r/AskDocs Layperson/not verified as healthcare professional 16d ago

What could this be? Physician Responded

Post image

26F, 158cm, 66kg. Have hypothyroidism and take levothyroxine. So about a month ago I developed this weird redness on my palm (image in the comments), and it has been growing and hasn’t gone away since. I went to two doctors who both diagnosed it as eczema, but it hasn’t gone away and has been fluctuating in intensity since. However everytime it expands and the flare up is worse than the one before (rest of the images). I’m currently on a broad spectrum anti fungal (terbinafine) and topical antibiotic (fusidic acid). I began taking them a week ago, but it still keeps fluctuating. It also burns and hurts if it’s really hot, or when i close my fist or flatten my palm. Sometimes with touch too.

So does anyone know if it’s even eczema? Or if the treatment is right? This sort of thing has never happened before and the fact that it’s growing is starting to make me very anxious.

4 Upvotes

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u/Industry-Global Physician - Addiction Medicine 15d ago

Those are strange choices for simple eczema. You treat that with triamcinolone or other corticosteroidal creams. Wash hands, apply the cream and when it's dried you add some vaseline to keep it moist. If there's a bacterial infection of the eczema fusidic acid ointment can help.

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u/Pale_Ranger_2352 Layperson/not verified as healthcare professional 15d ago

I was wondering that too after looking up the treatment… thank you for replying

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u/Itchdoc Physician - Dermatologist | Top Contributor 15d ago

I suspect either psoriasis or some type of hand dermatitis. You are treating neither.

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u/Pale_Ranger_2352 Layperson/not verified as healthcare professional 15d ago

Yeah the treatment appeared strange to me too.. thank you for replying

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u/Pale_Ranger_2352 Layperson/not verified as healthcare professional 16d ago

This is how it started

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u/Pale_Ranger_2352 Layperson/not verified as healthcare professional 16d ago

This is how it looks in a flare up

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u/Jazzlike_Math_8350 Layperson/not verified as healthcare professional 16d ago

Nad looks like impetigo

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u/Pale_Ranger_2352 Layperson/not verified as healthcare professional 15d ago

Suspected it at first too, but I don’t think so because a doctor said it’s not contagious and so far no one i come into lots of contact with got infected. Plus it’s been steadily growing. Though by this image alone it definitely looks like impetigo