View Full Version : Painful red spots on my fingers

03-02-2011, 09:42 AM
Does anyone else get this: I get these red spots on my fingers they start off little and they get bigger and are very painful to touch then after a fewdays the go away. Sometimes there are just a couple then other times there are alot. When you touch them they hurt like a burn and you can tell they are just under thee skin.

03-02-2011, 10:02 AM
There are so many skin conditions with Lupus that it is very difficult to say what your may be. You may be suffering from Lupus Vasculitis. This is an inflammation of blood vessels and may affect both arteries and veins. Fortunatedly it is a rare complication, but its symptoms can range from minor to life-threatening. Vasculitis can affect both large and small blood vessels. If small vessels are involved, patients may present with raised red or purplish skin lesions on the fingertips, forearms, elbows, and toes. These result from inflammation of the very tiny blood vessels at the periphery. Sometimes there are tiny "splinter" hemorrhages called infarcts at the nailfold or small nodules felt just under the skin. Livido reticularis is a mottled red and blue area which can be associated with vasculitis. Another skin sign which may indicate vasculitis is urticaria, commonly known as hives, which are slightly elevated patches redder or paler than the surrounding skin which may be very itchy.

Or,this may be herpetic whitlow. Herpetic whitlow is caused by HSV type 1 and may be present for a certain period of time. It may persist and recur given the right triggers (such as stress) (http://forum.wehavelupus.com/), certain activities and extreme temperatures. Herpetic lesions are burning and tingling in character and
readily disappear without scarring.

Although it is a self-limited illness, topical antivirals, such s acyclovir, have been shown to be effective in decreasing the duration of symptoms. Sometimes, lancing can make it worse by causing a superinfection or even encephalitis.

It might be a good idea to have this looked at by your doctor and/or an infectious disease specialist to find out exactly what it is and to start treatment. I wish you the very best.

Peace and Blessings

03-02-2011, 10:56 AM
hi michelefish,

sorry i can't give you any advice, my hands will get really red, and sometimes i get little red bumps under the skin, but they never hurt.

I agree with saysusie, you might be able to get a cream that will help with the symptoms. I have found that my struggle with lupus includes having a medicine cabinet full of stuff for different symptoms.

take care, and hope you can find a solution really soon.

03-02-2011, 11:30 AM
Like saysusie said the spots could be vasculitis, I just recently started having this problem in my feet. For me the spots themselves didnt hurt to touch but my entire foot was in a lot of pain from being swollen. If they dont go away I'd call the doctor just to see what they have to say. Hope you find some relief for them.

03-08-2011, 07:46 PM
Hi Michelefish,
In August of 2010 I noticed these red bumps on the sides of my upper thighs. The were red, got bigger and and more blotchly. They itched very little and were only slightly tender to the touch. I waited and hoped they would go away but they didn't. I saw my rheumy 2 months ago (yes, I waited that long) and she gave me a steroid cream that has started to make those blotchy red spots go away.

In the meantime, however, on my hands appeared red bumps that are EXACTLY as you describe them: "start off little, get bigger, very painful to touch and after a few days go away" Also, EXACTLY as you, sometimes there are a few and other times there are many. They hurt like hell and feel like they are just under the skin. My rheumy said it might me a lupus rash but offered no treatment. I have thought about applying the steroid cream I received for my other rash on the bumps but have not done so yet.

Thank you Saysusie for the information you provided. After reading your post, the point about vasculitis makes PERFECT sense to me. I'll tell you why, I have been in the hospital twice for vasculitis of the brain. Like you said, "symptoms can range from minor to life-threatening". I had swelling in the brain...not good!!

Michelefish, I hope that you find some relief from these bumps. Thank you for your post because it let me know that I am not the only one with these painful little suckers!!

Much love,

03-08-2011, 08:45 PM
I am so glad to find someone else with these darn painful bumps this time I also got one bad on my scalp at the same time so maybe it is a lupus rash. Thanks so much for your info take care

hugs michele