Small holes appearing on the fingers

Small holes appearing on the fingers may be caused by conditions such as dyshidrotic eczema, palmoplantar keratoderma, or tinea manuum, and treatment should be tailored according to the specific underlying cause. Detailed analysis is as follows:

1. Dyshidrotic Eczema

Dyshidrotic eczema is a vesicular skin disorder affecting the hands. Affected individuals may develop small blisters on the local skin areas. As these blisters dry up, they may peel off and leave behind clusters of tiny pits. Under medical guidance, medications such as levocetirizine hydrochloride tablets or loratadine tablets can be taken to alleviate symptoms.

2. Palmoplantar Keratoderma

Palmoplantar keratoderma refers to a group of chronic skin disorders characterized by thickening and excessive keratinization of the skin on the palms and soles. Patients may develop sterile pustules on their hands; after resolution of the pustules, surrounding erythema, hyperkeratosis, and scaling may occur. The skin lesions may appear as dense, tiny holes. Under medical guidance, topical treatments such as halometasone cream or salicylic acid ointment may be used for symptom relief.

3. Tinea Manuum (Hand Fungal Infection)

Tinea manuum is a fungal skin infection caused by dermatophytes. When fungi invade the fingers, localized itching may occur, and skin lesions in the finger web spaces may present as described above. As directed by a physician, topical antifungal agents such as miconazole nitrate cream or terbinafine hydrochloride cream can be applied to relieve symptoms.

Besides the relatively common causes listed above, other conditions such as scabies, eczema, or contact dermatitis may also be responsible. If any discomfort or symptoms arise, prompt medical evaluation and timely treatment are recommended to avoid disease progression.