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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Hard Circular Lesion On Index Finger. Suggestions?

I have a hard circular lesion on my index finger. These have appeared several times over my 60 years of life. When they first appear they are very sore. After a couple of weeks they just slowing go away and be come a hard nodule. Any suggestions? Doesn t seem to bother me except its unsightly and very painful on the on set.
Tue, 25 Jun 2013
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General & Family Physician,  's  Response
Hello Sir,
You are having hard nodule on your Index Finger, which reappears after dis appearing again again , it may be your work related corn formation , which develops due to repeated friction or it may be keloid formation after your first appearance of this ulcer on your index finger long back. so here is my suggestion for first diagnosis i.e. friction corn, you can apply corn cap regularly till it removes completely along with analgesics.
For the second possibility you can take corticosteroids in reducing doses, means after a loading dose of corticosteroid (dexamethasone 4mg) start with BD for 2days, 1od for 3days and than 1/2 od next 4-5days, with local application of antibiotic+corticosteroid cream, if pain is there than advise to take analgesic ( Diclofenac sod.+paracetamol )tablet when ever you feel to take it. Hope you will find solution of your Disease.Good luck and take care.
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Recurring Hard Circular Lesion On Index Finger. Suggestions?

Hello Sir, You are having hard nodule on your Index Finger, which reappears after dis appearing again again , it may be your work related corn formation , which develops due to repeated friction or it may be keloid formation after your first appearance of this ulcer on your index finger long back. so here is my suggestion for first diagnosis i.e. friction corn, you can apply corn cap regularly till it removes completely along with analgesics. For the second possibility you can take corticosteroids in reducing doses, means after a loading dose of corticosteroid (dexamethasone 4mg) start with BD for 2days, 1od for 3days and than 1/2 od next 4-5days, with local application of antibiotic+corticosteroid cream, if pain is there than advise to take analgesic ( Diclofenac sod.+paracetamol )tablet when ever you feel to take it. Hope you will find solution of your Disease.Good luck and take care.