Doctor insights on:
Dyshidrotic Eczematous Dermatitis
I believe I have pompholyx or dyshidrotic eczema (dyshidrotic dermatitis), probably the latter. How can I treat this?
Dishidrotic eczema: In dyshidrotic eczema, typical first-line treatment includes high-strength topical steroids and cold compresses. Short courses of oral steroids are the second line of treatment for acute flares, and other immunosuppressants have also been tried. Corticosteroids are cornerstones of topical therapy. Guidelines have been established by the national institute of clinical evidence. ...Read moreSee 2 more doctor answers
Could you be affected by 2 different types of eczema at the same time? Say Dyshidrotic Eczema and Atopic Dermatitis?
I am 37 and have had dyshidrotic and regular eczema since i was 18. But i suddenly broke out in a red bumpy rash around my torso and tops of my legs.
Scaly mildly itchy rash at side of fingers for 2-3 years(only at fingers-no irritant involv)no luck with antifungal tx.Dyshidrotic eczema or infection?
Contact/irritant: If you have dry skin, you will need to use a thick moisturizer after washing your hands whenever possible. Wear vinyl glove when washing dishes or anything else. Avoid scented soap of any kind. After washing hands before going to bed, apply some moisturizer on the hands and wear non-latex gloves overnight. Consider getting patch testing to find out whether contact allergen plays a role. ...Read more
Etiology unknown: Dyshidrotic eczema usually occurs on the palms and soles. We don't know why some people are at risk. But there are identifiable triggers. These include recurrent exposure to chemical or mechanical irritants like frequent hand scrubbing or washing, as well as irritating chemicals and certain allergenic metals like nickel. Steroid creams & avoiding irritants are the first choice treatments. ...Read moreSee 1 more doctor answer
The itchy blisters: Also known as pomphylix, is an intensely itchy that can be acute, chronic, or recurrent dermatosis of the fingers, palms, and soles, frequently with sudden onset of many deep-seated itchy, clear vesicles; later, scaling, fissures which can cause pain. It is diffult to treat and often requires potent steroids. There are other treatments. Consult doc/dermatologist for eval. Good luck. ...Read more
Location: Eczema is a broad term used to describe a group of conditions characterized by dry sensitive skin. It include atopic dermatitis (usually starting in childhood associated with allergies), xerotic eczema (winter's itch), and others. Dyshidrotic eczema specifically denotes eczema on the hands. Patients have tiny tapioca pudding like blisters on the sides of the palms and fingers. ...Read more
Topical Steroids: Dyshidrotic eczema that is unresponsive to general skin care measures is treated with higher potency topical corticosteroids like triamcinolone 0.5% ointment (group 3). Used twice per day while the rash is present then stop when it resolves. Avoid irritants, continue extensive skin hygiene measures, and encourage daily moisturization with products like Vanicream. ...Read more
Cause unknown: Cause likely multifactorial. Characterized by sudden eruption of itchy vesicles on palms, soles, lateral aspects of the fingers. Vesicles persist for weeks, dry out, then resolve with skin peeling. Episodes may recur every 3-4 weeks for months/years. Daily moisturzation, avoid irritants/allergens, or exacerbating factors. Reduce stress. If unresponsive, high potency topical steroids are effective. ...Read moreSee 1 more doctor answer