ALL YOU NEED TO KNOW ABOUT DYSHIDROSIS
What is Dyshidrosis?
Dyshidrosis, or otherwise known as Dyshidrotic eczema, is a chronic skin condition that appears as small, itchy blisters on the hands and feet, more common on the lateral sides of fingers and toes. It is common in young adults between the ages of 20 and 40 and is more frequent in women than men. Some cases resolve quickly, but others can persist for long periods.
Causes of Dyshidrosis
The exact cause for dyshidrotic eczema has not yet been identified, but it is hypothesized to have a genetic component. There are a variety of triggers causing the appearance of these lesions. Risk factors include:
- Having another type of eczema, such as atopic dermatitis
- Personal / family history of asthma, allergic rhinitis, eczema
- Nickel or cobalt allergies
- Medications (aspirin, birth control pills)
- Irritants or allergies to ingredients in the skincare products used
- Sweaty hands and/or feet
- Exposure to a lot of wet work such as washing dishes, laundry
- Occupations related to metalwork, mechanics
- Changes in weather
- Hot temperatures
Dyshidrotic eczema is not contagious. Flare-ups are often triggered by exposure to nickel, a very common metal. Stressful events and changes in weather are also typical triggers.
Dyshidrotic eczema appears as deep-seated blisters, or what we call vesicles, on the hands and feet. It is most commonly found on the sides of your fingers and toes but can also appear on the palms. Some vesicles group together to form larger blisters. It can be accompanied by intense itching and sometimes, a burning or prickly sensation. Scratching these itchy vesicles can create breaks in the skin and cause secondary bacterial infections with some swelling, redness, and crusting of the lesions.
Dyshidrotic eczema improves in a few weeks. As the blisters clear out, they can leave dark marks (post-inflammatory hyperpigmentation) on the skin. The skin can also appear to be dry and scaly.
Treatment and Management
There is no cure for dyshidrosis, but there are numerous treatment and management options.
- Topical corticosteroids - decrease inflammation and calm the red, inflamed skin
- Topical immunomodulators - keep the immune system from overreacting and producing more inflammation
- Oral antihistamines - address the itch
- Topical or Oral antibiotics - target the secondary bacterial infection, if present
- Topical or Oral antifungals - used if there is a concomitant fungal infection
- Systemic medications such as corticosteroid pills or systemic immunomodulators may be given for severe cases
- Dupilumab - a biologic that may be used in refractory cases
- Phototherapy – used for moderate cases that are not responsive to initial treatment with topical medications. Phototherapy helps reduce the inflammatory response of the skin.
- Botulinum toxin injections – decrease hand/feet sweating which can trigger dyshidrosis
- Proper skin care – includes using mild, hypoallergenic, fragrance-free soaps and moisturizers to protect the skin barrier
- Soaks and cool compresses – can help dry blisters
- Remove rings or any jewelry before washing hands
- Avoid scratching
- Manage stress
- Avoid allergens or irritants that trigger your skin
- Wear gloves. Use cotton gloves if your hands will stay dry throughout the day during work. When doing wet work, use cotton gloves under waterproof gloves or rubber gloves.
Unfortunately, there is no cure yet for dyshidrotic eczema. Lesions usually improve in about 2-3 weeks, but recurrence is highly possible due to its chronic nature. Triggers such as weather changes, stress, or any exposure to irritants may cause new lesions to appear. Some cases are recalcitrant and will need other forms of treatment to address the skin problem.
Dyshidrotic eczema is a constantly recurring skin disorder that can affect the quality of life of those who have it. It can cause emotional distress and problems with social interactions, which can be a debilitating experience. There are several treatment options for this skin condition; improvements will largely depend on treatment compliance. A visit to the dermatologist is recommended for proper treatment and prompt management. Remember that there is no “magic” treatment and that the rate of improvement differs from person to person.
To search for the best health providers for dermatology in Croatia, Germany, Greece, Italy, Malaysia, Singapore, Slovakia Spain, Thailand, The UAE, the UK, and the US, please use our free search engine.
To search for the best healthcare providers worldwide, please use the Mya Care search engine.
- Dyshidrotic eczema – Symptoms and causes | National Eczema Association. (n.d.). National Eczema Association; https://www.facebook.com/nationaleczema. Retrieved April 8, 2022, from https://nationaleczema.org/eczema/types-of-eczema/dyshidrotic-eczema/
- Dyshidrotic eczema Information | Mount Sinai - New York. (n.d.). Mount Sinai Health System. Retrieved April 8, 2022, from https://www.mountsinai.org/health-library/diseases-conditions/dyshidrotic-eczema
- Eczema types: Dyshidrotic eczema overview. (n.d.). American Academy of Dermatology. Retrieved April 8, 2022, from https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema
- Pompholyx (dyshidrotic eczema, vesicular hand eczema) | DermNet NZ. (n.d.). DermNet NZ – All about the Skin | DermNet NZ. Retrieved April 8, 2022, from https://dermnetnz.org/topics/vesicular-hand-dermatitis
Disclaimer: Please note that Mya Care does not provide medical advice, diagnosis, or treatment. The information provided is not intended to replace the care or advice of a qualified health care professional. The views expressed are personal views of the author and do not necessarily reflect the opinion of Mya Care. Always consult your doctor for all diagnoses, treatments, and cures for any diseases or conditions, as well as before changing your health care regimen. Do not reproduce, copy, reformat, publish, distribute, upload, post, transmit, transfer in any manner or sell any of the materials in this blog without prior written permission from myacare.com.
ARE YOU OVERDOING IT AFTER HYSTERECTOMY?
For most women, hysterectomy is a significant point in their lives. Whether the surgical removal of the uterus is done for endometriosis, fibroids, or gynecological cancer, life after hysterectomy permanently changes a few aspects of your life.
WHAT IS ROEMHELD SYNDROME?
Between the decades of 1910 and 1920, Dr. Ludwig Roemheld studied the phenomenon in which patients suffering from digestive problems and no detectable heart issues would experience cardiac symptoms.
PIRIFORMIS SYNDROME & HERNIATED DISC: SIMILARITIES AND DIFFERENCES
Piriformis syndrome and herniated discs are painful conditions of the back. Both can cause sciatica. Sciatica is a type of pain that affects your lower back and legs. It occurs due to irritated or compressed sciatic nerve. The sciatic nerve travels down the back to the legs.