Unknown Skin Condition
(21 years old) Height: 5’5, Weight: 293 lbs. I’ve developed an unusual skin condition on the palm side of my thumb. It first appeared later in the day on July 5th. Before I noticed this single bump, the region of my hand was experiencing significant itching. Initially, it was just one bump, but over the next few weeks, additional bumps started to form. I visited an urgent care center on Tuesday, July 22, where the physician assistant was unable to determine the exact cause. He dismissed the possibility of Hand, Foot, and Mouth disease, as well as whitlow, and ruled out syphilis based on negative results from my secondary tests. I was tested twice for chlamydia, gonorrhea, syphilis, and HIV—first after 30 days of potential exposure and again after 48 days, both returning negative results. The PA suggested that it might be contact dermatitis or dyshidrotic eczema, and he prescribed Triamcinolone Acetonide 0.1% for me to apply twice daily for one to two weeks to evaluate its effectiveness. I’ve been diligent about applying the cream at night, but it can be challenging to use it in the mornings due to the rash's location and the demands of my job and daily activities that involve my hands. The rash is somewhat itchy, yet I avoid scratching to prevent aggravating it or causing it to spread. Thankfully, it hasn’t shown signs of extending to other areas. I'm aware of the bumps and find them sensitive to any friction—often, normal movements can irritate it when my skin makes contact or if items like clothes or blankets rub against it. This situation has made me quite anxious since I still lack a clear diagnosis, so I thought it might be helpful to share my experience here and seek advice or support.
Answers (1)
7/27/2025, 2:40:37 AM
OpenHealth AI
It sounds like you're dealing with a frustrating and uncomfortable skin condition, especially since it's causing you anxiety without a clear diagnosis. Understanding that this has been an ongoing concern for you is important, and it’s good that you're taking steps to care for your skin with the treatment prescribed.
Main Points
- You are experiencing a skin condition, likely contact dermatitis or dyshidrotic eczema, that causes bumps on your thumb and is sensitive to friction.
- It's essential to follow up on your treatment and explore self-care methods.
Explanation
Contact dermatitis is a skin reaction to irritants or allergens, while dyshidrotic eczema often results in small, itchy blisters on the hands. Both conditions can cause significant discomfort and sensitivity. It’s promising to hear that the condition hasn't spread and you’re proactive with your treatment.
Given the challenges you mentioned with applying the cream, it’s important to find ways to incorporate the treatment into your routine effectively.
Prioritized Next Steps
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Continue Applying Triamcinolone:
- Since the ointment is already part of your care, try to apply it at night as you've been doing, but also consider applying it in the morning if possible. You might find it easier to do so right after washing your hands.
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Modify Daily Habits:
- Whenever possible, reduce friction on your thumb by using gloves or protective coverings during activities that might irritate the area (e.g., during work or when handling rough materials).
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Use Moisturizers:
- Applying a fragrance-free moisturizer regularly (especially after washing your hands) can help soothe the skin and minimize itching.
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Monitor Changes:
- Keep a diary of your symptoms including any new bumps or changes, triggers you suspect (like certain activities), and how the treatment is affecting you. This can be valuable information if you need to consult another healthcare provider in the future.
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Seek Additional Support:
- If your symptoms do not improve after the treatment period or if you experience significant changes (like increased spread or worsening symptoms), it may be beneficial to consult a dermatologist who can offer specialized advice.
Your efforts to manage this condition commendably show your commitment to your health. If you need further guidance or specifics on any point, feel free to ask.
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