Hello, I’m Neal Schultz pause And welcome to DermTV. This may be the season for itchy skin, but chances are if its your fingers that are itching, its not because theyre dry.
Most of the time, itchy fingers are caused by a condition called Dishydrosis and the itch it causes can really drive you crazy. And its not just itching that Dishydrosis causes You actually get little bumps on the bottom and sides of your fingers. And the bumps are actually tiny blisters. Dishydrosis literally means, bad sweating,.
And it used to be thought that these crazily itchy bumps were filled with sweat. Thats why it was named Dishydrosis. But the fluid isnt sweat its actually serum, which is the clear fluid in your blood. The most common cause of Dishydrosis is extreme stress, although not every outbreak can be linked directly.
To a stressful situation. on a personal note, i can tell you that Ive only experienced Dishydrosis once in my life. It was early in my medical training after a very stressful night of being up all night taking care of a lot of very sick patients. The next morning the dermatologist was making rounds and I showed him my hands, and he said,.
boy you must have had a really rough night. So. The itching and bumps both finally go away after a few days. As it gets better, there are these really interesting telltale little collars of dead flaky skin that peel off. Those tiny matchhead size collars of dead skin get larger. and then smaller. over a few days and are caused by.
The bubble of serum as it rises through the higher levels of the epidermis. Its like taking horizontal slices through a sphere starting tiny at the bottom, then getting larger, and finally smaller again. To treat the itching and bumps, topical cortisone creams and antiitch lotions with menthol are best.
If that doesnt stop the itch, cold water can usually give temporary relief, but never try to stop the itching with hot water. Even though hot water feels good and stops the itch, it also causes the itch to come back worse a few minutes later. After the itch and bumps are gone, the flaking skin can continue for a week. It can be camouflaged with a moisturizer,.
Large Milia on the Forehead Extracted
lee: close your eyes. i want to put a little numbing here, ok? Patient: Mmm hmm. Lee : A little baby pinch on some of these. Pinch. Lee: You ok? Good. Patient: Mmm hmm. I’m gonna. ‘Cause I think that’s more comfortable certainly if I do that Even though there’s a little initial pinch here It’ll feel a lot better later, we make it easier. Little pinch again!.
I know you feel me wiggling. that’s just me kind of. patient: that’s okay. Lee : . it helps to distract you from this. I just want to make sure you knew I wasn’t nervous or something. Patient: lt;laughsgt; Lee : So you had an airbag go in your face? And you had burns on your face? Patient: Mmm hmm, yeah. DR. LEE: Oh my gosh. How long ago was that?.
Patient: oh, 19 years ago DR. LEE: Oh, boy! DR. LEE: So it was a pretty big accident then, huh? Patient: (firmly) No, it wasn’t. DR. LEE: Oh, It wasn’t? Patient: Mmmmmm. DR. LEE: So this damage was more from the airbag?.
Patient: exactly. the damage was all from the airbag. DR. LEE: Oh, that’s scary. PATIENT: And it was ugly. DR. LEE: Just a little numbing, sorry. Patient: And anybody who has peels and all that stuff, I think. No thank you. DR. LEE: Let’s see here Patient: Which my daughter just had with you.
lee: oh she did? oh, lt;audio cuts offgt; DR. LEE: I did her, okay. PATIENT: Oh yeah. DR. LEE: So, looks like the same kind of thing. You said No way. DR. LEE: No thank you. PATIENT: (singsong) No, thank you. PATIENT. She’s telling me. She can’t even go outside. And she can’t do this, she can’t do that.
I’ll keep my brown spots lt;audio cuts offgt; DR. LEE: It’s doin’ okay now, the batteries, doin’ okay, it seems like? Okay? ASSISTANT: Yeah. DR. LEE: Good. DR. LEE: Too much stuff on my iPhone right now. It’s starting to complain. A little pressure here.
Oh, these are comin’ out, though .they wanna come out. And you’re okay, right? PATIENT: Mmm hmm. DR. LEE: Told you it might be a little bit puffed up, but. PATIENT: That’s okay. DR. LEE: But it’ll be worth it in the morning. Okay, got those three. Got like, a few more to go, and putting in a little nick here in some of these.
These are true milia. these are superficial cysts. And the issue with them is that. They won’t come out. I’m sure you’ve tried to squeeze them before, so many times, huh? PATIENT: Oh.yes. Mmm hmm. Patient: Well then I just pick at ’em. DR. LEE. Oh. But have you ever picked any of them out? No, not really? Patient: Uh, I don’t think so.