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Forum Name: Dermatology Topics

Question: Flaking sore and tender fingers and hands


 unclbk - Wed Jan 07, 2009 7:07 am

I recently completed a year of Peg-Intron/Ribavirin therapy for Hep C. During that course of treatment I developed psoriasis on my knees,legs, chest,elbows and arms.
3 weeks post treatment I am still virus free. Topical steroid treament is starting to clear up the psoriasis.
I have developed a new problem on my fingers and hands. The tips of my fingers are numb, especially thumb and forefinger, and red,tender and flaky. My whole hand is sometimes bright red and hurts.
In order to be able to perform any work at all, I must cover my fingers with bandages and wear gloves, or else the fingertips split and become infected.
I have numerous small cuts and abrasions(normal for me) that are not healing as they usually do, and they are becoming infected much more often.
I have been using so many different hand creams and salves that I can't name them all. Nothing seems to work on the finger problem.
Any suggestions or ideas on what this is?
 John Kenyon, CNA - Sun Mar 15, 2009 10:37 pm

User avatar Hello --

This could be a different form of psoriasis, or it could be a coincidental outbreak of something in the autoimmune family. It sounds like something involving the local nerves, because of the numbness, but such a syndrome is unusual enough that it should be seen by a dermatologist. Apparently something that travels via nerve pathways is erupting, and of course nerves and the skin are more closely related that generally realized. Too many possible causes here, so my best suggestion is to have a dermatologist take a quick look, as this would probably tell the story better than trying to guess here.

Good luck to you. I hope this is helpful. Please follow up with us as needed.

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