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Dyshidrotic Eczema - Causes, Symptoms and Treatment

Definition:

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.
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