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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Redness Around Knuckles, Under Thumbs With No Itch But Dry. Treatment ?

Ok.. so i have redness around my knuckles on my hands , and under the thumb by my wrist and up a little towards my thumb on both hands. No itch , no burn , doesnt bother me at all,,,,only mentally! haha.. feels really really dry though. I have overly used handsanitizer because my baby cousin has ringworm that wont be covered, so every time i touch her or she touches me, i use handsanitizer and wash my hands constantly. i know its good to wash your hands alot, but you think i could be over doing it? my hands feel very tight like theyre dry as hell. and where the redness is, its very dry. Any suggestions? one more thing, ive always had a little discoloration around my knuckles, and ive been working at this place for 7 months now, and we clean the tables with watered down bleach spray, but my hands touch it constantly. im around alot of bleach but dont exactly touch the bleach directly. Pick up the towel that i used to wipe the floor when there was bleach on the floor, and just that rag that we use alot with the watered down bleach on it. any ideas?? dry skin??
Thu, 14 Nov 2013
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Dermatologist 's  Response
Hi. seems you have been developing "Cummulative irritant contact dermatitis" over your hands as a result of repeated hand washing with the handsanitizer. Its due to excessive drying as a result of it. Handsanitizers are mostly alcohol based and totally dry out the skin and are responsible for this very common occupational dermatosis which is also common in food handlers and in people who do household work.
Apply a good moisturizer every time you wash your hands. For the dry patches over your knuckes you can apply a potent steroid like tenovate cream twice daily over moisturising cream.
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Redness Around Knuckles, Under Thumbs With No Itch But Dry. Treatment ?

Hi. seems you have been developing Cummulative irritant contact dermatitis over your hands as a result of repeated hand washing with the handsanitizer. Its due to excessive drying as a result of it. Handsanitizers are mostly alcohol based and totally dry out the skin and are responsible for this very common occupational dermatosis which is also common in food handlers and in people who do household work. Apply a good moisturizer every time you wash your hands. For the dry patches over your knuckes you can apply a potent steroid like tenovate cream twice daily over moisturising cream.