Itchy palms are often the result of common skin conditions, such as eczema. But they can also signal more severe underlying issues, for instance, liver disease.
According to superstition, itchy left and right palms are thought to foretell that a person will give away or receive some money.
However, in reality, a person’s palms may start to itch for a legitimate medical reason.
In this article, we cover six possible reasons for itchy palms:
hand eczema
allergic reactions
diabetes
reactions to medication
cirrhosis
nerve disorders
The article also discusses ways to relieve the itching sensation and help prevent it from returning.
Causes
Itching can be annoying regardless of where it occurs. It can be especially irritating on the hands, as this can interfere with daily tasks.
The following conditions are some of the more common causes of itchy palms.
Hand eczema
According to the National Eczema Association, around 1 in 10 people in the United States have hand eczema.
This noncontagious condition can cause itching palms, discolored skin, cracking, dryness, and sometimes blistering.
A subtype of hand eczema called dyshidrotic eczema causes a person to have small, itchy blisters, specifically on the hands and sometimes on the feet.
People most likely to have hand eczema include those who work in professions that expose the hands to excessive moisture or harsh chemicals. These professions include:
catering
cleaning
hairdressing
healthcare
auto repair
People with a family history of hand eczema are also at higher risk of the condition.
Allergic reactions
Sometimes, itchy palms result from repeated exposure to an irritant or chemical that eventually results in an allergic reaction. This is called contact dermatitis.
An allergic reaction may appear 24–48 hours after contact with an allergen.
Common allergens or irritants include:
metals, such as rings and other jewelry
perfumes
latex gloves
soaps
disinfectants
antiseptics or antibacterial substances
dust and soil
highly chlorinated water
It may take repeated exposure before the allergic reaction develops. This is because, after a few times, the body begins to release itch-causing histamines that irritate the skin.
Diabetes
When a person has diabetes, elevated blood sugar levels can cause dry skin that also feels itchy.
This itchy skin may appear with or without red or flesh-colored bumps on the palms and other areas of the body.
Reactions to medication
Sometimes, itchy palms develop as a result of something that a person has ingested, rather than something their hands have been in contact with.
When a person has a mild allergic reaction to a new medication, the histamine reactions in the body can cause itching.
The palms, in particular, can be itchy in these cases because histamines tend to collect in higher numbers in the hands and the feet.
A person should speak with their doctor before stopping a prescription medication unless symptoms are severe.
Cirrhosis
An autoimmune disorder called primary biliary cholangitis, or primary biliary cirrhosis (PBC), can cause itchy, blotchy palms.
PBC affects the bile ducts that connect the liver to the stomach. Bile that travels between these two organs builds up in the liver, causing damage and scarring.
In addition to itchy palms, a person with this disorder may experience:
blotchy palms
nausea
bone pain
diarrhea
dark urine
jaundice
PBC is more commonTrusted Source in women. There is no known cause.
A person with PBC can take a prescription medication called cholestyramine (Questran) to reduce itching symptoms.
Nerve disorders
Sometimes, nerve damage to the hands, resulting from conditions such as diabetes, can cause itchy palms.
Other dysfunctions of the hand nerves can have similar effects, including carpal tunnel syndrome.
In carpal tunnel syndrome, pressure on the median nerve in the hand causes numbness, weakness, itching, and pain in the hands. The itching or discomfort will usually start in the palms and most commonly occurs at night.
If someone thinks they have carpal tunnel syndrome, they should speak with their doctor. The doctor may recommend avoiding repetitive activity or wearing a wrist brace. In extreme cases, surgery can reduce pressure on the median nerves.
Diabetes and itching
People often link the effects of diabetes with itchiness of the palms and feet.
One 2021 study suggested that itching is a common symptom, affecting 35.8% of peopleTrusted Source with diabetes included in the study. Itching could be generalized or localized, often affecting the legs, torso, or scalp.
Diabetes can cause itchy skin in several ways:
Diabetic neuropathy, a type of nerve damage that people with diabetes might experience, can lead to damaged nerve fibers in the hands and feet. Before this damage occurs, the body releases inflammatory chemicals called cytokines that cause itching.
Complications of diabetes include liver and kidney failure, and both of these might cause itchy skin as a symptom.
A person might experience an allergic reaction to a new diabetes medication, causing itchiness.
If a person with diabetes experiences itchy skin, it is best to seek treatment as soon as possible. Irritated, itchy skin is more prone to infection, and diabetes reduces a person’s ability to fight infection if it occurs.
Treatment
Treatments will vary based on the underlying cause of itchy palms. Some recommended treatments include:
Cool, damp cloth
Placing a cool, damp cloth on the palms for 5–10 minutes can relieve the itching sensation. An ice pack may also be effective.
Topical steroids
Corticosteroids can reduce itching and redness on the palms during a flare-up. People can buy these over the counter or obtain them by prescription.
It is best to avoid using steroid creams too regularly, as they can cause thinning of the skin.
Moisturize often
Regularly moisturizing can help reduce itching. Keeping the moisturizer in the refrigerator can make this treatment even more effective.
When itching occurs due to eczema, moisturizing may be especially important after washing or when the hands feel particularly dry.
The National Eczema Association recommends a variety of moisturizing products, sunscreens, and household cleaners on its website.
Ultraviolet light therapy
People with hand eczema or severe irritation may respond to ultraviolet light therapies. Placing the hands under a special light that emits ultraviolet-A rays may help reduce symptoms.
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Prevention
If a person has a condition such as contact dermatitis or hand eczema, avoiding known triggers might help prevent a flare-up.
If the cause of the itching is unknown, it may be worth doing a patch test before using any new lotions or creams on the hands. A person can apply the product to a small area of skin and leave it on overnight to make sure it does not cause a reaction.
Other steps that can help prevent itchy palms include:
avoiding gloves made of synthetic fabrics, as cotton gloves may be gentler on the skin
washing the hands with lukewarm water and avoiding water that is too hot or cold
using fragrance-free soaps or cleansers to wash hands
applying a moisturizer immediately after drying the hands; those with higher oil contents are more likely to lock in moisture
wearing protective gloves when doing chores or working with chemicals or detergents; a person can wear cotton gloves inside latex gloves to prevent irritation from the latex
avoiding gel-based hand sanitizers, as these often contain high concentrations of drying alcohol
Outlook
Moisturizing the skin and avoiding irritants can help with most causes of itchy palms.
If someone experiences itchy palms and symptoms such as difficulty breathing, it is best to seek immediate medical attention. This could indicate a skin reaction that results in anaphylaxis.
If the cause of itchy palms is unknown, a person should speak with their doctor. A doctor can recommend the best course of treatment.
Summary
Itchy palms may occur due to eczema, allergic reactions, nerve disorders, or another cause.
People can speak with a doctor and identify potential triggers and other symptoms to learn the cause of their itchy hands.
Doctors may recommend lifestyle changes, such as moisturizing hands frequently, or prescribe treatments, such as corticosteroids, to help someone with itchy hands.
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