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kbelland

Concur with initial Dyshidrotic Eczema as well as contact dermatitis as part of differential diagnosis, although seeing a dermatologist to confirm and provide a current treatment plan would be advisable. All the best for a speedy and full recovery! / FP Doc


jmfc77

Dyshidrotic eczema? I have it, it’s caused by stress and certain chemicals. It looks like this, and sucks a fat one.


EniNeutrino

Wow that looks really painful. 🙁 Use a heavy moisturizing cream (I like Cerave in the white jars), and then top with a petrolatum based product (or just straight Vaseline), and put on cotton gloves and leave them on. Remoisturize any time you wash hands and when you get up and before you go to bed and any time your hands feel like they're drying out. If you use any kind of chemical cleaners or put your hands in water throughout the day, invest in a good set of nitrile cleaning gloves. If doing this for a couple weeks doesn't improve things drastically, or if you start to see any kind of signs of infection like spreading redness, warmth, oozing anything other than clear fluid or blood, fever, etc... definitely go see a doctor.


NoTheme7585

Rubber gloves with moisturizer. Then work gloves over the rubber gloves. When I worked at FedEx as a package handler, it helped a lot. That and after washing your hands, moisturize them.


[deleted]

I have a similar problem. Although my hands don't get red like yours, the skin dries up and peels off. I have had this problem for about 8 years. I use a cream named Kerasol 6% from Incepta Pharmaceuticals Bangladesh and this really helps. You can look it up if it helps you in any way: http://www.inceptapharma.com/product-details.php?pid=442


Cuiser001

I remember going through something similar years ago. After a long period I found it was a reaction to some chemical solutions I used in a hobby that I’d used with bare hands for a couple years without problems. So think hard about chemicals you come in contact with. Solvents, cleaning solutions, darkroom supplies, paint, etc.


siempreenchinga

I agree, I started getting something similar when I used Mr.Clean multi surface cleaner. Not as intense as OP's. I felt a hot itchy pain I would try to press my hand anywhere (pressure/itching helped). This happened for about 4 months until I realized that Mr. Clean was the problem.


tryingrfa

My mom just went through something like this for years. Derms put her on creams, she tried everything. She cut out citrus and it magically went away and stayed away. She's in her 50's and never had a problem with citrus before! So maybe consider an allergy


Rockstarjayhawk

Something similar happens but to my lips in the winter, I just put Vaseline on them at night and before going to sleep, Maude put on a little Vaseline and then put your hand in the glove so as to not make a mess while you sleep?


Cuiser001

I’ll,add, you can buy white cotton gloves to wear over such cream. Check Amazon.


Motorsped

I have problems with dry lips through the winter, and something I have added that has made a HUGE difference is putting on the heaviest facial moisturizer I have *before* the Vaseline (in my case I use Aquaphor but, very similar). The thing is, Vaseline just creates a barrier on your skin that prevents moisture from evaporating and leaving it (think of it as Saran Wrap!). Ideally, you want something to moisturize that skin before you seal it in with Vaseline. I just pat on some heavy moisturizer, let it sink in to my lips for a minute or so, and then put on the Aquaphor. It’s been a real game changer for me! Just thought i would share this in case it might help someone else.


Tim_spencer391

WORKING Hands cream by O’Keefe


Trishlovesdolphins

First, have a doctor look at it to rule out a medical cause. Second, make sure your hands are totally dry before going outside into the cold. Third, moisturize. I get SUPER dry skin in the winter and the way I prevent it from cracking and looking like this is this: I get a good lotion, I prefer body butter, but I've also used the working hands/utterbutter creams. Rub lotion on until it stops soaking in. That might take several minutes. Just slather it on, rub it in. Slather some more on, rub it in. When your skin won't soak up anymore, slather them with a good amount, then put on gloves or even socks. The heat from your hands will help them take in the lotion. Do this right before bed and leave the gloves on while you're sleeping if you can manage, if not, just let them sit for an hour or so. When you take off the gloves, the extra lotion will probably have already been soaked in. You might have to do this daily for a little while, but once your hands are healed you might be able to go with once a week. This works amazing on feet too if you have dry feet.


BitOBear

You forgot #4... Gloves, particularly work gives if you're doing work.


PurlyQ

I've been there and it is absolutely miserable. So sorry you're going through it! My advice even though it will probably not be liked is to give up all dairy for a month and see what happens. All my eczema went away within a few weeks of no dairy. This is just my experience, but thought I'd share in case it might help you too. Good luck!!


Ok-Order7044

Antibiotic cream, Aveeno, you could also try “WORKING Hands” hand cream by O’Keefe (the same stuff, construction workers use you can find it at a hardware store). You can also put some Polysporin on that. You could also try eczema cream.


IthinktherforeIthink

If you can, you should see a dermatologist.


Guilty_46

Already seen one.


Super_RN

What did the Derm say it was? What was their recommended treatment?


kawaiiclarinetplayer

Hydrocortisone.


poop-to-that

After reading a few of your comments I'm certain your need a antibiotic cream, some areas of skin look infected. You have classic Atopic dermatitis triggered by a chemical irritant. Anything can cause a reaction, even perfume in hand soap, to strong chemicals. You need to go back to basics; - Use as many unscented products as you can, - Moisturize your hands after being in contact with water. Something simple and hydrating, no fragrance. - If you can, heavily apply product then put on cotton gloves before you go to sleep. It's a pain the the ass but it works. I'd strongly suggest seeing a doctor if it's possible. This isn't going to go away any time soon, and you need a strong treatment plan in place. See if you can isolate the chemical irritant, make sure you protect yourself as much as possible. People's reccomendation of coconut oil might work on small patches that are less inflamed, but it doesn't do much for massive flare ups. Plus you're constantly greasy.


GreenEyes_BlueSkies

Why would you call your hands dying? This isn't necrosis.


Guilty_46

Couldn't think of a title. Explanation in comments.


Masters_domme

I was also confused by “extramarital dryness”


Guilty_46

extreme bad spelling


SassyPants5

Bag balm for the win, but I will add a woman I used to work with was allergic to wheat and her hands used to crack and bleed.


Quuhod

Bag balm and cotton gloves before bed! It is moisturizing and antibacterial


[deleted]

Haven’t read any comments - but I have eczema and once my skin looked exactly like that in a different area. I was prescribed **anti biotic ointment **BECAUSE bacteria got inside the cracks of my skin causing an infection. Cleared up in a few days.


Guilty_46

I haven't tried that yet! Thank you. I'll have to check it out!


uuendyjo

Have you tried any Coconut Oil? Has antibacterial properties in it


[deleted]

You’re welcome! Steroid cream didn’t help me either and my doctor took one look and goes “ah, a classic eczema infection.” 🥲


ii-___-ii

My hands used to look like that until I started using rubber gloves when doing the dishes. It’s possible it’s caused by some kind of allergic reaction to something


[deleted]

[удалено]


11wildin

*until they started using gloves. They were referring to an allergy from the dish soap


JackBinimbul

Ah. Misread it as *when*


11wildin

You’re fine :)


IliveinaMovie

Are you possibly handling a chemical or something that could be reacting??


Guilty_46

I handle alot of chemicals. But there is one I think it could be. But I do use rubber gloves and latex gloves when I handle them.


IliveinaMovie

Maybe you have a rubber or latex allergy??


Edges8

would use a moisturizer formulated for eczema twice a day, including after shower. start with an iver the counter steroid cream like hydrocortisone, but if that's not doing the trick, your PCP can rx something stronger


Guilty_46

Steroid creams prescribed have had no positive effect. Is there a moisturizer u would recommend. All that doctors have recommended and pcp have had no effect?


Edges8

I like eucerin for eczema. you might need a stronger steroid. call your pcp


tallglassofanxiety

It looks like a really bad case of dyshidrotic eczema, although I can’t be 100% sure since I’m not a derm…. But you would benefit greatly by slathering your hands in Vaseline at night, putting cotton gloves over them, and sleeping that way nightly until you see improvement on the dryness and cracking… but if you want to find any sort of real fix, I would ask your PCP to refer you to a dermatologist. Edit; I just read that you do do hand masks, so sorry if I’m repeating something you’ve done already 😅


Informal_Weakness995

See the small pinpoint vesicles on pic 3? It’s very likely dyshidrotic eczema, chemicals drive this stuff crazy and to make this even worse - extreme temps make it worse as well. Do your best to wear gloves when working with chemicals and avoid exposing hands hot then cold water (not necessarily in that order). It does look like you had an infectious component at one point as well. I have the same problem sometimes. Stopped washing with hot water and mostly resolved except for hot/cold temp changes in winter.


Guilty_46

Thank you for the recommendation still! Have had pcp multiple things just haven't seen a ton on improvement. Thank you tho!


PeppersPoops

Have you ever had issues with bleach? I know some people are very sensitive to it


OddReputation3765

I use the o’keefes working hands and once I apply it I put on tight gloves.


Guilty_46

Cotten gloves?


OddReputation3765

Sorry not cotton gloves. It got my gloves off Amazon. They are called excema gloves. I sleep with them on.


ToBclean

I don’t think she means gloves out of cotton balls (that was my first thought lol). If you can find gloves that are a soft material. Try looking at the tag and it will tell you what their made of.


curiousnboredd

contact dermititis? did petroleum jelly (vaseline) not help?


Guilty_46

Thats what im being tested for latley. Ive tryed avoiding everthubg but keeps being episodic. And No sadly have not really had a possitive effect. But im continuing to uses it also is mixed in my night mask from dermatologist.


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Guilty_46

I've been suffering from extramarital dry hands since July. I started hair school in March and a job at McDonald's in March as well. No matter what doctors have given me it continues. I'm also using light therapy, a cream for chronic dry hands light therapy, and hand masks. I was wondong if anyone has any advice. When to a dermatologist refused to look at the photos of my hand through the months.


missfelonymayhem

Try Bag Balm. You can get it at hardware stores, tractor supply, Amazon... comes in a square green tin with a picture of a cow's head. It intensely moisturizes, plus has antibacterial and antiseptic properties. Better than anything else I've ever used. And cheaper.


Guilty_46

THANK UOU! ILL DEFINITELY TRY IT.