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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45933
Experience:  Board Certified Physician
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Hello doctor can you advise please both of my hands are extremely

Resolved Question:

Hello doctor can you advise please both of my hands are extremely itchy and I have broken the skin with scratching this is the top of my hands and not the palms also my arms are swollen from the elbow down so much so my arms have ridges across them with indentations in the skin can you advise please
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

it sounds like you have serious swelling and dermatitis of your hands.

Dr. David :

this can be from an allergic reaction or severe autoimmune condition.

Dr. David :

or from severe lymphedema

Dr. David :

you really need to see a doctor right away to get your skin evaluated

Dr. David :

might need to go on a course of antibiotics or antifungal medications to help decrease infection.

Dr. David :

have you tried to elevate your arms above your heart on a pillow to help decrease swelling

Dr. David :

you might need to be treated with steroids to your skin to help decrease inflammation.

Dr. David :

but you need to stop scratching because this is making it worse.

Dr. David :

do you have a doctor or A&E department where you can be seen right away?

Customer:

Yes is this urgent and what could happen please

Dr. David :

this sounds very urgent.

Dr. David :

your arms are swollen and the skin is broken

Dr. David :

you are at risk for infection.

Dr. David :

infection can get into the body once the skin is broken.

Dr. David :

you need to see a doctor right away and get your skin evaluated.

Dr. David :

to see if you need a course of antibiotics to help prevent infection.

Dr. David :

and to find out the cause of the swelling of your hands.

Dr. David :

you need treatment to help decrease the itchiness so you stop scratching.

Customer:

I have changed my washing conditioner that I have now thrown out could it be this

Dr. David :

it could be an allergy to soap or conditioner.

Dr. David :

it could be a contact allergy to something else.

Dr. David :

it could be from an autoimmune condition.

Dr. David :

you have to see a doctor to get testing to find out what it is from.

Dr. David :

you can't just trust it will get better on its own.

Dr. David :

you have to see a doctor.

Customer:

I do have rheumatoid arthritis this does effect the ammune system I understand

Dr. David :

yes, rheumatoid arthritis is a type of autoimmune condition.

Dr. David :

do you have a doctor who treats you for the RA?

Customer:

Yes I am recovering from an ankle fusion that I had done 3rd July but I do attend clinic every 3 months

Dr. David :

I see.

Dr. David :

well, I think you need to see a doctor sooner now.

Dr. David :

because of this severe swelling and itching of your hands and scratching and breaking of the skin.

Dr. David :

you need your arms to be looked at

Dr. David :

and you might need treatments like antibiotics or antifungal treatments.

Dr. David :

or special creams like silvadine ointment to help protect the skin from infection.

Customer:

Thank you Doctor I will go to the accident unit when My husband comes in from work 5pm Kindest Regards ***** *****

Dr. David :

you are welcome

Dr. David :

best of luck to you

Dr. David :

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Customer:

Thank You

Dr. David :

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Dr. David :

you are welcome

Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

thanks for using JustAnswer.com

Customer:

Very informative thank you

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