患者的年龄？其他部位还有吗？排除是手足口病了吗？

患者是大人还是小孩？ 若是小孩，要怀疑出疹性疾病或过敏；若是大人，像你叙述的情况，要询问其有没有脚气，根据你的叙述，我怀疑是脚气引起的感染； 自己拙见，等待回复，谢谢

右手最开始是否和左手的一样？ 怀疑是皮肤感染.

是成年人，在餐饮业工作，上次在我这看病就右手有，按湿疹输了两天液好了，不到一个月又复发了比上次厉害

请:handshake 上传图片

和工作环境有一定关系。

可能是热毒。现实痒后来有透明的小水泡。清热解毒。不吃辛辣

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可能是病毒感染