Skin Is Peeling on the Palms and Fingers – Is It a Reason to Sound an Alarm?


Many people have shelled palms and fingers in spring and autumn throughout their lives. Is it always the main symptom of fungus on the hands? Immediately reassure that there is not, since the causes of this symptom may lie in a harmless vitamin deficiency, as well as a serious disease. It is all about the accompanying symptoms that can indicate a disease even without tests. For example, the skin on the hands dries and cracks to blood with advanced forms of mycosis, eczema, or contact allergic dermatitis. Without a doctor, it is very difficult to determine by eye the reason why the skin on the palms and fingers is peeling off, since only a microscopic examination of scales from lesions can eliminate a fungal infection.

The Reasons

If we consider the peeling of the skin on the palms as a concomitant symptom of any disease, then most often we are talking about:

  • Contact dermatitis. It is often found in housewives, professional cleaners, workers in the chemical industry and other professions where there is contact with household chemicals. In some, an allergic reaction can manifest itself in the form of a small peeling of the skin on the palms, while others will suffer from intolerable itching, cracks and constant soak in the area of ​​the lesions. Allergens are often personal hygiene products, household chemicals and latex products.
  • Fungal infection. The most common cause of severe peeling of the skin on the palms and fingers. It occurs most often in girls (dishwashers, housewives, meat workers) between the ages of 20-35 years old and men (construction workers, workers in the chemical industry and hot shops) between the ages of 25-40 years. In 90% of cases it is a candida of smooth skin, which is localized on the hands, in the interdigital folds and palms of the hands. The characteristic difference is the appearance of a moist lesion with clear boundaries. The surface is usually covered with a whitish bloom, visible small cracks, bubbles and scaly specks. For a long, relapsing with periodic outbreaks after taking antibiotics. More rarely, the peeling of the palms can be caused by the ruberitis of smooth skin, which can simultaneously affect not only the hands, but also large folds with the lower limbs.
  • Exfoliative keratolysis. A very common disease in young people aged 18-25 years. There is no consensus on the causes of this disease. Some experts associate it with avitaminosis, as it manifests itself in the spring and autumn period, others are convinced that the problem is in endocrine disorders, since in every third case there is hyperhidrosis and excessive sweating. Exfoliative keratolysis is characterized by desquamation of the palms and interdigital folds of the hands, the appearance of blisters filled with air and the detachment of the epidermis.
  • Psoriasis. Many familiar skin disease, which scares everyone with its incurability. There are cases when psoriatic “plaques” were localized on the palms and fingers, thereby causing desquamation, the appearance of scales and crusts in the area of ​​the hands. At the initial stage, it may be “lethargic”, later on, severe itching and coarsening of the skin in the area of ​​lesions may be added to the listed symptoms.
  • Eczema. It often manifests itself in the form of a strong peeling of fingers and palms. It has many varieties, but the symptoms of interest to us most often occur in dry and occupational eczema. During the period of exacerbation, there may be a strong burning sensation, the appearance of blisters, bubbles, cracks and itching in the area of ​​the lesions. Due to scratching a secondary infection may join. The cause of the appearance may lie in both an allergic reaction and psychosomatic manifestations.

It is also impossible to ignore another frequently occurring reason for the appearance of desquamation on the palms and fingers – weathering in cold weather. This is especially familiar to people with delicate skin.

Diagnosis and Treatment

If a slight scaling appears on the skin of the hands without any additional symptoms or subjective sensations, then you can wait a few days, treating these places with a moisturizing cream. If this is the usual seasonal exacerbation of avitaminoz, then everything should pass within 3-5 days. Otherwise, it is recommended to visit a dermatologist.

Exfoliative keratolysis, occurring without exacerbations and complications, is customarily observed, since in 80% of cases it passes on its own. The doctor can prescribe keratolytics to normalize keratinization. Most often it is an ointment based on:

  • salicylic acid;
  • urea;
  • lactic acid;
  • silicone.

It also shows the protection of hands against irritants and the use of moisturizers even in the absence of symptoms.

The situation with the treatment of dermatitis and eczema is more complicated, since it is not only the competent selection of drugs that is important here, but also the finding of the cause of the exacerbation, which can be found in any substance or endocrine disorders. Almost always, doctors prescribe drugs that have anti-allergic and anti-inflammatory effects. Great attention is paid to diet and healthy lifestyle.

Photo of Pelling Skin on the Palm and Fingers

Fungal diseases are diagnosed not only on the basis of examination of the clinical picture, but also after conducting a microscopic examination of scales taken from lesions. The following drugs are used for the treatment of smooth skin candidiasis:

  • ketoconazole;
  • clotrimazole;
  • mythungar;
  • candidate;
  • natamycin;
  • orungal;
  • irunin;
  • fluconazole.

In most cases, therapy involves the use of external drugs to resolve symptoms. In case of treatment failure, systemic antimycotics can be prescribed based on ketoconazole, itraconazole and fluconazole. The average duration of treatment is 20 days. The use of external agents is recommended for 5-7 days after a full cure as a prophylaxis.

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