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How severe would you judge my dermatitis based on the

attached picture. It's very debilitating...
how severe would you judge my dermatitis based on the attached picture. It's very debilitating and I think I observed side effects of steroid creams use like skin thining. Is using steroid creams for many months dangerous and uncommon? Is using sour cream a good idea along with other creams and steroids?
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Answered in 5 minutes by:
1/15/2017
Dr. Captain
Dr. Captain, Dermatologist
Category: Dermatology
Satisfied Customers: 782
Experience: A family doctor, with medical and residency training in Boston, MA, patients of all ages and wide range of illnesses.
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Hi there - Welcome back. let me take a closer look!

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Is the pinky painful? itchy? what about the other fingers, as far as pain vs itchiness?

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using steroid creams for extended periods of time can cause concerns, such as skin thinning and weakening of local immunity with some increased cracking and breaking of skin. It's not uncommon for people who are suffering with these kinds of dermatitis to require regular use of steroids, but it's preferable to use a balance of steroid creams and moisturizers. Sour cream is a bad idea.

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Customer reply replied 1 year ago
Yeah quite tender and painful and at times very itchy. Also I now have some bumps as attached -could they be caused by steroid cream? I think I applied steroid cream liberally like a hand cream all over my hands. Could steroid creams make Eczema worse?

There are some people who are steroid-resistant, but that is pretty rare. Do you have any contact with herpes virus? Any repetitive motion activities that could have caused these blisters?

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Customer reply replied 1 year ago
Maybe mouse holding but I don't think that's that much impact. And yes I have had cold sores before like six times in the last 12 months

This could be herpetic whitlow.

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Customer reply replied 1 year ago
it's contagious when I shake people hand? How can you tell them from Pompholyx?

It may be contagious, yes. How can I tell? many years of experience.

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Customer reply replied 1 year ago
OK thank you someone else on JA told me it's Pompholyx but I think you're right based on comparing them with other picturesI guess I will let my PCP know and ask for acyclovir

doesn't look like that to me. acyclovir or valacyclovir will probably help!

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Dr. Captain
Dr. Captain, Dermatologist
Category: Dermatology
Satisfied Customers: 782
Experience: A family doctor, with medical and residency training in Boston, MA, patients of all ages and wide range of illnesses.
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