Understanding Cuts on Finger Creases: A Personal Experience
For the past several months, I have been dealing with persistent cuts that emerge on the natural folds of my fingers. These cuts tend to manifest sporadically, with a minimum of one occurring each day, and at times, multiple ones appearing. Once a cut seems to heal, another one arises, and this issue is confined to the skin on two fingers of my right hand. I visited a walk-in clinic where a physician prescribed me an antifungal cream along with a steroid ointment. While these treatments provide some relief for a day or two, the issue invariably returns, leaving me looking for additional insights or potential solutions. To provide some background, I frequently wash my hands as part of my daily routine, particularly since I prepare meals for a family of four. I've noticed that contact with acidic foods tends to exacerbate the discomfort in the affected areas. I am a male weighing 160 pounds, and I do not smoke. Any guidance or shared experiences regarding this condition would be greatly appreciated!
Answers (1)
9/7/2025, 7:01:17 PM
OpenHealth AI
It sounds like you are dealing with persistent and frustrating cuts on the folds of your fingers, which may be aggravated by frequent hand washing and contact with acidic foods. This condition can be uncomfortable and affect your daily life, especially since the treatments you've tried have only provided temporary relief. Let’s look at possible causes and next steps.
Understanding the Issue
Persistent cuts on the skin of your fingers, especially in the creases, can occur due to:
- Dry Skin: Frequent hand washing can strip natural oils from your skin, making it more prone to cuts and irritations.
- Fungal Infections: While you've been prescribed antifungal cream, it’s possible that the infection might not be fully addressed, especially if the environment remains damp or irritated.
- Contact Dermatitis: This may occur from handling certain foods or irritants, causing your skin to become sensitive and cut easily.
Next Steps
Here are some prioritized actions you can take to manage and potentially alleviate your condition:
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Moisturize Regularly: Apply a thick, fragrance-free hand cream immediately after washing your hands and before bed. This can help restore moisture and protect your skin barrier. Look for creams that contain ingredients like glycerin or urea.
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Limit Hand Washing Frequency: While it’s important to wash hands, try to reduce the frequency to only when necessary, especially if your hands are already irritated. When you do wash, use lukewarm water and a mild soap.
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Avoid Acidic Foods: Since you've noticed that acidic foods exacerbate your discomfort, try to minimize contact with these foods to see if it helps reduce irritation.
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Use Protective Gloves: When preparing acidic foods or if you'll be washing dishes, consider wearing gloves to protect your hands from further irritation.
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Revisit Treatment Options: If you continue to experience cuts, it may be worthwhile to discuss with your healthcare provider the possibility of different treatments, such as a stronger antifungal or a specialized cream for dermatitis.
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Keep Track of Symptoms: Maintain a log of when cuts appear and any potential triggers (like specific foods or activities). This can help you identify patterns or irritants that may be contributing to your issue.
Conclusion
Your concern is valid, and managing the irritation effectively requires a combination of protective measures and potentially re-evaluating your treatment plan. Pay close attention to how your skin responds to these changes, and adjust accordingly. If your symptoms continue or worsen, further professional advice may be beneficial. Please let me know if I'd be able to assist you further or provide additional information!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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WBC: 5.8 × 10⁹/L (SHOWS IMPROVEMENT) - **RBC: 2.93 × 10¹²/L** (IMPROVED but still low) - **Hemoglobin: 72 g/L** (SHOWS IMPROVEMENT but still low) - Platelets: 223 × 10⁹/L (BACK TO NORMAL) - Neutrophils: 30.0% - Lymphocytes: 64.8% - Monocytes: 4.6% ### Biochemistry (January 28, 2026): - Total protein level: 67 g/L (slightly deficient) - Creatinine: 20.7 μmol/L - **Total Bilirubin: 242 μmol/L** (STILL HIGH - unchanged) - **Direct Bilirubin: 142 μmol/L** (VERY HIGH) - **ALT: 50 IU/mL** (DRASTICALLY LOWER from >1000!) --- ## OVERVIEW OF PROGRESS OVER 6 MONTHS | Parameter | August 2025 | January 2026 | Change | |------------------|-------------|---------------|--------------------------| | **Hemoglobin** | 69 g/L | 72 g/L | ↗ Slight improvement | | **RBC** | 2.1 | 2.93 | ↗ Improved | | **ALT** | >1000 | 50 | ✓✓ MAJOR IMPROVEMENT | | **Bilirubin** | 245 | 242 | → Unchanged (still elevated) | | **Portal vein** | 6.1 mm | 3.9 mm (US) | ↗ Decreased | | **Platelets** | 403 | 223 | ↘ Normalized | | **Shunt size** | 9.9 mm | 9.9 mm | → No Change | --- ## CURRENT SITUATION (February 2026 - 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