The cause of palm peeling is unclear, as it is often combined with sweaty palms, so it is thought to be related to poor sweating. It is also thought to be related to fungal infections in other parts of the body, such as tinea cruris. In addition, contact dermatitis caused by chemical injury; exfoliative keratolytic disorder caused by congenital genetic factors can also lead to exfoliation.
Clinical manifestations.
Patients experience peeling of the palms of their hands every year in late spring and summer/autumn when the temperature is high and humidity is high. People’s palms are prone to peeling due to factors such as the change of seasons and dry climate in late summer and early autumn. This is the result of the separation of the cuticle of the epidermis from the epidermis below. At first some small white dots appear on the palm of the hand, after the small white dots gradually expand, the formation of varying sizes like dry blisters, the surface of a layer of whitish keratin layer, can naturally break down, shedding like a layer of translucent thin paper. If you keep shedding, what you are left with is a large pinkish new growth of epidermis like a map. If you do not wait for the natural shedding to tear off, bleeding and pain will occur.
Causes: Vitamin deficiency
Related include
1, lack of vitamin A: nails appear profoundly obvious white lines, dry hair, rough skin, memory loss mood irritability and insomnia.
2, lack of vitamin B1: allergic reaction to audio, intermittent soreness in the lower legs.
3.Deficiency of vitamin B2: rupture and ulceration of the corners of the mouth, various skin diseases, burning sensation in the hands and feet. Over-sensitive reaction to light.
4.Deficiency of vitamin B3: red and swollen tongue, bad breath, mouth ulcers, depressed mood.
5.Lack of vitamin B6: thick tongue, puffy lips, extra scalp, dry oral mucosa.
6.Lack of vitamin B12: easy to lose balance in action, the body has intermittent variable position pain, sore fingers and toes.
7.Lack of vitamin C: wounds do not heal easily, weakness, bleeding teeth, thick tongue.
Types and treatment.
1, peeling and peeling symptoms: the surface of the hands shed white skin, no itching, inflammation. Treatment: This is the most common and most likely symptom of hand cuticle peeling in early autumn. Although it is an obstacle to the appearance, but generally does not require treatment, as long as you avoid contact with soap, hand sanitizer and other irritating chemicals, 2-3 weeks later can be self-healing. In addition, it can be treated with oral medication: 30 grams each of Chinese herbal medicine CangShen, HuangPai, CangZhu are soaked and applied to the palms of the hands, while taking vitamin C.
2, dry dermatitis symptoms: hands off white skin, fingers have cracks.
Treatment.
(1) dry peeling in early autumn is most common in young and middle-aged women, and often wash their hands with soap. Should reduce the number of hand washing, avoid using alkaline soap, hand sanitizer, try to wear gloves when washing clothes.
(2) Go to a hospital or pharmacy and buy an antiseptic lotion such as skin care lotion for external rubbing.
3. Ringworm symptoms: First one hand appears to peel, and then it develops to both hands. The palms of the hands appear red and inflamed, and itching is noticeable, and most patients who have ringworm of the hands also have ringworm of the feet. Treatment: Because ringworm can be contagious, you need to go to a hospital for early diagnosis and treatment and insist on applying the special ointment prescribed by your doctor.
4. Symptoms of sweat rash: Both hands grow red blisters at the same time, and there is a feeling of intense itching. Treatment: Related to sweaty hands and sensitive constitution, it needs to be applied externally and taken orally under the guidance of a doctor. Its onset is mainly caused by blood deficiency and blood dryness, loss of skin nourishment, dry heat and wind, the treatment is to nourish blood and moisten dryness, remove wind and stop itching. Treatment: (including some experimental prescriptions, Western medicine clinical verification cases are few, only for reference) palm peeling seasonal, can have a tendency to self-healing, generally do not need special treatment. For more serious or recurring cases, Western medicine mostly uses sedatives, antihistamines, and anticholinergics.
The blistering stage should be mainly astringent and antipruritic, and can be applied externally with traditional Chinese medicine skin care solution, or soaked in 10% alum solution.
2, the peeling stage of external medicine to protect the new growth of the epidermis, you can skin Kang Jie ointment topical application.
3, dry skin keratin thickening patients with small cracks, can use moisturizing anti-crack ointment topical application. In addition, be careful not to tear off the keratin layer that has not been completely peeled off, so as not to cause pain or bleeding.
4, more serious or recurring, you can take Liu Wei Di Huang Wan or Liu Wei Di Huang Tang plus reduction: Shu Di 20 grams, Yam 15 grams, Cornus 10 grams, Dan Pi 10 grams, Ze Di 10 grams, Fu Ling 15 grams. Fangfeng 15 grams, Tribulus terrestris 30 grams, add water to the above and then decoct and take. In general 3-5 doses can be effective.
5, vitamin C injection applied to the affected area, 2 times a day, 3 days a course of treatment. It has a good effect on the recovery of skin lesions. Method: Wash your hands first, and after drying them a little, pour vitamin C injection into your palms, then rub the solution well with both palms, and wash it off when it dries and turns white. Apply 2 ml twice daily. Efficacy: there are reports of patients with vitamin C treatment hand peeling, the lighter 1 time effective, the heavier 3 times effective, a few days can be healed.
6, the patient should also maintain optimism, avoid mental tension and emotional excitement, as little as possible to contact alkaline detergents. Can prevent the occurrence of the disease.
7, chopped ginger put white wine soak 24 hours and then coated in the affected area, 1-2 times a day, the effect is very significant.
8, fresh leek juice with appropriate amount of brown and white sugar once a day for 4 times effective. Hand peeling symptoms seasonal hand peeling is a common phenomenon, most people (mostly men) occur in the spring-summer and summer-autumn seasonal changes, first there is burning, stinging, followed by small red spots, and then become pinheads large white spots, and then become empty blister-like keratin peeling, gradually expand around, and constantly peel off thin paper-like phosphorous, lesions fused with each other, coupled with artificial tearing, keratin layer – layer peeling, development The lesions fuse with each other, and together with the artificial tearing, the keratin layer – layer by layer exfoliation, the development is faster usually involving the whole palm, no local inflammatory changes. The sweating is usually high, but decreases when the skin peels off, and some people return to normal after two or three months. The use of laundry detergent by housewives can also cause peeling, dryness and cracking and increase the chance of infection. Because of this, many people ignore the treatment, but every year to a certain season is easy to relapse, and there is a year-on-year trend of aggravation, peeling skin area increasing, and to the deep expansion, and eventually reveal the fresh flesh color, the appearance of wounds, and very easy to cause infection. The disease is not caused by fungus, so the use of antifungal drugs is ineffective.
Features.
1.Symmetry of both hands
2, no inflammation, non-fungal caused (fungal examination is negative) Treatment: topical medication given by the doctor must be applied and used on time, even if the effect is slow, do not stop using. Hands should be kept clean, as little water as possible, even if hand washing is best to use hot water. Eat more vitamin-rich vegetables, raw is best, because raw fruits are the freshest and have the least nutrient loss. You can take some vitamin B2 pills as a supplement. Even if the molted parts of the hands are gradually healing, you should apply the cream on time, after complete healing, in order to avoid recurring attacks, pay attention to maintenance, apply hand cream every day after washing your hands, you can also use vitamin E pills to rub on your hands, while wiping and massage, several times a week at night you can wear cotton white gloves, so that the hands will become more and more tender.