Red rashes/tender lesions in fingers

[NY22]

Hi everyone,

I have sub cutaneous lupus and am on HCQS.

Have any of you experienced round red lesions in your fingers? These swell up and become painful so much that it’s difficult to grasp anything with those fingers. They are not liquid boils , just red lumps. I have them on my thumb, middle and index finger. The three fingers which are used the most. Unable to make out reasons for their appearance and flare up - hot/cold/ food allergy, can’t make out anything.

Any home treatment or otherwise, that can help, would be highly appreciated.

[NatalieMai]

Hi NY22, I've just joined here. I'm not sure if it's the same type of problem, but my finger tips are raised red/purple and nails have disintegrated. I find it very sore when doing tasks. I try wearing gloves but doubt I'll get away with that look in the winter! Ha.

Fingers wasted away.

[OldTed60]

hi - could these be chilblains perhaps?

[Krazykat26]

Yes I can relate unfortunately 😖I have SCLE and Sjogrens and I get these lesions. When they come up it's 50/50 whether the skin splits or not for me. I've currently got three fingers affected where the skin has split and I'm struggling to get them under control so I've increased prednisolone to 4.5mgs daily to see if that helps.

I'm on hydroxy 300mgs, Pred as I've mentioned and Methotrexate 17.5mgs weekly prescribed by dermatology. Have you got an appt coming up soon? It may be that you require some stronger meds.

Do your fingers itch beforehand? Mine do and I take piriton to stop the itching. Do u take any pain relief? I take paracetamol and when it's obvious that I'm flaring I have Tramadol to use as necessary.

I can't use soap so I'm prescribed Dermol 500 lotion which is a moisturiser and soap substitute.

Please feel free to ask me any questions coz I feel I could ramble on forever but I haven't got the energy right now to do the whole essay 😹💜xx

[Krazykat26 in reply to Krazykat26]

Thought I'd add a couple of pics

Current pic of index finger

[Krazykat26 in reply to Krazykat26]

Another one

Little finger 😖

[NY22 in reply to Krazykat26]

thank you sooo much for your elaborate reply. I showed it to Dermatologist yesterday and they say this is indeed chill blains. However while they start with cold can carry on due to lupus condition. In my case I have been in warm weather since 2 weeks but they haven’t subsided.

He has given me blood thinner meds for 2 months to boost prosper circulation to the finger tips and a topical steroid Tenovate.

NY

[MusicalFurbaby]

Hi NY22, my rheumy thought mine were chillblains too until I got a biopsy done by a dermatologist, and they turned out to be vasculitis. I get them on my toes too, much worse, sometimes so painful I can’t stand. They itch beforehand and then go red, swollen and sore. I’m on hydroxy 400mg which has reduced the sores (and other rashes) by about 90%. For the rest, I apply Anusol cream (for haemorrhoids, but works wonders for vasculitis sores too!) which helps more than anything else I’ve tried.