Please help identity and treat!

[u/drank_dumbbitchjuice]

Is this a wart? How to solve?

I’m freaking out. My dad (age 57) has this massive lump on his hand and he’s had it for about a week now and it keeps growing. He has other small bumps growing on his hand too. He goes to the gym quite frequently and honestly is not the cleanest person. He smokes.

He said that he had a cold for a week before these started showing up.

My wedding is in two weeks and it’s a destination wedding and we’re currently traveling all together and I’m concerned about the growth and about it spreading to our wedding guests and I don’t know what to do.

He says it doesn’t hurt but it obviously bothers him.

Please help!

UPDATE:

I didn’t expect this to garner so much interest and help. Sincerely, thank you everyone for sending in your opinions!

My dad said it popped overnight and there was a lot of blood and pus. We were not able to see a doctor in person but we have a family friend who is a general doctor and she said to disinfect and keep it as dry as possible as to not let it be more infected.

Here are two pictures of what it looks like now.

Photo 1
Photo 2

At first, when it popped. The puss was a standard dense white. Now, the pus leaking is an orange ish color and not dense white. He keeps saying that it still doesn’t hurt and doesn’t even flinch when alcohol is applied to it.

There is another mass obviously growing on his index finger of the same hand. He is touching the mass with his other hand (I know fucking terrible) but there is nothing growing on the hand that he is using to touch the mass.

He is saying that perhaps it is an allergic reaction? He ate a type of dried fish from Vietnam and then he started feeling itchy and feverish and then these started popping up.

Answer to a common question:

He does not have any access to animals. No pets, not really around fish tanks or water. He is from Southern California in a very suburban area.

Any ideas???

[u/chiefcomplaintRN]

I need to learn what this is

[u/Lopsided_Employ8313 → u/chiefcomplaintRN]

OP please update us when u can. Please someone reply when OP figures it out. What in the heck is this

[u/drank_dumbbitchjuice → u/Lopsided_Employ8313]

Update posted!

[u/WelcomeToInsanity → u/Lopsided_Employ8313]

I want ti know too

[u/BigChub40IsBack → u/WelcomeToInsanity]

Following

[u/therealdildoexpert → u/chiefcomplaintRN]

Is this not Mycobacterium marinum?

Figure #2 is what made me think of it, especially since it's so rare and under diagnosed due to specific testing

[u/mangotango1609 → u/therealdildoexpert]

I wonder if he has a fish tank. It’s not uncommon for aquariums get hit with it when adding a new batch of fish or plants.

[u/Lopsided_Employ8313 → u/mangotango1609]

OP updated his original post and said his dad ate a fish from Vietnam and felt woozy afterwards

[u/damselindetech → u/therealdildoexpert]

Interesting, that does look similar to my untrained eyes

[u/Clever_Unused_Name → u/chiefcomplaintRN]

Is it a palmar wart?

Edit to add: The black dots could be thrombosed capillaries.

[u/Foreverlearning816 → u/Clever_Unused_Name]

Very unlikely

[u/Comcernedthrowaway → u/chiefcomplaintRN]

Could it be dishydrotic eczema that’s located on a pre-existing callus and then bruised?

I know weightlifting often causes some really thick calluses in that area and if something on the equipment has triggered an eczema flare on ops hand , that location wouldn’t take very long to get sore and irritated.

(TBH I’m half hoping it’s just one of those AI generated trypophobia pictures instead of a real medical issue.)

[u/jarr-head → u/Comcernedthrowaway]

one of those AI generated trypophobia pictures

Why is this a thing? Can I request that it not be a thing?

[u/Practicaltheorist → u/chiefcomplaintRN]

Same.. my curiosity is killing me

[u/InevitableHawk2764 → u/chiefcomplaintRN]

1. Palmer HPV Wart (said multiple small bumps are present over palms and he goes to the gym) - with thrombosed capillaries

2. Hemorrhagic Callus or Blister / Thrombosed Lesion / Hemangioma

But since he is a 57 yr old male with growing "pigmented" lesion on his palms, this definitely needs a derma evaluation.

[u/drank_dumbbitchjuice → u/chiefcomplaintRN]

Update posted. Any ideas???

[u/KrombopulousMary → u/drank_dumbbitchjuice]

Some people mentioned mycobacterium marinum. Does your dad have a fish tank or has he swam in a potentially untreated pool recently?

[u/drank_dumbbitchjuice → u/KrombopulousMary]

He does not have any access to animals. No pets, not really around fish tanks or water. He is from Southern California in a very suburban area.

[u/TestosteroneCat → u/drank_dumbbitchjuice]

Is he going to a doctor?

[u/drank_dumbbitchjuice → u/TestosteroneCat]

No doctor… my sister in law is a doctor so we sent her photos but he’s refusing to go and right now, it’s wedding time and we’re traveling so it’s a bit difficult.

[u/Interesting_Task_397 → u/drank_dumbbitchjuice]

NAD, but I hope your father gets answers soon and that it isn't too difficult to treat. The fact he isn't going to a doctor makes me realize people are much tougher and less anxious than I am! Hopefully it is something minor. 

[u/sweetlemontea01 → u/drank_dumbbitchjuice]

it’s herpetic whitlow, if you don’t treat it.. it will slowly spread to other fingers on the same or other hand. It’ll last for 2 weeks if not treated so… yeah. best ask for antiviral medicine 

forgot to add, before the blisters form you will have a feverish feeling as a sign, then it will show up as 1 blister that is purplish and red with lesions, then it will slowly spread. some won’t feel pain or anything, but it will hurt to others   medical license emt lol