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What Causes Pus Filled Bumps On Feet And Hands?
Posted on
Mon, 5 May 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 5 May 2014
Answered on
Mon, 26 May 2014
Last reviewed on
Question : my feet and hands i get this small dot like thing which then becomes big filed with some puss. I am geting this activity more in summers. Sometimes these dots join two bcome two big ones . I have been advised to sock my feet in salt water which i am doing . Please suggest a soliution to thisbproblem . Photograhs attached
Brief Answer:
Need more information
Detailed Answer:
Hello and welcome to healthcaremagic
I am Dr. Kakkar. I have gone through your concern. I would like to gather some more information from you in order to be able to help you better.
-Since how long do you get these fluid filled bumps/pus filled bumps?
-What are the symptoms associated?Pain/Burning etc?
-Is hyperhidrosis (increased sweating of the palms and soles) also associated?
regards
Need more information
Detailed Answer:
Hello and welcome to healthcaremagic
I am Dr. Kakkar. I have gone through your concern. I would like to gather some more information from you in order to be able to help you better.
-Since how long do you get these fluid filled bumps/pus filled bumps?
-What are the symptoms associated?Pain/Burning etc?
-Is hyperhidrosis (increased sweating of the palms and soles) also associated?
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No sweating no pain when they come as they expand then the skin pains i am get
Brief Answer:
Possibility of Epidermolysis Bullosa Simplex
Detailed Answer:
Hi.
I would like to know the duration of blistering?Is it long standing since childhood? If Yes, I would like to keep a possibility of Epidermolysis Bullosa Simplex (Weber Cockyane type).
Epidermolysis Bullosa Simples(EBS) is a collection of disorders of keratin that produces intra-epidermal blistering with little internal involvement. Lesions usually heal without scarring.
Mild EBS of the Weber-Cockayne subtype is the most common type. Blisters are usually caused by an obvious traumatic event. They can be mild to severe and most often occur on the palms and soles. Hyperhidrosis may also occur.
Skin biopsy is required to make the diagnosis.
There is not yet any specific cure for the disease but attention must be paid to facilitating wound healing. Prevention of trauma to the skin reduces blistering.
Wound care is important. Do not let crusts and fluids build up, as they facilitate infection. Topical antibiotics may be required.
regards
Possibility of Epidermolysis Bullosa Simplex
Detailed Answer:
Hi.
I would like to know the duration of blistering?Is it long standing since childhood? If Yes, I would like to keep a possibility of Epidermolysis Bullosa Simplex (Weber Cockyane type).
Epidermolysis Bullosa Simples(EBS) is a collection of disorders of keratin that produces intra-epidermal blistering with little internal involvement. Lesions usually heal without scarring.
Mild EBS of the Weber-Cockayne subtype is the most common type. Blisters are usually caused by an obvious traumatic event. They can be mild to severe and most often occur on the palms and soles. Hyperhidrosis may also occur.
Skin biopsy is required to make the diagnosis.
There is not yet any specific cure for the disease but attention must be paid to facilitating wound healing. Prevention of trauma to the skin reduces blistering.
Wound care is important. Do not let crusts and fluids build up, as they facilitate infection. Topical antibiotics may be required.
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Its not long its been four years mainly in summers i have shown here also it comes and goes but main time is summers and then rains it has reduced slightly i change my shoes every 6 months u need to tell is some allergy from food i have stopped eating chinease and all but this comes as small dot then when i use salty water it does not become big so i do this every day for 15 min to control by dipping in salty water can u please tell me how can i solve this through ya experince and reserach in winters the activity if its thrre is limited please guide now this one will dry and go away then i might evem get for months
Brief Answer:
Get a confirmatory diagnosis
Detailed Answer:
Hi.
I can understand you concern for some specific remedy, apart from salt water soaks. But, first and foremost, you need to get a skin biopsy for a confirmatory diagnosis.
Your history is suggestive of Epidermolysis Bullosa Simplex(Weber Cockayne type).
Prevention of trauma is the key and the only preventive measure in EBS.
For blisters that have already formed, you could use a topical OTC antibacterial ointment e.g 2% mupirocin ointment twice daily over the blisters, for prevention of secondary bacterial infection. An Oral antibiotic e.g penicillin group of antibiotics may also be required if the lesions get secondarily infected.
I would again stress on the need for a confirmatory skin biopsy.
regards
Get a confirmatory diagnosis
Detailed Answer:
Hi.
I can understand you concern for some specific remedy, apart from salt water soaks. But, first and foremost, you need to get a skin biopsy for a confirmatory diagnosis.
Your history is suggestive of Epidermolysis Bullosa Simplex(Weber Cockayne type).
Prevention of trauma is the key and the only preventive measure in EBS.
For blisters that have already formed, you could use a topical OTC antibacterial ointment e.g 2% mupirocin ointment twice daily over the blisters, for prevention of secondary bacterial infection. An Oral antibiotic e.g penicillin group of antibiotics may also be required if the lesions get secondarily infected.
I would again stress on the need for a confirmatory skin biopsy.
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I havr got that done there was no findings it was normal even got patch test done so please i havr appraoched u after going through all these what u have suggssted has been told to me so i look for a solution why is this only in summers and monsoon why mot winters so i need u have the snap please suggest all this has been done salt is workibg as if now again i have XXXXXXX
Brief Answer:
Treatment options in EBS
Detailed Answer:
Hi.
The increase in blister development that occurs during hot summer months is thought to be attributable to an increase in the coefficient of friction of the skin (frictional trauma) caused by sweating and raised skin temperature.
Treatment options include:
-20% Aluminium chloride compresses, apart from topical antibiotics.
-Oral Tetracyclines e.g Doxycycline 100mg twice daily
-Botulinum toxin A is a newer treatment modality, which considered to be simple, safe and effective.
-Prevention of trauma and prevention of bacterial infection of blisters remains the foremost and most important measure.
regards
Treatment options in EBS
Detailed Answer:
Hi.
The increase in blister development that occurs during hot summer months is thought to be attributable to an increase in the coefficient of friction of the skin (frictional trauma) caused by sweating and raised skin temperature.
Treatment options include:
-20% Aluminium chloride compresses, apart from topical antibiotics.
-Oral Tetracyclines e.g Doxycycline 100mg twice daily
-Botulinum toxin A is a newer treatment modality, which considered to be simple, safe and effective.
-Prevention of trauma and prevention of bacterial infection of blisters remains the foremost and most important measure.
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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