What is a Blister?
A blister is a small pocket of fluid that forms in the upper layers of the skin. It usually develops due to friction, heat, chemical exposure, or certain medical conditions.
Causes
- Friction: Commonly from shoes or tools rubbing against the skin.
- Burns: Including sunburns, scalds, or contact burns - Spenco 2nd Skin Moist Burn Pads
- Cold injuries: Such as frostbite.
- Allergic reactions or irritants
- Infections: Herpes simplex, chickenpox, impetigo, athlete’s foot.
- Autoimmune conditions: Bullous pemphigoid, pemphigus vulgaris.
- Systemic diseases: Diabetes, vascular insufficiency.
Common Locations
- Feet and toes: Often from ill-fitting footwear.
- Hands and fingers: Due to manual labor or sports.
- Other body areas: Associated with burns, dermatitis, or infections.
Signs & Symptoms
- Localized swelling filled with clear fluid (serum).
- Redness, tenderness, or burning sensation.
- Infected blisters may show pus, warmth, and surrounding redness.
Treatment
Do Not Pop Intact Blisters
- The blister roof protects from infection.
Small or Non-Painful Blisters
- Leave intact and protect with a clean bandage.
Large or Painful Blisters
- May be drained using sterile technique:
- Clean with antiseptic.
- Use a sterile needle to puncture the edge.
- Leave the overlying skin intact.
- Apply antibiotic ointment and a dressing.
Infected Blisters
- Require medical evaluation.
- May need oral or topical antibiotics.
Prevention Tips
When to See a Doctor
- Signs of infection: redness, pus, increasing pain.
- Blisters from burns, frostbite, or medical conditions.
- Frequent or unexplained blistering.