Differential Diagnosis for Tender Swollen Papules on Hands
The following differential diagnosis is organized into categories to help guide the thought process:
- Single Most Likely Diagnosis
- Dyshidrotic Eczema: This condition is characterized by tender, swollen papules on the hands, often accompanied by itching and burning sensations. It is a common condition that can be triggered by various factors, including stress, allergies, and environmental changes.
- Other Likely Diagnoses
- Contact Dermatitis: This is a type of skin inflammation caused by contact with irritants or allergens, resulting in tender, swollen papules on the hands.
- Psoriasis: A chronic skin condition that can cause tender, swollen papules on the hands, often accompanied by scaling and redness.
- Insect Bites or Stings: Reactions to insect bites or stings can cause tender, swollen papules on the hands.
- Do Not Miss Diagnoses
- Cellulitis: A bacterial skin infection that can cause tender, swollen papules on the hands, which can be serious if left untreated.
- Erythema Multiforme: A skin condition that can be triggered by infections or medications, causing tender, swollen papules on the hands, and can be a sign of a more serious underlying condition.
- Gout: A form of arthritis that can cause tender, swollen papules on the hands, especially if there is a history of joint pain or kidney stones.
- Rare Diagnoses
- Sarcoidosis: A condition that can cause tender, swollen papules on the hands, often accompanied by other systemic symptoms such as fever and fatigue.
- Dermatomyositis: A rare autoimmune condition that can cause tender, swollen papules on the hands, often accompanied by muscle weakness and skin rash.
- Keratoacanthoma: A rare skin condition that can cause tender, swollen papules on the hands, often resembling a small, dome-shaped tumor.