Dyshidrotic Eczema

Overview

Dyshidrotic eczema is a form of hand eczema with itching and burning micro blisters on the hands and sometimes feet.   It is common and young adults it may be associated with hand and foot sweating or a history of eczema.

Causes

Multiple factors may contribute to flares including underlying genetic tendency and contact with irritants such as soaps, water, and friction.   It may also rarely be seen as a result of a contact allergy such as to nickel or as an ID reaction (a response to a fungal infection at another location).

Treatment

Treatment involves addressing any underlying aggravating factors  such as the irritating effects of water or detergents. General home measures for mild cases include using cold pack, soothing emollient creams, wearing gloves during wetwork, and even attempting antiperspirant on palms to improve sweating.  In the office we will evaluate by history the possibility of an allergic contact dermatitis or any secondary infection with staph strep. Potent topical steroids may alleviate the itching and inflammation. Occasionally oral treatment with steroids may help in refractory cases.  Periodic exacerbation may occur so avoiding triggers is important to reduce the frequency of flares.

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