A lot of small hard bumps on the hands especially itchy may be sweat herpes, ringworm, etc., can be used to anti-allergy, anti-fungal drugs such as symptomatic treatment. 1. Sweat herpes: Sweat herpes belongs to the hand eczema more special type, occurring in the palm area. The lesions are deep in the pinpoint or bean-sized blisters, and the blisters can merge into large blisters, which will form collar-like flakes after drying. Patients may experience varying degrees of itching and burning sensation on the hands. Most of the herpes sweat in the clinic is caused by allergies, need to take oral antihistamines for treatment, such as loratadine, cetirizine, chlorpheniramine and so on. 2. Ringworm: Most of these hand diseases are caused by fungal infections, and patients can show symptoms such as flaking, blisters, dryness, itching, and small hard bumps. For the treatment of this type of skin disease, you can give fungal oral medication, such as itraconazole, amorolfine, terbinafine, etc., local application of econazole nitrate cream, miconazole nitrate cream, compound ketoconazole ointment. When the patient’s hands appear small hard bumps, accompanied by itching, should go to the local hospital for relevant examination, clear cause before symptomatic treatment.