$Unique_ID{BRK00537} $Pretitle{} $Title{Over Cautious About Blister?} $Subject{blister blister Skin bullae infections antibiotics hypertension excessive heat cold Poison Ivy oak sumac bullous disorders infection} $Volume{L-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Over Cautious About Blister? ------------------------------------------------------------------------------ QUESTION: My wife showed me a blister or two that had formed on her arm. They are not large or tender, and look like any ordinary blister that I have ever seen. I wanted to puncture them with a needle sterilized in a match flame, but she wouldn't let me, saying that they could be the sign of something serious. I don't need unnecessary medical bills. Is she being over cautious, or should I just perform my minor surgery? ------------------------------------------------------------------------------ ANSWER: Unless you can find a rational explanation for the formation of these blisters, your wife may be justified in her concern. Blisters (doctors call them "bullae") may result from many ordinary circumstances, such as a burn, or the irritation of a tight fitting shoe. When you know the cause to be a simple one, they are best left alone without your surgical assistance, for they break and heal in their own good time, as the tender skin beneath reforms. However, it is true that there are a number of other reasons that such lesions develop that require a bit more attention, and the examination and advice of your physician may truly be necessary. Certain drugs can cause eruptions of blisters, including medications used for arthritis, infections (antibiotics) and hypertension. Of course not every one develops these liquid filled bumps when taking the drugs, but it may happen in those who are particularly sensitive to medications. Exposure to excessive heat or cold or harsh chemical products may be the reason. Poison Ivy, oak, and sumac also produce similar lesions. In addition, there are several diseases that may be the cause of the problem, known as bullous disorders. Your best action is to take stock now and determine if there are any explanations, such as those I have given you, to explain the presence of the blisters. Are they changing or spreading, are any other symptoms developing such as fever and fatigue, or have other skin problems or rashes developed? If by now they have resolved, as I suspect they might, there never was any cause for alarm. If not, put your needle away; it is time to see your physician. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.