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Third-degree burn or scald. After contact with hot objects, water vapours, the fingertips may become white with a leathery appearance and transient or permanent loss of sensation to touch and pain 4.
In arterial embolism, one or more fingers suddenly become cold, pale or blue, painful, weak, numb or tingly. Cramps may appear and the finger may be hard to move. Contact with the stinging nettle leaves or stems usually causes burning, itchy, red patches (hives, urticaria); numbness may persist for more than 12 hours 7,8.
In sensitive people, contact with poison ivy, oak or sumac can cause allergic reaction with red, burning, itchy and swollen skin; numbness and tingling may persist for several hours 9,10. Deep second-degree burn or scald. After contact with a hot object, liquid or vapours, the affected fingertips are usually red and tender, but can later become more or less numb and remain so for up to a month 11,12. A minor cut or puncture of the fingertip can result in felon or staphylococcal whitlow — an infection with red, swollen, painful and, eventually, numb fingertip pulp 14,15. Stings of venomous insects, such as a bee, wasp, hornet, spider (black widow, brown recluse spider) and scorpion, can cause burning pain, redness, blisters and swelling in the affected fingertip, followed by tingling and numbness, which may persist for a day or two 16,17,18.
Bites of poisonous snakes, such as cobra or rattlesnake, to the arm can cause numbness and tingling in the affected area spreading toward the fingertips 20.
In rheumatoid vasculitis (in rheumatoid arthritis and systemic lupus erythematosus or SLE), numbness and pits in the fingertips and red sores around the nails may develop 21,22. Symptoms of Churg-Strauss syndrome may include difficulty breathing (asthma), and red-bluish and numb fingertips 23. One side effect of certain chemotherapeutics is hand-foot syndrome (acral erythema or palmar-plantar erythrodysesthesia) with numbness, tingling, pain, redness, swelling or flaking of the palms, fingers, soles and toes.
Poisoning with elemental (metal) mercury in children: pink, numb or painful fingers, peeling hands and leg cramps (acrodynia) 24.
After an injury, for example, with a hammer, the affected fingertip usually becomes tender and bruised: red, then  swollen and partially numb then dark blue-purple and then yellow-green. Achenbach syndrome (paroxysmal hand hematoma, finger apoplexia) 25 consists of sudden pain, itching, stinging, swelling, coolness, bruising and, sometimes, numbness on the palmar side of one or, rarely, more fingers that last for few days and then resolve spontaneously; this benign condition is due to spontaneous bleeding in the finger. In peripheral cyanosis, fingers and toes, especially nail beds, and, sometimes, the skin around the mouth (circumoral cyanosis), but NOT lips and tongue, become bluish 26. Cold injuries: hypothermia due to prolonged immersion in cold water or exposure to cold air 27,29, chilblains 28, deep frostbite (persistent cyanosis and numbness after rewarming are bad prognostic signs) 30. Acute artery narrowing due to an embolus (due to atrial fibrillation, thoracic outlet syndrome) or crush injury results in sudden pain, and cool, pale and, later, blue-purple fingers 33. Acrocyanosis — persistent bluish-purple discoloration of the fingertips (and sometimes, hands, feet, knees, nose, lips and nipples). In central cyanosis, hands and feet, especially nail beds, lips, gums and tongue have bluish discoloration, but are not cold (unless the causes of peripheral cyanosis are present) 26. Sulfhemoglobinemia: overdose of certain drugs (acetanilide, metoclopramide, nitrates, phenacetin, phenazopyridine, sulfasalazine, sulfonamides), ingestion of household cleansers (hydroxylamine sulfate) 26,44. Disseminated intravascular coagulation (DIC), for example, in sepsis (see more causes below under Gangrene). In the fourth-degree frostbite, gangrene (tissue death) can occur, especially after freeze-thaw-refreeze situation 6,13. Gangrene means tissue death (necrosis); it is caused by blocked circulation, bacterial infection or trauma 48.
Symptoms of dry gangrene: the affected fingertip becomes red, then pale, cold and numb, then brown, purple or black, it shrivels up and eventually fall off  48,51. Disseminated intravascular coagulation (DIC) due to sepsis, leukemia, malaria, viral gastroenteritis, snake bites, transfusion reactions, recreational drugs, etc.
The DAS28 questionnaire is the main questionnaire that you will be asked to complete each time that you log on to CAPRI (see patient information sheet).The DAS28 is a measure of disease activity in rheumatoid arthritis (RA). The patient’s ‘global assessments’ of pain and disease activity indicated by marking two10 cm lines between 0 (no pain or arthritis activity) and 10 very severe pain or arthritis activity. The Plasma Viscosity (PV) a blood test of inflammation done along with your usual monitoring blood tests. Remember if your arthritis is in remission(well controlled) you should have NO swollen and NO tender joints. If you have been unwell it is best to wait for a few weeks until you feel that you have fully recovered before having your PV rechecked and carrying out the DAS28 score. Pain and swelling in the hips, feet or ankles is not taken into account by the DAS28 score. La disidrosi, nota anche come eczema, e una condizione della pelle in cui piccole vescicole piene di liquido (vescicole) si verificano sui palmi delle mani o sulle piante dei piedi, o entrambi.


Le bolle che si verificano nella disidrosi generalmente durano circa tre settimane e causano prurito intenso. Il trattamento per la disidrosi il piu delle volte comprende creme, impacchi umidi e terapia con luce ultravioletta per migliorare l’aspetto e alleviare i sintomi. Le piccole vescicole piene di liquido piu comunemente si verificano sulle palme delle mani e delle dita delle mani. Chiamare il medico se si dispone di una eruzione cutanea sulle mani o piedi che non va via da sola. Esposizione a sali di metalli tra cui cromo, cobalto e nichel – solitamente tramite cemento o lavoro meccanico. Nella maggior parte dei casi, il medico puo diagnosticare la disidrosi sulla base di un esame fisico.
Adottare misure per proteggere le mani da sostanze irritanti, come ad esempio lozioni profumate o sapone per piatti. Poiche la causa della disidrosi e generalmente sconosciuta, non c’e modo comprovato per prevenire questa condizione. Utilizziamo i cookie per essere sicuri che tu possa avere la migliore esperienza sul nostro sito. If you are having red and blotchy red patches on your palms it indicates that you are suffering from liver disease. Generally in pregnant women’s it is seen that they have red palms but there is nothing to be worried because it is due to increased blood vessel activity. Sometimes it happens when you feel your hands difficult to use in normal activities of every day, you will feel your rings tighter and if you are doing the work of typing like me, it will be difficult for you to type.
If you have swelling in your hand it is sign of under active thyroid gland but if rest of your body is swollen slightly and have fluid in hands it indicates liver or kidney related disease.
If you are simply being pre-menstrual, have eaten something salty or travelling by aircraft these are some of the other reasons for having swollen hands. If you are suffering from Reynaud’s disease, your fingers will change periodically to blue or white, basically when they come in contact with something cold. In this disease the blood vessels go into spasm and to the extremities it completely closes off, as a result the fingers turn white or blue. You should wear gloves and also avoid touching cold things, if you suffer from this disease.
Clubbing of fingers generally occurs in people who are suffering from heart or lung problem. Alone from this symptom you cannot find out ill health, some of the people who are having clubbed fingers are suffering from breathing difficulties also and they are also undergoing treatment. As we grow older, there are high chances of Arthritis in hands, it is a crippling disease and the soonest caught, the soonest treated so that it never becomes life-changing..
Little bruises, or odd marks like red splodges under the fingernails is a sign of a heart disease.
Psoriasis is a skin disease in which patients have dry, red and scaly skin rashes that can occur on any part of the body.
Spilling of diluted (1%) phenol (carbolic acid) solution over the skin can initially cause numbness and tingling followed by skin necrosis 61. If it is diffuse and permanent bluish discoloration lasting for more than few days, it’s probably due to impaired blood flow, which is usually caused by atherosclerosis or a clot lodged in the thumb artery.
Feel the finger joints by pressing on them with your finger and thumb until the nailbed of your thumb turns white (arrow). Feel the knuckle joints by pressing on them with your finger and thumb until the nailbed of your thumb turns white (arrow).
Feel the shoulder by pressing as shown until the nailbed of your finger turns white (arrow). If you develop pain in the hips feet or ankles you should contact your consultant’s secretary on 01592 643355 for an outpatient appointment. If you develop neck or back pain you may need to see your GP or contact your consultant’s secretary on 01592 643355 for an outpatient appointment. If you have more than 30 minutes stiffness each morning for 2 weeks or more your arthritis may be getting more active. Una volta che le bolle della disidrosi si seccano, le fessure che si formano possono essere dolorose.
Come risultato, le giunzioni tra le cellule si aprono per consentire al fluido (siero) di riempire gli spazi.
Tuttavia, puo essere associata ad una malattia della pelle simile chiamata dermatite atopica, ed a condizioni allergiche, quali asma e febbre da fieno (rinite allergica).


Il medico puo raccomandare una procedura chiamata KOH un test per escludere altre condizioni, come ad esempio una infezione fungina o dermatite da contatto. Se un’allergia si ritiene possa causare disidrosi, un patch test puo aiutare a determinarne una possibile causa.
Il medico puo prescrivere creme con corticosteroidi topici per contribuire a migliorare l’aspetto delle bolle, e trattare le crepe e le fessure che si verificano dopo che le bolle si sono asciugate. Bendaggi compressivi freddi, possono contribuire ad alleviare il prurito, aumentare l’efficacia delle creme e ridurre al minimo le vesciche. Il medico puo raccomandare farmaci chiamati  antistaminici, come la difenidramina (Benadryl) o loratadina (Claritin, Alavert, altri), per contribuire ad alleviare il prurito. Se questi trattamenti non sono efficaci, il medico puo raccomandare un particolare tipo di terapia della luce ultravioletta chiamato Psoralene e raggi ultravioletti A (PUVA).
Questi farmaci, come il tacrolimus (Protopic) e pimecrolimus (Elidel), possono essere utili quando altre opzioni terapeutiche non hanno funzionato.
Alcuni medici possono considerare raccomandare iniezioni di tossina botulinica per il trattamento di casi gravi di disidrosi. Pompholyx; eczema alle mani vescicolobolloso (precedentemente noto come disidrosi, eczema mano dyshidrotic). You need to consult your doctor if your hands become more red even when you have not done too much hard work.
This all happens because you have swelling in your hands and by observing these facts you can find it out as swelling is very slight and a casual observer cannot see it, so we need to feel it. This phenomenon generally affects women more as compared to men, it is strange and harmless. Possible risk factors include smoking, atherosclerosis, Raynaud’s phenomenon, trauma, frostbite, thoracic outlet syndrome, cryoglobulinemia, polycythemia. If you develop incontinence, numbness or weakness your neck or back pain needs to be assessed urgently by your GP. You should contact your consultant’s secretary on 01592 643355 for an outpatient appointment. I medici si riferiscono a questo processo come spongiosi, perche, se visto al microscopio, la pelle diventa  spugnosa. In alcuni casi, danni alla pelle (compreso l’ispessimento della pelle) o una infezione batterica possono verificarsi come conseguenza.
Per eseguire un test di KOH, il medico raschia la pelle con un vetrino per raccogliere le cellule morte della pelle. Questo trattamento associa l’esposizione alla luce ultravioletta (fototerapia) con farmaci che aiutano a rendere la pelle piu ricettiva agli effetti della luce ultravioletta (psoraleni).
Tuttavia, questa e una opzione di trattamento relativamente nuova che non ha ancora guadagnato l’accettazione fra tutti i medici. But nowadays as we all know that, due to presence of modern tests and various technologies this technique of looking at hands for determining  your general health have been ignored.
When your liver does not function properly and is not able to carry out the toxins present in your body, it results in increasing the blood stream due to which the blood vessels present in hands and feet dilate. So, if it is impaired blood flow, it is not likely you will be able to cure it by yourself by some sort of remedy. Le cellule della pelle sono mescolate con idrossido di potassio (KOH) e viste al microscopio per individuare una infezione fungina. Un nuovo tipo di luce ultravioletta B conosciuta come banda stretta B puo anche essere di aiuto in alcune persone. A normal joint consists of two cartilage-covered bone surfaces that glide smoothly against one another. In this article we will discuss about the signs and symptoms one should notice in their hands. The swollen tissues stretch supporting structures of the joints, such as ligaments and tendons.



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