Concern: Rapid Skin Shrinkage in Hands
I apologize if I'm not expressing myself well; I’m from Bulgaria and English is not my first language. Recently, I’ve noticed a significant increase in how quickly my skin, particularly on my hands, shrivels or prunes. Additionally, once it dries, the skin feels much coarser and rougher than before. The creases and indentations on my palms even become white and feel tough. After taking a 15-minute shower, I find some discomfort when spreading my fingers due to the extreme pruning. I stand at 178 cm tall and weigh 64 kg. I identify as white using American racial categories, being of mixed South Slavic and Greek heritage. I don't drink much alcohol, and I have never smoked or used drugs. What could be the reason for this condition? What factors might contribute to such a change? I’m open to any questions that might help clarify my situation; I’m unsure what other aspects of my lifestyle might be pertinent. Thank you for your assistance!
Answers (1)

6/25/2025, 8:20:45 PM
OpenHealth AI
It's understandable to be concerned about noticeable changes in your skin, especially on your hands. The symptoms you've described, such as rapid skin shrinking (pruning), roughness, and discomfort, can stem from several factors.
Explanation
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Temporary Pruning: After exposure to water, especially during showers, skin can temporarily prune due to the absorption of water, which changes the skin's texture. This is usually harmless and resolves after some time.
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Skin Dryness: If your skin feels coarser and tougher after drying, it may indicate dryness. Factors like hot showers, frequent handwashing, or environmental conditions can contribute to this.
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Lifestyle Factors: Consider your hydration levels, sun exposure, and any recent changes in your skincare routine or products. Stress and dietary changes can also affect skin health.
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Possible Underlying Conditions: While less common, conditions like eczema, psoriasis, or even certain thyroid issues can manifest with changes in skin texture or moisture levels.
Next Steps
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Moisturize: Start applying a good-quality moisturizer to your hands after washing and particularly after showers. Look for products containing ingredients like glycerin or hyaluronic acid which can help retain moisture.
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Limit Hot Showers: Reduce the temperature of your showers and limit their duration, aiming for 5-10 minutes. This will help prevent excessive skin drying.
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Hydration: Ensure you're drinking enough water daily, as proper hydration supports overall skin health.
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Monitoring: Keep a diary of any additional changes, such as new products used or other symptoms (like redness or itchiness). This can help identify triggers.
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Lifestyle Assessment: Reflect on your diet and consider including foods rich in omega-3 fatty acids (like fish or flaxseeds) and antioxidants (like fruits and vegetables), which can support skin health.
If your symptoms persist or worsen, or if you begin to notice other concerning symptoms, consider reaching out for further guidance to help pinpoint the cause. In the meantime, don’t hesitate to monitor how these changes affect your skin condition. Let me know if you have other questions or need specific advice!
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