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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Palm Spot With Darkening And Dryness?

My husband has a dark spot on the palm of his hands that has now spread to other areas of his hands. It s very dry. I has send a doctor and they are giving him cream and he also got a shot. It look like it was try to go away but it s starting to get bad again, he has had this for almost a year now.
Wed, 1 Aug 2018
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Dermatologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

He seems to have a chronic hand eczema. It usually presents as dry, scaly, itchy patches. There might be painful fissuring of the patches due to thick scaling. I suggest him to use an intensive moisturizer(urea or ammonium lactate based). Use twice daily and every time after he washes his hands with a soap. In addition I suggest him to use a potent topical steroid with otmr without salicylic acid, twice daily, after applying the moisturizer. Continue with the moisturizer after the patches resolve.Topical steroid are prescription drugs.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes A Palm Spot With Darkening And Dryness?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. He seems to have a chronic hand eczema. It usually presents as dry, scaly, itchy patches. There might be painful fissuring of the patches due to thick scaling. I suggest him to use an intensive moisturizer(urea or ammonium lactate based). Use twice daily and every time after he washes his hands with a soap. In addition I suggest him to use a potent topical steroid with otmr without salicylic acid, twice daily, after applying the moisturizer. Continue with the moisturizer after the patches resolve.Topical steroid are prescription drugs. Hope I have answered your query. Let me know if I can assist you further.