What is Dyshidrotic Eczema?

Dyshidrotic eczema is a skin condition involving the hand and feet.  It’s cause is currently unknown and it can appear at all times of the year. Patches of very itchy blisters develop on the hands and feet which can be recurring or chronic.

This skin problem has a variety of names including the following: Dyshyirosis, Dyshidrotic dermatitis, acute vesiculobullous hand eczema, or just plain hand eczema. Because this type of skin conditions involves the formation of a bubble it has been referred to as pompholyx which is a vesicular eruption.

What individuals does hand eczema affect?

This is a problem that can affect people of all ages but primarily it is found in teenagers and adults. Dyshidrotic eczema is also much more prevalent in females as opposed to males.

Dyshidrotic Eczema Causes:

Dyshidrotic eczema generally occurs in individuals when they exhibit the following:

  • Stress and tension
  • Allergies are present such as hayfever
  • The skin is moist and in water a lot
  • Work in the cement industry or other industries that exposes their hands to chromium, cobalt, nickel

Dyshidrotic Eczema Symptoms

Small fluid-filled blisters referred to as vesicles show up on the fingers, hands, and feet. They are easily spotted along the edges of the fingers, toes, palms, and soles. They are accompanied by intense itching and scaly patches of skin affecting mainly the the epidermis. Flaking of the skindyshidrotic eczema normally accompanies this condition as they also become red, cracked, and painful.

Excess scratching develops into skin changes and skin thickening as well as the formation of large blisters which are painful.

Dyshidrotic Eczema Tests

Your doctor may be able to diagnose this condition by simply looking at your skin or by performing a skin biopsy or skin scraping for more severe cases or a fungal infection.

Dishydrotic eczema and Dyshidrosis Treatment

  • Individuals that constantly scratch tend to worsen their problems. Medications that are used to relieve symptoms include diphenhydramine (Benadryl) and loratiadine (such as Claritin).
  • Ointments and creams should be administered to the affected area at least two times per day, and after every hand washing.
  • Heavy ointments are best. Petroleum jelly (such as Vaseline), mineral oil or vegetable shortening are suggested.
  • Creams tend to be a better solution than skin lotions. Eucerin and Lubriderm have been know to be effective in battling dyshidrosis..
  • A physician could prescribe steroid (or corticosteroid) ointments creams, or other creams or ointments such as tacrolimus or pimecrolimus.
  • A physician could recommend other methods if there are severe complications:
  • Steroid pills
  • Coal tar preparations
  • Phototherapy (ultraviolet light therapy)

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References:

dishydrosis