Hand peeling has genetic factors

The situation of hand peeling has a great impact. Don't think that you can just tear off the skin. In fact, some of the peeling may be small blisters at the beginning, and may even cause fungal infection due to our tearing, which is very harmful. Everyone needs to pay attention to this and try not to ignore the situation of hand peeling.

What diseases can cause hand peeling/hand peeling

Ringworm

Caused by fungi. Initially it appears as small thick-walled blisters, which break and then shed into small flakes, gradually expanding and merging into flakes. Shedding is more severe in winter and cracks may be seen. The borders are clear and there may be itching. It often occurs only at the base of the thumb, fingertips, and palm of one hand, then gradually spreads to the palm of the other hand and may also invade the nails.

Hand eczema

It is an allergic skin disease. Rashes such as erythema, papules, and blisters may be seen, accompanied by itching, gradually forming chronic infiltration, hypertrophy, brown-red, unclear boundaries, and some are dry, cracked, and peeling. Due to frequent contact with various irritants such as soap and laundry detergent in daily life, the rash may be mild or severe, and the course of the disease is long.

Keratolysis exfoliativa

It is often related to sweating disorders and autonomic nervous system dysfunction. The patient initially develops very small vacuoles on the palms, which rupture naturally and form very thin peeling skin. Blisters never occur, and there is no inflammatory reaction at the base. There is no itching or pain. It often occurs on the palms and soles, is prone to recurrence, and often worsens in summer and autumn.

other

People with dry and peeling skin on the palms due to occupational or contact dermatitis.

Differential diagnosis/sloughing of hands

Hand peeling is more common in young and middle-aged people. When the skin lesions first appear, they appear as pinpoint-sized white spots, which are formed when the stratum corneum of each part of the epidermis separates from the underlying tissue. Later, it gradually expands around, like a shriveled blister wall, and the center is easily broken or torn off naturally to form thin paper-like scales. The skin beneath the scales is almost completely normal with no signs of inflammation. New desquamation points continue to increase, expand, and merge with each other, involving the entire palm and sole, forming a scaly patch on the palm and sole. The scales will fall off naturally and the condition will heal in about 2-3 weeks. But it often recurs, sometimes with pain and other discomfort lasting a year. The lesions are mainly distributed on the palms and soles, and are also seen on the sides of the fingers and toes. When desquamation is severe, moisturizing cream or ointment can be applied externally to relieve the patient's symptoms of dryness and discomfort. Papules and scaly type athlete's foot can occur in all seasons, but is more severe in summer. The scales are in small flakes and are accompanied by inflammation and other skin lesions such as small papules.

The lesions are generally distributed asymmetrically and usually cannot heal on their own. Fungal examination may be positive. Antifungal medications can cure the disease. The diagnosis is not difficult based on the characteristics of the skin lesions, which only have scales but no blister formation or inflammatory changes, are not itchy, and are distributed in different areas. This disease is more common in adolescents, with an equal incidence in both sexes, and is more common in patients who usually sweat excessively. It is more common during the transition period between spring and autumn. It occurs suddenly on the palms of both hands and occasionally on the soles of both feet. Needle-sized red dots can be seen under the skin of both palms, which cause itching and then develop into millet-sized blisters, followed by collar-like peeling. The skin peels off layer by layer, especially on the thenar and hypothenar eminences and the ends of the palms of the fingers, where there is a lot of peeling. After peeling, the patient's tender and thin skin is exposed, at which time sweating is reduced and occurs symmetrically on both sides. After peeling, the skin can be completely restored to normal, but it relapses every spring and autumn. Annual shedding can ensure that the palm epidermis looks new all year round, which is similar to the shedding of animals and keeps you young forever.

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