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Anthony Osula
Anthony Osula, Doctor
Category: Dermatology
Satisfied Customers: 1476
Experience:  MB ChB DRCOG
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Just a quick question about contact dermatitis/pompholyx on

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Hi there, Just a quick question about contact dermatitis/pompholyx on hands?
JA: When did the dermatitis first appear? Have you used any medication for this?
Customer: I had a bad flare up around 6 weeks ago and I was prescribed hydrocortisone cream, this didn't work then I was prescribed betamethasone valerate cream which has calmed it down.
JA: Got it. Have you seen a dermatologist about the dermatitis?
Customer: On the waiting list but this can be up to a years wait unfortunately
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Dermatologist should know?
Customer: I have had this flare up sometimes over the past years, which cleared up on its own, this time it was pretty bad - which i think may have been due to touching dumbbells (Iron/rubber coated).

Thanks for using just answer

what question do you want to ask?

Customer: replied 10 days ago.
Hi, I am currently recovering from a bout of pompholyx/ contract dermatitis - not sure which i have? Is it quite normal to have an odd blister appear here and there whilst healing? I have this on my hands and worried its a sign of another flare up?

can you send a pic of this, thanks

Customer: replied 10 days ago.
You cant really tell from this pic, but i've noticed one or 2 blisters appearing, which i then apply the steroid cream to calm it down and hopefully eradicate, which seems to be doing the trick..
Customer: replied 10 days ago.
I've attached a pic from 5-6 weeks ago also, so you can see the comparisons

ok, I'll take a look

Customer: replied 10 days ago.
Thank you

ok, the first pic called Hand_pic is really severe dermatitis, not pompholyx

The second pic called healing hands has a more pompholyx appearance

You can try betnovate cream for that

Customer: replied 10 days ago.
i was prescribed that cream by my GP earlier. Those pics i just sent are the before and after - from my hands 6 weeks ago until now. Are dermatitis and pompholyx the same thing? Also, how often should i be using the cream as my hands just now (healing hand) pics were taken today, yet i see the occasional blister and worried its coming back..

pompholyx is a form of eczema

eczema is a type of dermatitis

So pompholyx can come under dermatitis

Dermatitis is just an umbrella term that covers for lots of skin conditions

But you have contact dermatitis and irritant dermatitis

Customer: replied 10 days ago.
its contact / irritant dermatitis i have and not pompholyx?
Customer: replied 10 days ago.
Also, should i be worried about the odd blister (very small on my palm) that appears or will that normally clear up on its own or use the betnovate cream?

you have two different presentations here - conact dermatitis and pompholyx

The treatment for both is the same

The betnovate cream should help

Customer: replied 10 days ago.
just use the betnovate for every time i see a blister or wait and see if it clears up on its own?
Customer: replied 10 days ago.
as on the first pic, i did have blisters initially before it turned nasty
Customer: replied 10 days ago.
Customer: replied 10 days ago.
Should i be concerned about the odd blister or just leave it? Please answer

Hi, I'm currently at work and had to attend to a patient

Use betnovate twice daily for a week and then stop

If no better, then you'll need a face to face appointment

Customer: replied 10 days ago.
Apologies. Thank you for your help today. Kind regards, Ashley

No worries, I'm free now. any other questions?

Customer: replied 10 days ago.
I am obsessing over the odd blisters on my hands - 1 or 2 - not a big flare up etc, whilst still healing. This a sign of another flare up or just part of the healing process?

You know your body better than me. You should be telling me if this is a flare up. have you not had this before?

Customer: replied 10 days ago.
Not really no. I think that's why I'm worried as not had it this bad before.

I couldnt tell you based on a pic. You just have to see how it develops.

Customer: replied 10 days ago.
Okay no problem. One last question sorry. Do i need to wean myself off the steriod cream once its better and only use it say - twice a week etc?

You only use weaning regimen if you have history of frequent flare ups

However, if you think the symptoms have not yet subsided after a week, you can then do once a day the following week, then every other day the week after, then twice a day the last week

Thats a weaning regimen

Customer: replied 10 days ago.
Ah okay perfect. Thanks very much for your help today.

You're welcome

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