What is the diagnosis of a red, swollen right hand?

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Last updated: February 26, 2025View editorial policy

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Differential Diagnosis for Red Swollen Right Hand

  • Single Most Likely Diagnosis
    • Cellulitis: This is the most likely diagnosis due to the common presentation of redness and swelling in the affected hand, which are hallmark signs of a bacterial skin infection.
  • Other Likely Diagnoses
    • Contact Dermatitis: An allergic reaction or irritant contact dermatitis could cause redness and swelling, especially if the individual has been exposed to a new substance or has a history of allergies.
    • Insect Bite or Sting: Certain insect bites or stings can cause localized redness and swelling, and the hand is a common area for such incidents.
    • Trauma: A recent injury to the hand could lead to swelling and redness due to inflammation and possible infection.
  • Do Not Miss Diagnoses
    • Necrotizing Fasciitis: Although rare, this condition is life-threatening and requires immediate medical attention. It presents with severe pain, swelling, and redness, often with a history of trauma.
    • Septic Arthritis: Infection within a joint can cause significant swelling, redness, and pain. It's crucial to identify and treat promptly to avoid long-term joint damage.
    • Deep Vein Thrombosis (DVT): While less common in the hand, DVT in the arm can cause swelling and redness. Given the potential for pulmonary embolism, it's a critical diagnosis not to miss.
  • Rare Diagnoses
    • Erythema Multiforme: A skin condition characterized by target lesions, which can sometimes present with redness and swelling, particularly if the hands are involved.
    • Scleroderma: A chronic autoimmune disease that can cause skin thickening and swelling, among other symptoms. Hand involvement is possible, though it's a less common initial presentation.
    • Complex Regional Pain Syndrome (CRPS): A condition characterized by intense burning or aching pain in the hands or feet after an injury or trauma, which can also present with swelling and redness.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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