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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 28221
Experience:  MD
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I have a red itchy spot on my hand that was diagnosed by my

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I have a red itchy spot on my hand that was diagnosed by my doctor as discoid eczema. I have had eczema in the past, but never this bad. The bumps are red, crusty, itchy and weepy. My doctor prescribed a cortisone cream, as I've used in the past, but this time, the eczema is spreading and worsening. Could I be getting a tolerance to the cortisone rendering it ineffective? Is there anything else over the counter I could try before going back to the doctor?

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

mysticdoc :

Is it possible to post a picture here?

Customer: I could try but I'm not sure how to do it.
mysticdoc :

you should see a clip sign for attachment.

mysticdoc :

If not possible, here are my suggestions:

mysticdoc :

This still sounds like eczema.

mysticdoc :

Contact dermatitis is also possible on the hands.

mysticdoc :

You need to avoid exposure to any detergent, soap

mysticdoc :

Wear gloves as much as possible.

mysticdoc :

You can use calamine lotion over the rash.

mysticdoc :

Cortisone is weak steroid.

mysticdoc :

You need a stronger prescription steroid cream.

Customer: Even though it's "oozy"? That's really my only concern. I've had pretty severe eczema before, but it's never been weepy and crusted over like this. Is there anything over the counter I can try for the itch other than cortisone? The Rx strength doesn't even work at this point.
Customer: Sorry-I didn't see your complete answer before my response.
mysticdoc :

Triamcinolone acetonide, beclomethasone are such examples.

mysticdoc :

But they require prescription.

mysticdoc :

however, you can try the calamine lotion.

mysticdoc :

Also aloe ointment can be used

mysticdoc :

oatmeal bath also may be helpful to soak the lesions.

mysticdoc :

Your lesions are consistent with contact dermatitis.

Customer: Ok, great. I have some aloe here, so I'll try that. Is the "ooziness" any concern and how long should it last? Also, can I/should I put a band aid on it? I have events to attend all weekend and it's just not pleasant to look at, but I don't want to make it any worse either.
mysticdoc :

ooziness is not a concdern.

mysticdoc :

is not a concern

mysticdoc :

you can use a bandage to cover the lesions.

mysticdoc :

you can put aloe, and then the bandage.

mysticdoc :

or cortisone then the bandage

Customer: Great, thanks!
mysticdoc :

very welcome

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