These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
Thank you for your question.
Is it possible to forward a photograph?
dont know how, sorry
Is the rash limited to the hands? Any rash on the feet?
Sorry that was my cat.
no.fingers are worst. backs of hands now have pin sized red spots.skin is starting to peel on fingers and look wrinkly and dry. itches like crazy
Do you have small water bumps, that itch like crazy?
yes. they burst then become very painful
This sounds to be more like a dyshidrotic eczema. It would be unusual for shingles to affect both hands. This is caused by irritation of the hands, which traps sweat. The trapped sweat itches and burns and upon being released causes a rash. The in office treatment wouold be a low dose of cortisone and a mid potency steroid cream. Over the counter you can try DomeBoro soaks or compresses. One packed to DomeBoro in a quart of luke warm water. Compress or soak for 10 minutes twice a day. Pat dry and put on HYdrocortisone ointment under saran wrap. Do this twice a day. Eucerin Professional Hand Repair cream is very good when not using this. Also Benedryl 25 mg. at night and Allegra 180 mg. during the day.We really do not know what sets this off, but usually some sort of irritation to the hand. If things become desperate a shot of cortisone will relieve things quickly.
The other possible diagnosis is Localized Pustular Psoriasis ( Psoriasis of Barber). Sometimes, it is difficult for us to tell the difference. Treatment is somewhat the same but nearly always requires a stroger steroid and sometimes the use of amedication such as Methotrexate.
thankyou for your advice i will go to my chemist and show him this, so he can get me organised
Great. PLease let me know what happens.
You are welcome.