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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
Yes you can: Keep in mind it is a "strong" steroid prescription medication so use it sparingly and do not use it for weeks upon end. A good plan would be to use it for 2 weeks, then off 2 weeks. It can discolor or thin the skin out or cause striae if used too much. Also avoid using it in certain areas like the face or the inguinal area where the skin is very thin. ...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
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
Dyshidrotic Eczema is not linked to Asthma. Only Atopic Eczema is linked to Asthma( hence the term "Atopic March")
Is this correct?
Yes that's correct: atopic march explains natural history of allergy progression in atopic individuals, while dyshidrotic eczema is different usually has no known cause, and treatment is different, but an individual can have the condition and have asthma too as two separate conditions not necessarily linked ...Read moreSee 1 more doctor answer
Rash: There are many things that can cause a rash on your hands. Excessive washing, dry skin not having enough lotion / cremes placed, allergic reaction .... are several causes. It is difficult to diagnose skin problems without visualizing and closely examining the skin. Please arrange a physician evaluation. Good luck. ...Read more
Only atopic eczema increases the chances for asthma right? If i only have dyshidrotic eczema, i wont get asthma right?
Relax: Your age is listed as 18 years. If you have not developed symptomatic asthma by now the chances of it happening are minimal.Asthma comes in a broad spectrum of expressions, from a mild cough variant form to those that require multiple medications and occasional hospital care. Males with significant asthma will generally present with problems by a year of age. ...Read moreSee 2 more doctor answers
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