this post was submitted on 15 Jun 2024
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I know medical questions aren’t allowed on this subreddit, but this one was so mundane and yet so oddly specific that I figured this was the best place to ask.

My left middle finger keeps getting an annoying, itchy rash that is covered in tiny pimples. It’s worst on the sides of the finger. I know eczema is a thing, but I’ve never heard of it being specific to one finger.

The closest thing I could find is maybe dyshidrosis, which can give you itchy in the side of your finger. but I think those bumps have fluid in them like blisters, and I don’t think my bumps have fluid.

If it helps, I usually wear rings on my middle fingers, but I haven’t worn any in a while, and my right middle finger is totally fine. I’ve been having problems with this specific finger getting insanely itchy rashes for over a year or two.

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[–] Zeppo 25 points 4 months ago (1 children)

Sounds like dyshidrotic eczema aka dyshidrosis to me. I had that for years. I'd get slightly different effects depending on precisely what type of skin it was on... finger tips, sides of fingers, tops, palm, sides of hands... also it was on my toes a lot. I'd get tiny dots under the skin, sometimes in clusters, sometimes red bumps like pimples, and they'd burst and leave 'dry skin' and peeling. It could be itchy as hell and also made stuff like washing dishes hellish, like my hands were covered in papercuts. My hands at times itched like mad, to where I'd practically strip the skin off scratching them, and that would help for about 1.5 seconds. It would sometimes go away for a week or two and then come back, but was present 95% of the time.

It was misdiagnosed by PCPs as athlete's foot several times, even when it was on my hands, which didn't make much sense but doctors were "oh yeah! it can be on your hands!". But my hands were quite dry. The prescription steroid/antifungal always cleared it up and it would go away for months, but OTC antifungal creams and sprays did nothing. Hmm.

Anyway, I finally figured out it def wasn't athlete's foot and saw a dermatologist. He said dyshidrosis immediately. I'd suggest to see a derma if possible. Anyway, if it is that, the treatment, other than temporary abatement from steroids, is figuring out what the trigger is. It's a pretty common autoimmune condition with 'unknown triggers', which I interpret as meaning it's different for various people. For me, it turned out to be gluten. I had to go GF for Celiac disease and my hand & foot skin issue cleared up entirely for the first time in 20 years.

[–] [email protected] 7 points 4 months ago (3 children)

I figured it wasn’t dyshidrosis, but after reading about your experience I am definitely giving it more consideration.

[–] [email protected] 5 points 4 months ago (2 children)

Hope that it’s not, if it is , hope it’s not like mine.

I live in fear of it, when mine starts I know I am about to start shedding skin, and it’s all cracked and itchy and hurty

[–] [email protected] 1 points 4 months ago (1 children)

I'm sorry yours is so bad, but dyshydrotic eczema can be very mild and anywhere in between.

[–] [email protected] 2 points 4 months ago

Really? So I just rolled a nat 1 on that.

Well I guess I’m glad most people do t deal with it

[–] Zeppo 1 points 4 months ago

That was how I felt. I was so pleased when it would go away for a while, then I’d notice the first little vesicles or bumps forming and be like fuck. I became sort of obsessed with monitoring it, though there was nothing I could do. I guess I could have gone to urgent care and gotten the steroid creme, if I had actually had insurance or $400 to spare.

[–] Ardyssian 2 points 4 months ago

I too had dyshidrosis, but like you it was only on my right middle finger. I assumed it couldn't be from washing dishes as I thought it would affect more than one finger, but I was wrong (I started using rubber gloves for the dishes). Skin is weird

[–] Zeppo 1 points 4 months ago

Definitely could be. Not sure what other conditions might do this… dishydrosis covers internal reactions to foods as well as topical exposure to chemicals. I’ll note also that the one finger or one toe thing happened to me at various times, which suggested to me it wasn’t my skin being exposed to an irritant. Sometimes it was the same fingers or toes on both sides of my body, which is a common feature of autoimmune skin conditions.

[–] [email protected] 22 points 4 months ago (1 children)

Go see a dermatologist.

A few years ago I would get patches on the back of my hand that would itch and have tiny blisters. They were persistent and over the counter ointments weren't helping. Finally went to a dermatologist when they got unbearable. The first one I went to prescribed an ointment that sorta worked, but not that great. Ended up going to a second dermatologist when I found out the first one was an anti-vaxxer.

The second one was on top of his game. He straight up said the first ointment wasn't a good one to use and prescribed something much better. It knocked out the spots and itchiness after a week or two. I've had a couple of minor flair ups since, but the ointment eliminates it pretty quick. Haven't had any problems for at least a year.

If you can, go see a dermatologist.

[–] deranger 1 points 4 months ago* (last edited 4 months ago) (1 children)

So, what was it? I get a steroid cream (triamcinolone acetonide 0.1%) but I’m curious if there’s an alternative. I try to use the steroid as little as possible, only applying it when it gets particularly bad.

[–] [email protected] 2 points 4 months ago* (last edited 4 months ago)

Yeah, that was my second prescription. The first one was clobetasol propionate which you are only supposed to use two weeks on, two weeks off. It didn't work very well.

Edit: for over the counter I use Eucerin eczema relief. I also have a jar of CeraVe, but I haven't used that in a while. I only have to use them occasionally.

[–] [email protected] 11 points 4 months ago (1 children)

What are you doing with that finger? Not joking.

[–] [email protected] 2 points 4 months ago

Has it up the arse.

[–] [email protected] 11 points 4 months ago

Sounds like dyshidrotic eczema. A primary care provider should be able to diagnose that (rather than needing to see a dermatologist necessarily). Can be treated with steroid creams.

[–] lurch 8 points 4 months ago

could be anything, even allergies or an infection.

[–] [email protected] 8 points 4 months ago (1 children)

Are your hands often wet? It could be athletes foot or another fungus.

[–] [email protected] 3 points 4 months ago (2 children)

Maybe.. Can athlete’s foot last for longer than a year without spreading to a different part of the body?

[–] [email protected] 4 points 4 months ago

Yes. I have been dealing with it for a long time myself and thankfully it hasn't spread. I can't comment on if that's what you are dealing with or not however.

[–] [email protected] 2 points 4 months ago

It tends to stay in places that are wet. If you wear gloves a lot and your hands are wet a lot it could just live on your hands. It wouldn't hurt to try Canesten cream on your hands.

[–] [email protected] 7 points 4 months ago

Go see a doctor. They could be warts, there are many types of warts and some get very itchy. Or it could be chillblains. Or it could be something else. And you can have an infection on top if you've scratched it often. But I am not a doctor. Next time go for a checkup, which might be a good idea if you haven't for the past two years, mention it. Take photos of the finger if it's a thing that comes and goes.

[–] [email protected] 7 points 4 months ago

You should see a dermatologist for an accurate diagnosis. They are far more knowledgeable than us and can suggest treatments.

[–] [email protected] 7 points 4 months ago

DONT. ASK. STRANGERS. ON. THE. INTERNET. FOR. MEDICAL. ADVICE. SEE. AN. ACTUAL. DOCTOR...

[–] [email protected] 6 points 4 months ago (1 children)

Thanks to this thread, I learned that I definitely have dyshidrosis. I gotta call a dermatologist now.

[–] [email protected] 3 points 4 months ago

To be a little clearer, it's dyshidrotic eczema.

[–] [email protected] 5 points 4 months ago

One of many possibilities :
Scabies, also sometimes known as the seven-year itch, is a contagious human skin infestation by the tiny (0.2–0.45 mm) mite Sarcoptes scabiei, variety hominis. (...)
https://en.m.wikipedia.org/wiki/Scabies

[–] [email protected] 4 points 4 months ago

I used to get these regularly on my fingers and heel of my palm for years.

Once I changed soap and shampoo away from my wife's fancy stuff to normal, basic stuff, it's all come right.

[–] [email protected] 3 points 4 months ago

Did you put some sort of petroleum jelly like Vaseline on the hair follicle area of the finger? For me, if I do that, I can get backed up pores that create small “pimples”. If it is on the palm side then I don’t know. I learned also that I am allergic to Neosporin so it might be that if you have been re-applying it. If so, it won’t get better until you stop.

[–] [email protected] 2 points 4 months ago

Athletes foot. Prob a fungus

[–] [email protected] 2 points 4 months ago

I'm assuming you're not in a country where it's easy to go to the clinic.

I'm not a doctor, but I've heard people with psoriasis or allergies describe similar things if that helps.

[–] [email protected] 2 points 4 months ago

Stop fingering your mom. 😉 (Sorry, couldn't resist)

[–] ephrin 2 points 4 months ago

I’ll say it; could be HSV.

[–] [email protected] 1 points 4 months ago* (last edited 2 weeks ago) (1 children)
[–] [email protected] 1 points 4 months ago
[–] [email protected] 0 points 4 months ago

Do you have cats?