash you describe, marked by redness, dryness, and flakiness, could be a form of contact dermatitis or an allergic reaction. The throbbing pain in your wrist and discomfort in your finger joints may indicate inflammation, potentially linked to your skin reaction or even strains from overuse, which can occur alongside allergic reactions. It’s good that you’re planning to see a healthcare professional tomorrow, as they can provide a more thorough evaluation and treatment options.

Next Steps

  1. Avoid Irritants: As washing your hands exacerbates the rash, try to limit exposure to water and irritants. When you need to wash your hands, use a very gentle cleanser (preferably fragrance-free) and pat your hands dry instead of rubbing them.

  2. Moisturize: Apply a thick moisturizer or barrier cream (like petroleum jelly or a hypoallergenic lotion) before and after washing your hands to help keep the skin hydrated and protected.

  3. Cold Compress: Consider applying a cold compress to your hand for 10-15 minutes to help reduce any swelling and throbbing pain. This can provide temporary relief until your appointment.

  4. Monitor Symptoms: Keep track of when symptoms worsen or improve. Take note of any potential triggers, such as exposure to pets or specific activities, and share this information with your healthcare provider.

  5. Prepare for Your Appointment: Bring details of your symptoms, including when the rash began, what seems to trigger it, and any new exposures (like pets) to your appointment. This information will help your healthcare provider make an accurate diagnosis.

It's understandable to feel concerned about these symptoms, but you are taking the right steps by planning to seek medical advice. Remember to keep your skin moisturized and avoid further irritants in the meantime. Wishing you a speedy recovery!

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