Dyshidrotic eczema

Dyshidrotic eczema is a common group of skin issues where the skin could not protect itself normally, thus the individual ends up with dry and itchy skin. It also causes the development of small-sized, deep blisters, usually on the hands. It is also possible for these blisters to develop on the feet.

Once the blisters clear up, usually in 2-3 weeks, the skin becomes dry, reddened and cracked.

Even today, there is no cure for dyshidrotic eczema, thus an individual can experience flare-ups. These flare-ups typically occur if under stress, increased temperatures or hands are wet for extended periods of time. The flare-ups can range from minor to debilitating. A severe flare-up on the feet can make walking difficult.

What are the indications of dyshidrotic eczema?

The disease usually occurs abruptly. In most instances, the initial indication includes deep blisters on the hands. Some feel an itchy or burning sensation before the appearance of the blisters.

  • Small-sized blisters that vary in size on the sides of the fingers and palms.
  • Excessive sweating on the area with blisters
    Dyshidrotic eczema

    Small-sized blisters that vary in size on the sides of the fingers and palms.

  • Rash and scale-like skin
  • Pain in the area with blisters
  • Burning or itchiness on the blistered skin

It is important to note that these blisters typically settle in 2-3 weeks or earlier with treatment. As the blisters clear up, the skin is often dry and cracked or even peel.

Management

The treatment is usually based on the signs and symptoms experienced by the individual. The individual should follow the treatment regimen which might include the following:

  • Cool compress or soaks are used 2-4 times throughout the day are effective in drying the blisters. These can be applied for 15 minutes at a time. After every compress or soak, you should apply a medicated cream or ointment.
  • Corticosteroids are applied on the skin to reduce the inflammation and promote the clearing of the blisters.
  • Anti-itch medications such as an antihistamine can minimize scratching.
  • Pramoxine in lotion or cream form can alleviate the pain and itchiness.
  • A moisturizer or barrier repair cream can be recommended to minimize the dryness and flare-ups of dyshidrotic eczema. These should be applied after every bath, shower and hand washing.
  • Medications for infection can be given after the doctor determines the type of infection present.
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