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Differential Diagnosis for Itchy Rash on Hands and Feet

Single Most Likely Diagnosis

  • Dyshidrotic Eczema: This condition is characterized by small, itchy blisters on the hands and feet, often accompanied by dryness and cracking of the skin. It's a common condition that can be triggered by stress, allergies, or environmental factors.

Other Likely Diagnoses

  • Contact Dermatitis: An itchy rash on the hands and feet could be due to an allergic reaction or irritation from substances like soaps, detergents, or certain metals.
  • Atopic Dermatitis (Eczema): While more common in children, atopic dermatitis can occur in adults and may present with itchy rashes on the hands and feet, among other areas.
  • Psoriasis: This chronic skin condition can cause itchy, scaly patches on various parts of the body, including the hands and feet.
  • Scabies: A parasitic infection caused by the scabies mite, leading to intense itching and a pustular rash, which can affect the hands and feet, especially in infants and young children.

Do Not Miss Diagnoses

  • Pemphigus: A rare autoimmune disease that causes blistering of the skin and mucous membranes. While less common, it's critical to diagnose early due to its potential severity.
  • Cutaneous T-Cell Lymphoma (Mycosis Fungoides): A type of skin cancer that can present with skin patches, plaques, or rashes, including on the hands and feet. Early diagnosis is crucial for effective treatment.
  • Syphilis (Secondary): This stage of syphilis can cause a variety of skin rashes, including on the palms of the hands and soles of the feet, making it a critical diagnosis not to miss due to its implications for public health and the individual's health.

Rare Diagnoses

  • Keratoderma Blennorrhagicum: Associated with reactive arthritis, this condition causes skin lesions on the hands and feet that resemble psoriasis.
  • Pityriasis Rubra Pilaris: A rare skin disorder characterized by constant itching and scaling (exfoliation) of the skin, which can include the hands and feet.
  • Erythema Multiforme: An immune-mediated disorder that can cause target-like lesions on the skin, including the hands and feet, often in response to infections or medications.

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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