What should I do if my hands sweat, develop blisters, and start peeling?

May 16, 2023 Source: Cainiu Health
Dr. Liu Wan
Introduction
Hand sweating with blisters and peeling may be due to dyshidrotic eczema, tinea manuum, or other types of dermatitis, requiring targeted treatment. A detailed analysis is as follows: Dyshidrotic eczema is usually triggered by excessive heat and commonly develops in early summer, worsening during the peak of summer. When it occurs, clear blisters appear on the palms or soles; severe cases may involve itching and skin peeling.

Hand sweating accompanied by blisters and peeling may be caused by conditions such as dyshidrotic eczema, tinea manuum (hand fungus), or eczema. Targeted treatments are required, with specific details as follows:

1. Dyshidrotic Eczema

Dyshidrotic eczema is usually triggered by excessive heat and commonly begins in early summer, worsening during peak summer months. During an outbreak, clear blisters appear on the palms or soles of the feet. In severe cases, itching and skin peeling may occur. Blisters accompanied by sweaty hands could be due to dyshidrotic eczema. Treatment under a doctor's guidance may include oral medications such as loratadine tablets or cetirizine hydrochloride tablets.

2. Tinea Manuum (Hand Fungus)

Tinea manuum is a fungal infection caused by dermatophytes. Patients may develop small blisters on the skin, which can progress to peeling of the hands in severe cases, leading to these symptoms. Antifungal treatment under medical supervision may include oral fluconazole tablets or terbinafine hydrochloride tablets.

3. Eczema

Eczema tends to flare up during hot seasons. Initially, it presents as clusters of small papules on the skin, which may develop into tiny blisters and eventually lead to peeling in severe cases. Under a doctor’s guidance, medications such as terfenadine hydrochloride tablets or astemizole tablets may be used for treatment.

In addition, such symptoms may also result from vitamin deficiencies, prickly heat (miliaria), or hyperhidrosis. During an outbreak, maintain good local hygiene and avoid consuming raw, cold, spicy, or irritating foods.

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