Persistent Bumps on My Knuckles
Approximately two years back, I sustained a scratch on the knuckle of my ring finger from a plastic container. This wound required an extensive healing period of about two years and seemed to migrate to my index finger, bringing with it these bothersome itchy bumps. Under my doctor's guidance, I have been applying a cream known as Locoid (Hydrocortison-17-butyrat), but even after a year of use, the problem continues to resurface. I have a doctor’s appointment scheduled for next week to explore this issue further. In the meantime, I thought it would be beneficial to seek advice from a larger community.
Answers (1)
8/17/2025, 10:21:14 AM
OpenHealth AI
It sounds like you are experiencing persistent itchy bumps on your knuckles that have developed after an injury, and you have been using a prescribed cream for a year without satisfactory improvement. Since you have a doctor's appointment next week, it's great that you're already seeking additional support. Here's a brief overview of what you might consider regarding your condition, along with some immediate steps to help manage your symptoms.
Key Points:
- Potential Causes: The bumps you're experiencing could be due to several factors, such as a persistent inflammatory reaction, allergic dermatitis, or even a condition like eczema.
- Ongoing Issue: Since you have noted that the problem has not resolved with the cream after a year, it’s essential to explore further options.
Explanation:
Two years of persistent symptoms following an injury suggests that the area may be susceptible to ongoing irritation or inflammation. Hydrocortisone cream like Locoid can help reduce inflammation, but if the bumps continue to recur, your doctor may need to reassess the treatment plan. It may involve determining if the bumps are due to scarring, an allergic reaction, or another skin condition that requires a different approach.
Next Steps:
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Continue Using the Cream: Keep using the Locoid as directed until your appointment, since it can help manage inflammation, but be mindful of any side effects or lack of improvement.
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Avoid Known Irritants: Protect the affected area from further irritation. Consider wearing gloves during activities that may expose your hands to irritants (like cleaning or using certain tools) and avoid scratching the bumps.
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Keep the Area Moisturized: Apply a fragrance-free moisturizer to prevent dryness, which can exacerbate itching and irritation. Look for products that are labeled as hypoallergenic.
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Take Notes for Your Appointment: Keep a record of any changes in the bumps—such as when they appear, any triggers that seem to worsen them, and what treatments you've tried. This information can be useful for your doctor in determining the best next steps.
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Ask About Alternative Treatments: At your upcoming appointment, discuss the possibility of alternative treatments or further evaluation, such as allergy testing or a referral to a dermatologist if the condition does not improve.
Your health journey matters, and addressing this issue, especially when something hasn't worked for an extended period, is important. Keep an open line of communication with your healthcare provider, as they will be able to tailor their approach based on your specific circumstances.
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