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.