Rebecca Campen, M.D., J.D. is an Assistant Professor of Dermatology at Harvard Medical School and former Deputy Director of the Harvard/Massachusetts General Hospital Cutaneous Biology Research Center (CBRC). She currently serves as Senior Advisor to the CBRC and divides her time between clinical practice of dermatology at the Massachusetts General Hospital and private practice in Savannah, Georgia. Dr. Campen is the author of two books for medical students and residents, Going Into Medical Practice and Blueprints in Dermatology.

Question:

I have developed a sudden case of peeling skin on the fingers of both my hands. It is somewhat annoying and painful. What suggestions do you have to help alleviate this problem? What could be causing it?

Answer:

The most common cause of peeling skin on fingers and hands is eczema. Eczema can result from contact with irritating substances such as dish detergent or from substances such as poison ivy that cause an allergic response in your skin.

Eczema on fingers and hands can be treated with unscented soaps, unscented moisturizers, and by protecting your hands from harsh substances. Wear rubber gloves while washing dishes and use gardening gloves while gardening. Prescription cortisone creams are often necessary for persistent cases. Prescription antibiotics may be necessary if infection develops.

Dyshidrotic eczema is a type of eczema that is thought to be caused by stress, allergies, or seasonal changes. Tiny clear blisters develop along the sides of the fingers. They are very itchy and sometimes painful. When they rupture, scaling results.

Another cause of peeling skin on fingers and hands is fungal infection. Hands itch, and the webs between the fingers often develop patches of pink, flaking skin. Some antifungal creams are available over-the-counter, but it is important to see your doctor for a correct diagnosis before self-treating.

A recent viral or bacterial infection, such as by certain strains of streptococcus, can also result in sudden peeling of fingers. Because there are many potential causes of peeling of skin on the fingers and hand, it is important to see your doctor for diagnosis and treatment.