A little help, please. Ree has a scaly, peely thumb that has been getting worse by the day. We've been to her pediatrician twice now and the next step is a pediatric dermatologist. I'm calling tomorrow for the appointment, and crossing my fingers that we can get in quickly, but in the meantime, does anyone have any clues what it could be? I don't want to gross anyone out, so if graphic pics or health details bother you, just click away now.
Ok, so here are the facts:
1. Ree's thumb hasn't looked right for about two months now.
2. It started as a small, dry-looking peely patch on the edge of her left thumb.
3. It progressed a little and started to affect the corner of her nail. The nail got a little thick and kind of crumbly looking in the corner.
4. In the last few days, the peeling has really spread, and it looks pretty bad. An entire layer of skin is gone, and it looks like pieces of skin are cracking off, leaving red skin below.
5. We've had three different plans of attack: Cortizone-10 cream (1% hydrocortisone, otc) and Lotrimin-AF cream (otc), then heavy hand cream and prescription Mupirocin ointment, and today's new plan of prescription Mometasone Furoate ointment (which Ree says stings when applied) along with Aquaphor. The first two combos had no effect, and it's too early to tell about the third.
6. Ree says it doesn't hurt anywhere, even when pressed on, and it doesn't itch. She doesn't pick at it, doesn't scratch it, and she doesn't suck that thumb.
Any ideas? Like I said, I'm calling for the pediatric dermatologist appointment tomorrow (because I'm pessimistically thinking that the new medicine won't work and this will continue to get worse). But in the meantime Google is just freaking me out and not really providing any information that looks like it fits. If you've seen anything similar, especially if it was something reallyreallyreally minor and easily treatable but just hard to diagnose (heh heh), please share. And if you've got no idea, well just send some good thoughts Ree's way.
Update on Thurs 3/18:
Well the pediatric dermatologist squeezed us in for a last-minute appointment tomorrow. So hopefully she'll take one look at it and know instantly what it is and, more importantly, how to fix it! I'm going to bring the info I wrote down in this post, as well as some of the suggestions you guys made, to the appointment, since I tend to get nervous around doctors and forget to mention important stuff.