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Differential Diagnosis for Burning Sensation on Top of Hands

Single Most Likely Diagnosis

  • Dry Skin (Xerosis): This is a common condition that can cause a burning sensation on the skin, especially on the hands. It's often due to environmental factors, harsh soaps, or cold weather.

Other Likely Diagnoses

  • Contact Dermatitis: An allergic reaction or irritation from substances like soap, detergent, or certain metals can cause a burning sensation on the hands.
  • Eczema (Atopic Dermatitis): A chronic skin condition characterized by itchy, inflamed skin, which can sometimes feel like a burning sensation.
  • Sunburn: Prolonged exposure to the sun without proper protection can lead to sunburn, causing a burning sensation on the skin.

Do Not Miss Diagnoses

  • Shingles (Herpes Zoster): Although less common, shingles can cause a burning sensation on one side of the body, including the hands. It's crucial to diagnose and treat promptly to prevent complications.
  • Diabetic Neuropathy: People with diabetes can experience nerve damage, leading to burning sensations in their hands and feet. Early detection is vital to manage the condition effectively.
  • Thyroid Disorders: Both hypothyroidism and hyperthyroidism can cause skin symptoms, including burning sensations, due to metabolic changes and nerve sensitivity.

Rare Diagnoses

  • Complex Regional Pain Syndrome (CRPS): A rare condition characterized by chronic pain, inflammation, and sensitivity, which can cause a burning sensation in the hands.
  • Sjögren's Syndrome: An autoimmune disorder that can cause dry skin and mucous membranes, leading to a burning sensation on the skin, including the hands.
  • Peripheral Artery Disease (PAD): Reduced blood flow to the hands can cause pain, numbness, and a burning sensation, especially during activity.

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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