Editing Openai/69448005-5c88-800b-a6e1-e75d328139c6


{{DISPLAYTITLE:Hand issue diagnosis advice}}

''This conversation was exported from ChatGPT''<ref>{{cite web|title=Hand issue diagnosis advice|url=https://chatgpt.com/share/69448005-5c88-800b-a6e1-e75d328139c6|publisher=ChatGPT|access-date=2025-12-19}}</ref>

== gpt-5-2 ==
=== User: Please advise as to what this issue could be on hands ===
Please advise as to what this issue could be on hands

=== Assistant: I can’t diagnose from a photo, but based on what’s visible on the hands/wrist area—dryness, fine cracking, redness, and… ===
I can’t diagnose from a photo, but based on what’s visible on the hands/wrist area—dryness, fine cracking, redness, and small fissures—these are the most likely possibilities, in order of likelihood:

===== Most likely causes =====
# Hand eczema (irritant or contact dermatitis)
This is the most common cause.
* Very dry, tight-looking skin
* Fine cracks that can bleed
* Redness and soreness
* Often worse with frequent hand-washing, sanitiser, cleaning products, cold weather, or gloves
# Asteatotic (severely dry) eczema
* Skin looks thin, shiny, and cracked
* Common in winter or with frequent washing
* Cracks can be painful and bleed slightly
# Allergic contact dermatitis
* Reaction to something touching the skin (soaps, detergents, gloves, fragrances, metals)
* Can look similar to eczema but often flares after exposure

===== Less likely but possible =====
# Psoriasis (early or mild)
* Usually thicker plaques and clearer borders
* Often silvery scale (not obvious here)
# Fungal infection (tinea manuum)
* Usually more defined edges and scaling
* Often affects one hand more than the other

==== What you can do now ====

===== Immediate care =====
* Stop irritants: avoid fragranced soaps, alcohol gels, cleaning products without gloves
* Use a soap substitute/emollient wash (e.g. Dermol 500, Oilatum, Cetraben)
* Moisturise very frequently (at least 4–6× daily)

===== Best moisturisers for cracked hands =====
* Thick ointments are best: - Petroleum jelly (Vaseline) - Epaderm ointment - Hydromol
* Apply after every hand wash
* At night: thick layer + cotton gloves

===== If inflamed or sore =====
* A short course of mild steroid cream (e.g. hydrocortisone 1%) can help calm inflammation - Use 1–2× daily for up to 5–7 days - Do not use on broken skin

==== See a GP or pharmacist urgently if: ====
* Cracks are deep, painful, or oozing
* Increasing redness, warmth, swelling, or pus (signs of infection)
* Not improving after 1–2 weeks of proper treatment
* This is affecting daily function or spreading

If you want, you can tell me:
* How long this has been going on
* Whether it itches or burns
* What soaps or products you use
* Whether this is one or both hands

That will help narrow it down further.

== References ==
<references />


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