Dyshidrotic Dermatitis - Causes, Symptoms & Treatment

Dyshidrotic dermatitis ( pompholyx ) is a form of hand eczema more common in women which starts on the sides of the fingers as itchy little bumps and then develops into a rash. Dyshidrotic Dermatitis causes involve genetic factors and stress. This condition goes by several different names - dyshidrotic eczema, dyshidrotic dermatitis, and pompholyx. Word dyshidrotic is used because it is felt that this condition is related to sweat glands, but this association has not been proven and pompholyx comes from the Greek word for bubble, which accurately describes this disorder. Dermatitis also develop Dyshidrotic Dermatitis. It can be seen that Dyshidrotic Dermatitis is just a form of atopic dermatitis on the feet and hand. Emotional stress does not cause it but can make the condition worse..

Dyshidrotic dermatitis may be caused by quinoline, chromate, nickel, or neomycin. Rash of dyshidrotic dermatitis occurs on the hands and feet. The majority of cases involve the palms and sides of the fingers, but the soles of the feet can also be involved. The rash looks like crops of clear, deep-seated, tapioca-like vesicles and is very itchy. The vesicles resolve in 3 to 4 weeks and are replaced by 1- to 3-mm rings of scale. Some medical conditions increase the risk of developing dyshidrotic dermatitis. This 43-year-old woman had asthma and later developed dyshidrotic dermatitis. One-third of the patients saw the dyshidrotic dermatitis on their hands clear after they received treatment for their athlete's foot. Having an infection in another part of the body may increase the risk.

Causes of Dyshidrotic Dermatitis

Common causes of Dyshidrotic Dermatitis

• Chromate.
• Neomycin.
• Quinoline.
• Nnickel.
• Genetic factors.
• Stress.

Symptoms of Dyshidrotic Dermatitis

Common Symptoms of Dyshidrotic Dermatitis

• Small blisters.
• Burning or itching.
• Inflamed skin (reddish and hot to the touch).
• Cracking.
• Sweat excessively.
• Oozing blisters and crusts.
• Nail changes(thicken and discolor).
• Peeling.

Treatment of Dyshidrotic Dermatitis

Common Treatment of Dyshidrotic Dermatitis

• Aluminum subacetate, or Burrow's Solution, is a drying soak that can be used if the lesions ooze.
• Large blisters can be drained by a health care provider.
• Antibiotics may be needed if the skin is broken and infection is suspected.
• High strength topical steroids are often used to control itching.
• Many cases may be treated with oral methotrexate.
• Aluminum chloride 20% (Drysol) may help in cases made worse by sweating.
• Avoid direct contact with turpentine, paint thinner and paints. Also polishes for furniture, metal, floors, and shoes. When using them, wear heavy duty gloves because they contain irritating solvents.
• Use only the prescribed medicines (ortisone ointments ) and lubricants such as Cutemol Emollient Cream .
• Wear waterproof gloves while peeling and squeezing lemons, oranges, or grapefruit, peeling potatoes, and handling tomatoes.

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