White bumps on finger tips and palms also Infected fingernail

[3yt]

So about 2 weeks ago (after putting a cuticle out) the base of my fingernail got infected its red and swollen doesnt hurt much but when i touch it, then about a week ago i began to have these little white bumps on my finger tips they very in size but none bigger than 1/16in, they have now sped to some of my palm, they have no liquid in them they are only white and they open easly when scrached but they do not itch or hurt, my guess is i touched something im aleric to but i have never really been alergic to anything before or my friend who stayed with us used to have bad athletes foot or some kind of std i got through the fingernail.

[Vanessa Lacuesta]

Hi.

Based on the images and what you have posted, I will still consider dishydrosis as a differential. Dishydrosis may start as anon itchy bumps. Later they may present as vesicles. The covering is tougher compared to herpetic lesions but may slough off if picked on .

I suggest you discuss this with your dermatologist. The antifungals may only further irritate the skin in the case that this is not a fungal infection. A microscopic evaluation of skin scrapings from the affected area may help ascertain if this indeed is a fungal infection.

It is best to have the diagnosis established first before any medications are applied.

[3yt]

Theres no itch, burning, or fluid. there like little callouses that arent tough and open easly when scrached. im trying clotrimazole, could it be a fungus?

[Vanessa Lacuesta]

Hi.

Have you mentioned that these bumps are itchy? The dryness and the flakiness may suggest a dermatitis. An irritant contact dermatitis and dishydrosis may be differentials here. Dishydrosis presents as vesicles with tough coverings and may start to present with itchiness and a burning sensation.

Have you had this assessed by a physician already?

You may need to apply topical corticosteroids on the area. As for the paronychia, if the diagnosis is ascertained, you will be needing oral antibiotics.

[3yt]

i looks exactly like the wiki picture i think its acute paronychia. the bumps i think are unasociated with the paronychia any idea what it could be it looks like my hands are dry and flakey.

[Vanessa Lacuesta]

Hi.

One differential here is a paronychia. "The nail disease paronychia (commonly misidentified as a synonym for felon or whitlow, the latter two of which refer to a deep space infection of the distal end of a digit) is an often tender bacterial or fungal infection where the nail and skin meet at the side or the base of a finger or toenail. It can start suddenly (acute paronychia) or gradually (chronic paronychia)."

Source:http://en.wikipedia.org/wiki/Paronychia

A paronychia presents with tenderness and may be due to a fungal infection or a bacterial infection.

Prior to the nail problem, have you injured that part of the nail?

In your case, you have mentioned tenderness over the base of your nail. This may be the case. An associated onychomycosis or fungal infection of the nail itself may be present causing the nail to dissociate from the nail bed.

I suggest that you have this assessed by your dermatologist. This may be a case of dishydrosis or a fungal infection. You may need topical or oral medications for this. Avoid washing the hands frequently and only use a mild and bland cleanser when washing.