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What Causes Intermittent Spots On Skin Causing Pain?

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Posted on Fri, 12 Jun 2015
Twitter Fri, 12 Jun 2015 Answered on
Twitter Thu, 2 Jul 2015 Last reviewed on
Question : I have a reoccurring symptom on my palms with other symptoms that seem unrelated. The palm symptom : I get skin pain that comes with a "bloom" of tiny XXXXXXX surface spots that start on the very tips of my fingerprint whorls. The "bloom" will fill in between the whorls in places. Skin Pain happens at the same time as the "bloom". I've had this for several months now. At first, the pain was very slight like an itch or touch. The pain is getting worse; Last night in bed it was a much sharper and larger pain–so I'm worried.

The pain "bloom" mostly happens shortly after I wake up. Many morning after I take a shower at night. My skin doctor gave me Keralac cream 2xd. One night after a hot shower, I rubbed in Keralac cream and moments later I got a "bloom". Depending on the area affected, It goes away after 1/2-5 hours. I have good pictures that look a little like tinea XXXXXXX My dermatologist thought it was contact dermatitis–I thought a fungus since my nerves were involved. I've been using terbinafine HCL for several weeks and I still get the "bloom" pain.

Other symptoms: I've had several bouts of prostatitis in 25 years and this year was on Cipro/Levoflox&Amox antibiotics for weeks with Flowmax followed by daily nitrofurantoin 50mg for months. I still take Flowmax. I changed my diet to paleo about a year ago with supplements–I follow the food advice of Dr. XXXXXXX Perlmutter. Sometimes itchy chest at sternum. Anal fungus–now gone treated with Clotrimazole and Betamethasone Dipropionate Cream. Spot of cradle cap–gone treated with zinc shampoo. I have allergies to weeds and pollens. I have both herpes virus. My hands once had the myelin sheath virus 40 years ago.

I'm 69 years, male, in excellent health say my doctors "live to 100" "younger every time I see you". I've been an athlete my whole life and go to the gym 2-3 X week. Sleep 7-9 hours. 115/55.
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Answered by Dr. Dr. Shruti Rijhwani (7 hours later)
Brief Answer:
Seems Contact dermatits.

Detailed Answer:
Dear Sir,

Thank you for posting your query on HCM.

Well looking into your problem I would like to tell you that I also agree with your treating doctor , it seems like contact dermatitis to me . Other possibilty can be urticaria but that looks lesser .

For this you also have to identify which substance is triggering this allergic manifestation. Any new changes after which this has started needs to be identified . You need to take antiallergics for some time like fexofenadine . You can talk to your treating doctor regarding this as he has seen the lesions so will be a better judge .

Also next time it happens click a picture so that we are able to see the lesion and guide you accordingly .

Take care.

Dr. Shruti
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What Causes Intermittent Spots On Skin Causing Pain?

Brief Answer: Seems Contact dermatits. Detailed Answer: Dear Sir, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that I also agree with your treating doctor , it seems like contact dermatitis to me . Other possibilty can be urticaria but that looks lesser . For this you also have to identify which substance is triggering this allergic manifestation. Any new changes after which this has started needs to be identified . You need to take antiallergics for some time like fexofenadine . You can talk to your treating doctor regarding this as he has seen the lesions so will be a better judge . Also next time it happens click a picture so that we are able to see the lesion and guide you accordingly . Take care. Dr. Shruti