Re: skin drying on palm creases- one hand: steroids? tendons?

[Guest guest]

AnneMarie,

What about the skin color on the palm of your right hand? Do you have any

sort of rash or discoloration on your palm? Are you saying that your fingers

are unaffected (they are not dry and fissuring)?

Do you have psoriasis anywhere?

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] skin drying on palm creases- one hand: steroids?

tendons?

> Hi there

> I've been having synovitis off and on in my knuckles and have had 2

> corticosteroid injections in the palmside of my right index finger, one in

> May and one in September.

> The whole palm side of my right hand knuckles, right across the palm gets

> painful and looks swollen.

> Then, the area along the creases throughout the palm, only on the right

> hand, gets dry and the skin breaks. After doing a lot of washing, or a

> bath,

> the palm looks very wrinkly and even a bit bubbly, while the left hand is

> fine.

>

> The rheumatologist says he doesn't think it is connected to the RA and a

> dermatologist could only come up with " the creases are deep and thus

> sensitive to moisture " though he denied any connection to the swollen

> tendons, synovitis or RA.

>

> Has this happened to anyone? Does anyone know what I'm talking about? The

> skin across the main left to right crease (life line?) looks 'pinched' for

> a

> better word.

>

> It's driving me nuts, but short of going around all the dermatologists, I

> don't know what to do.

>

> If it helps, I have RA and am on AzulfidineEN, 500mg X3; Prednisone 3.5mg,

> Loxonin 60mg X 3 and a mild anti-depressant, muscle relaxant 5mg X1.

>

> Thanks

> AnneMarie

> Irish in Japan

[Guest guest]

Hi

the palm doesn't seem to have any rash or permanent discoloration.

It does, however get quite sensitive to pressure, for example, using the pc

mouse causes the heel of my hand to get very red; or vacuuming the house

seems to cause the inside of all knuckles to get sore/red as if I'd been

hanging from a metal bar in the gym or something.

The fissuring (that's the word I was looking for - thanks) is only in the

palm, though there was a small bit between two fingers, but on the palm

side. None on the actual digits.

I also have some non-acne type rash on my cheeks. It started out about 3/4

years ago (before any RA symptoms) on my nose only but then spread. It gets

worse and then better but never goes away.

It's like raised spots, but no acne-type heads, neither sore nor itchy, and

then the top of each area dries off and flakes.

Are you thinking psoriasis? or psoriatic arthritis?

My rheumatologist tested me for SLE antibodies and it was negative.

He suggested also DLE, or steroid caused rash (?)

Thanks

AnneMarie

> AnneMarie,

>

> What about the skin color on the palm of your right hand? Do you have any

> sort of rash or discoloration on your palm? Are you saying that your

fingers

> are unaffected (they are not dry and fissuring)?

>

> Do you have psoriasis anywhere?

>

[Guest guest]

AnneMarie,

I'm not sure what to make of it all. I'm assuming that the area on your palm

where the fissures occur is NOT where you received the injections. Is that

correct?

Once upon a time, my then rheumatologist injected my right shoulder with

cortisone, and, subsequently, I had a terrible psoriasis/eczema sort of

reaction. But it was right at the injection site and spread to about 2

inches in diameter.

I'm not saying that is necessarily what has happened to you. And mine did go

away fairly quickly and never recurred. BUT, in predisposed individuals, it

does seem that trauma (even minor) can induce psoriasis and other skin

conditions.

I have read some cases of unilateral palmar problems that sound somewhat

like yours. Some involved psoriasis, others eczema, and still others were

fungal infections (e.g., tinea). You don't have a fungal infection of one or

both feet, do you?

I'll try to find some information that might help.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Re: [ ] skin drying on palm creases- one hand: steroids?

tendons?

> Hi

> the palm doesn't seem to have any rash or permanent discoloration.

> It does, however get quite sensitive to pressure, for example, using the

> pc

> mouse causes the heel of my hand to get very red; or vacuuming the house

> seems to cause the inside of all knuckles to get sore/red as if I'd been

> hanging from a metal bar in the gym or something.

> The fissuring (that's the word I was looking for - thanks) is only in the

> palm, though there was a small bit between two fingers, but on the palm

> side. None on the actual digits.

>

> I also have some non-acne type rash on my cheeks. It started out about 3/4

> years ago (before any RA symptoms) on my nose only but then spread. It

> gets

> worse and then better but never goes away.

> It's like raised spots, but no acne-type heads, neither sore nor itchy,

> and

> then the top of each area dries off and flakes.

>

> Are you thinking psoriasis? or psoriatic arthritis?

> My rheumatologist tested me for SLE antibodies and it was negative.

> He suggested also DLE, or steroid caused rash (?)

>

> Thanks

> AnneMarie

[Guest guest]

thank you.

I haven't come up with anything but will be going to the doctor next week

and hope to have something to ask/tell him.

The last time I asked, he said he didn't think it was connected to the RA

and a dermatologist said he didn't think it was connected to the swollen

tendons. The dermatologist said something about being 'moisture sensitive'

and having 'deep creases', but both hands are about the same and this is

only happening on the palm that has the synovitis and has had the

injections. Coincidence or connection? Ummm.

The dermatologist didn't sound or look very confident and to be honest, he

looked almost scared! Not of the hands, but of having to deal with a

foreigner. So I don't know how much faith to put in what he says.

There doesn't seem to be any fungal infections on either foot.

I was thinking, very simply, along the lines of the skin being stretched

because of the synovitis and swelling........... But that didn't seem to

ring any bells with either doctor, so presumably the skin is more flexible

than I was giving it credit for (clutching at straws here.)

The injections, both times, were into the inside of the index finger knuckle

(palmside) and the fissuring is on most of the creases on the right palm,

but most obviously in the lines going down to the wrist.

The line crossing the palm looks very 'pinched' and at times is white on

both sides. It looks as if it has been stitched - very badly! lol

Is psoriasis any type of rash? The pictures I have seen have been very red

and hard looking. Either spread over a wide area, or the raindrop style, but

still quite widespread.

, thank you for looking. I'm half hoping that it is connected to the RA

just so that it isn't some other problem that has to be dealt with! lol

Maybe it is just 'one of those things.'

AnneMarie

Irish in Japan