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» LymeNet Flash » Questions and Discussion » Medical Questions » Why would LLMD examine the palms of my hands

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Author Topic: Why would LLMD examine the palms of my hands
sutherngrl
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What would he be looking for by looking at the palms of my hands? He said he was looking for scaling or peeling?

Is this common in LD or maybe another TBI? Or maybe some other illness or deficiency of some sort? I haven't heard that much about this symptom.

Do many have this symptom and what infection is it related to?

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Keebler
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-
The skin on the palm side of my fingers was literally falling off when I first got lyme. Of course, then, I had no clue and neither did the doctors.

Still, the hands can tell many things. If your palms had been pale, that's an important sign to look further at the red blood cells, and check further for Babesia. Etc., etc., etc.
-

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sutherngrl
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Thanks Keebler, you are so full of knowledge!
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seekhelp
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My LLMD thought he could clinically diagnosis adrenal issues by looking at your palms. [Smile] A bit too much for me honestly.
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canefan17
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seek,

you can. If your fingers have longitudal wrinkles to them... that's a clear sign of adrenal fatigue.

But everybody with Lyme has this in some aspect. So I think every LLMD treats it accordingly.

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Carol in PA
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quote:
Originally posted by canefan17:

If your fingers have longitudal wrinkles to them... that's a clear sign of adrenal fatigue.

I have that.
Hmmm.

Carol

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cleo
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He might be looking for reactive arthritis (arthritis caused by infection) it comes with a rash on hands and feet.
http://www.arc.org.uk/arthinfo/patpubs/6034/6034.asp

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massman
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[Eek!] OMG !

You guys mean that that different parts of the body are connected ? [loco]

And related to each other ? [dizzy]

Like, "I'll look at your toes to tell you about your nose ?" [shake]

Tooooooooooooooooooo craaaaaaaaazy ! [cussing]

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Pinelady
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They made a song once about that. I remember that from first grade. Your xxxx bone connected to your

xxxx bone.... I believe there is a lot to this, just like the eye tests for neuro signs, which are

very telling. I am sure there is a lot yet to learn also.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

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djf2005
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Massman, you are quite amusing.

[lol] [bonk]

--------------------
"Experience is not what happens to you; it is what you do with what happens to you."

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randibear
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so how are you treating adrenal fatigue?

--------------------
do not look back when the only course is forward

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lymielauren28
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Well now ya'll have got me looking at my palms - I also have the longitudal wrinkles....

--------------------
"The only way out is through"

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feelfit
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me too!
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sutherngrl
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I have longitudal wrinkles too! Maybe those are just normal.

I am also noticing some pin prick size red dots on my palms. Do those mean anything? Seems like I remember reading about those somewhere.

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canefan17
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suthern,

Most likely we're all going to have symptoms of adrenal fatigue. That will be an on-going battle during treatment.

There just isn't a way around it. Even supporting them... it's still a war.

Sleep, diet, exercise, avoiding stress, minimizing herxing, taking supps everyday.... all these things have to be in place for the adrenals to recover.

Odds are your adrenals won't make a full recovery until Lyme has been put into hibernation.

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ping
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sutherngrl - Did your LLMD just look at your hands, or did he press down on either or both thumb side and pinky finger side? This is a quick way that they assess capillary return integrity; whether it's impaired and how severely.

--------------------
ping
"We are more than containers for Lyme"

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randibear
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i have them too. like when i get cold, my hands turn blue and look like i've been under water for a week.

old and wrinkly with deep long lines in my fingers and palms.

--------------------
do not look back when the only course is forward

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sutherngrl
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Ping, he did a neuro exam first, then he looked at my hands. Didn't press down on them though.
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MissPatient20
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I have a weird hand thing that I never think about...until you guys had me checking out my finger wrinkles lol...

On my thumbs and pointer finger, on the tip and where my fingerprint is supposed to be, there are horizontal red lines, like my fingers are cracking in some weird way. It's not dry skin though...it's rash almost...where instead of being raised it's actually indenting...

Weird. Anyone else have that?

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ping
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quote:
Originally posted by sutherngrl:
Ping, he did a neuro exam first, then he looked at my hands. Didn't press down on them though.

Interesting. My old LLMD also told me that the "meaty" portions of the palm sides, on little finger and thumb sides tend to be 'abnormally red' in pts with Lyme. He's said he's seen some that were almost 'cherry' red... He did also say what's been said in the posts above, that the skin striations of the fingers are a sign as well.

--------------------
ping
"We are more than containers for Lyme"

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TerryK
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Good to know ping. I have the cherry red palms. Also, swollen hands and despite edema, loose looking skin on the upper side. I saw a picture of someone else's hands at lymenet and they also had the loose looking skin on the topside of their hands.

Terry

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ping
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quote:
Originally posted by TerryK:
Good to know ping. I have the cherry red palms. Also, swollen hands and despite edema, loose looking skin on the upper side. I saw a picture of someone else's hands at lymenet and they also had the loose looking skin on the topside of their hands.

Terry

Now this is really getting interesting... The LLMD that I was quoting also said that TBD pts tend to have 'sagging skin, not indicative of their years', translation - We look old before our time. And he said it wasn't just the hands, it could be anywhere. He was finding many (unfortunately like me) with hanging skin on the arms; the kind cosmetic surgeons would correct doing a brachioplasty.

--------------------
ping
"We are more than containers for Lyme"

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ping
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quote:
Originally posted by Keebler:
-
I'm not sure about that "looking old before our time" thing. Sure, we may looked exhausted beyond belief but many of us actually look years younger. It may be all the anti-oxidants and lack of junk food, though.
-

Anything is possible ... Exhaustion, huh? Oh yeah, LOL! I unfortunately do have the underarm dangle... I just weat 3/4 sleeves and let them dangle.

--------------------
ping
"We are more than containers for Lyme"

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Keebler
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-
Ooops. I was editing my statement to try for better clarity and just decided to delete it (not knowing ping already picked up on it). So . . . back to the sagging skin . . . loss of collagen can cause that and lyme really attacks collagen.

I have both, younger looking face (maybe because of some swelling, though) - and I also have collagen issues (to put it more kindly).

I was not so much saying the doctor was wrong as it can be puzzling. I'm glad he knows about the collagen matters as a diagnostic tool.
-

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ping
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Oh yes, definitely agree. This was in a patient manual he issued in 2004. Very interesting.

--------------------
ping
"We are more than containers for Lyme"

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Elaine G
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Talk about sagging skin. Naw, don't want to talk about it. [toilet]
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randibear
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OMG!!! i have like baggy skin on the tops of my hands.

my sisters said i was dehydrated. but they look soooo old and i'm only 60!!

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do not look back when the only course is forward

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TerryK
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Actually, I've been told for years that I look a lot younger than I am. I haven't always had a lot of edema so I don't know if that's the reason for me.

Good point about the collagen keebler. I'm wildly speculating here but there is a genetic disease (Erhlos Danlos) that causes lack of or defect in type III collagen. Oddly, one of the symptoms is velvety smooth skin. Maybe whatever is happening with our collagen is similar and that is why our faces look so young?

Randibear - It is common for medical personell to look at the amount of loose skin on the top of the hand when evaluating a person's level of dehydration. A chiropractor once told me that my hands make me look dehydrated. I have a ton of edema so how can I be dehydrated? I think the body fluid does not stay where it belongs.

Terry

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Keebler
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-
"I think the body fluid does not stay where it belongs." (TerryK)

True, and it has also lost of of its "exit controls" !
-

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farraday
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This is very weird. I thought I was the exception, not the rule. Everyone thinks I am much younger than I am. My face is mostly unlined. I am 5 years older than my husband, but most people think I am much younger.

I have some edema in my legs/ankles, but my hands, too, have loose skin on top.

My Chinese doctor always examined my hands very carefully.

--------------------
DOCTOR: "I don't think you are sick."
PATIENT: "We are all entitled to our opinions. I don't think you are a doctor."

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lymielauren28
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Sutherngirl, the red pin prick dots are supposedly from Babesia - are you still treating that?

--------------------
"The only way out is through"

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lymielauren28
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Want to add that I look very young too. I'm almost 31 and most people think I'm in my early 20's and doing the college thing. Ha! I wish.

--------------------
"The only way out is through"

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canefan17
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Lyme eats away at collagen. Hence the wrinkled skin and old look.

Natural Vit D helps this. Get in the sun every day for 15-30 minutes.

A good diet can help as well.

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sutherngrl
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Hey Lauren! Girl I haven't treated babs in ages. I don't have too many babs symptoms. Or should I say not too many that are distinctly babs.

I only have 2 pin pricks on one hand and one on the other. Will keep an eye out to see if they increase.

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randibear
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well my face makes me look like early 50's and not 60. i use both day and night cream religiously

but i hate my hands.

--------------------
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Jason21
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He may indeed have been looking for scaling or peeling. I and several others with LD have had unexplained peeling on the palms of our hands.

Mine started with little, round, non-fluid "blisters" which would then connect and make larger peeling areas.

I went to a dermatologist who looked at my hands and knowingly said "it looks like eczema." I then said, "That just means I have a skin condition and you don't know what it is or what causes it, right?" He laughed and said I was right.

Once I went on abx for LD, the peeling went away. Voila!

--------------------
Igenex WB IgM 28+, 31IND, 34IND, 41+
WB IgG 30+, 31IND,39 IND, 41++++, 58+, 83-93IND
CD57 = 56
Prob infected since 2000
Doxy, Zith, Biaxin, Flagyl, Levaquin, Tindamax, Cipro
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lymielauren28
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Damn - I have eczema on my hands too - I've had this on and off since I was in my teens. I use lotion religiously but it doesn't help.

Terri - I hope you're doing better! This is a looong hard battle for all of us.

--------------------
"The only way out is through"

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Tincup
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LymieL said.. "Sutherngirl, the red pin prick dots are supposedly from Babesia - are you still treating that?"

Good for you! I was wondering if someone would catch that comment.

And they can also be looking for Ehrlichiosis and/or Rocky Mountain Spotted Fever.

If you all take pics and want to donate them to put together to help others... here is a site I've started. I'd love to have them!

Note wrinkled skin on hands photos.

http://picasaweb.google.com/AfterTheBite/Rashes#

[Big Grin]

--------------------
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ping
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Great pics, Tincup! I recognized at least one of those feet... Wonder where she is, haven't seen her post in a while.

I have the nodule on the index finger and the skin folds at the ankles. Gosh, the EM rashes look terrible!

How can anyone see these things and possibly think there's nothing wrong, or that it's "all in your head".... Everybody (Doubters) will get their turn. I know they will, but it's sure tough on the patients meanwhile.

--------------------
ping
"We are more than containers for Lyme"

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adamtedder
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I have noticed over the last month my skin on my fingers has started to get reddened and fingers very sensitive to both cold and heat on occasion. There are patches of what look like thickened skin with ridges and lines running thru it along the inside of some of the fingers and patches of dryness between my fingers now. It was mainly on the right hand and knuckles but has spread to the left hand a little.
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