Dyshidrotic Eczema - Causes, Symptoms and Treatment
It is defined as - an irritation of the skin on the palms of hands and soles of the feet characterized by clear, deep blisters that itch and burn. Pompholyx is a common type of eczema affecting the hands and sometimes the feet. It is also known as dyshidrotic eczema or vesicular eczema.
Dyshidrotic eczema is a form of eczema, in which tiny blisters of serum form just below the skin's surface. Small, clear bubble-like vesicles appear in the affected area. It is a fiercely itchy, deep-seated, blistering rash.
Causes of Dyshidrotic Eczema:
Dyshidrotic eczema can affect people of any age but appears more commonly in men of age group between 20 to 50 years.
Some important causes of dyshidrotic eczema are as:-
- Atopic dermatitis, can be a cause for dyshidrotic eczema.
- Stress or Anxiety: Stress or Anxiety is another main cause for dyshidrotic eczema.
- The temperature changes, can also cause dyshidrotic eczema condition.
- Increased humidity in the atmosphere is also one of the cause of dyshidrotic eczema.
- Fungal infections elsewhere in the body can trigger Dyshidrotic Eczema in the hands.
- Metal implants, such as total hip replacements, may lead to dyshidrotic eczema.
- Genetic factors: Monozygotic twins have been affected simultaneously by dyshidrotic eczema.
- Some bacterial infections may also lead to the condition of dyshidrotic eczema.
- The family history of asthma , sinusitis , or hay fever, may also lead to the dyshidrotic eczema.
- Costume jewelry that often contains nickel may produce the skin infection.
- Dyshidrotic eczema, can also occur due to some skin infections.
Symptoms of Dyshidrotic Eczema:
Symptoms of dyshidrotic eczema include:
- Excessive sweating may be seen in the patient, who is suffering from dyshidrotic eczema.
- The nails may show signs of disfiguring when the area around it is involved.
- Intense itching at the site of the blistering.
- There will be tiny, deep-seated blisters on the affected area.
- The weeping and crusting skin lesions may occur in the patients.
- Crusting skin cuts.
- The affected skin areas get dry.
- Pain may occur with larger blisters.
- You may have the extreme feeling of itching in some chronic cases.
- Cracks and gaps in the skin are also very commonly seen in dyshidrotic eczema suffering patients.
- Small but deep rooted blisters can also be seen.
Treatment of Dyshidrotic Eczema:
Some important treatments for dyshidrotic eczema are as:-
- Immunosuppressants like Azathioprine, Methotrexate and even Cyclosporine can be used to get relief from pain and swelling.
- Topical Corticosteroids: Dyshidrotic eczema is mostly treated with potent topical corticosteroids combined with the frequent application of moisturizers.
- Oral anti-pruritics such as Atarax or Benadryl may alleviate itching.
- In some severe cases of dyshidrotic eczema oral prednisolone can be used in short courses.
- Corticosteroid creams and ointments play an important role in the treatment of this disorder.
- Chelating therapy may be introduce to remove itching.
- Light therapy (PUVA) is also very effective in the treatment of dyshidrotic eczema.