Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 26, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for a Swollen, Red, and Swollen Hand without Injury

Single Most Likely Diagnosis

  • Cellulitis: This is a common bacterial skin infection that can cause redness, swelling, and warmth of the skin. It often occurs without any visible injury, and the hand is a common site due to its exposure and frequent minor traumas that may not be recalled.

Other Likely Diagnoses

  • Insect Bite or Sting: Certain insect bites or stings can cause significant localized swelling and redness, especially if there is an allergic reaction.
  • Contact Dermatitis: An allergic reaction or irritation from substances like soap, detergents, or certain plants can lead to swelling and redness of the hand.
  • Gout or Pseudogout: Although more commonly associated with the feet, these conditions can cause sudden, severe swelling and redness in the hands, especially if there is a history of similar episodes.

Do Not Miss Diagnoses

  • Necrotizing Fasciitis: A severe bacterial infection that can cause swelling, redness, and pain, often without an obvious source of infection. It is a medical emergency due to its rapid progression and potential for severe complications or death.
  • Septic Arthritis: Bacterial infection within a joint can cause swelling, redness, and severe pain. Prompt diagnosis and treatment are crucial to prevent joint destruction.
  • Deep Vein Thrombosis (DVT): Although less common in the hand, DVT can cause swelling and redness. It is a critical diagnosis to consider due to the risk of pulmonary embolism.

Rare Diagnoses

  • Sarcoidosis: A condition that can cause inflammation in various parts of the body, including the skin, and might present with swelling and redness of the hand.
  • Erythromelalgia: A disorder that causes burning pain, heat, and redness in the hands and feet, which could be mistaken for an infectious or inflammatory cause.
  • Complex Regional Pain Syndrome (CRPS): A condition characterized by persistent burning pain and swelling, often following an injury, but can sometimes occur without a clear precipitant.

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.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.