Wyprysk dyshidrotyczny
Charakterystyka, pielęgnacja i opieka

Wyprysk dyshidrotyczny (pompholyx) to przewlekła, nawracająca dermatoza charakteryzująca się powstawaniem intensywnie świądzących, wypełnionych płynem pęcherzyków na brzegach palców, dłoniach i podeszwach stóp. Typowy przebieg obejmuje epizody trwające 2-3 tygodnie z możliwymi nawrotami. Występuje częściej u kobiet w wieku 20-40 lat, szczególnie u osób z atopią lub kontaktowym zapaleniem skóry. Czynniki wyzwalające to m.in. kontakt z metalami (nikiel, kobalt), stres, zmiany pogodowe, nadmierna potliwość, infekcje grzybicze oraz ekspozycja na detergenty i chemikalia. Diagnostyka opiera się na obrazie klinicznym, wywiadzie oraz testach płatkowych i mikologicznych w razie potrzeby. W ciężkich przypadkach należy różnicować z innymi dermatozami, takimi jak łuszczyca czy grzybica.

Wyprysk dyshidrotyczny (pompholyx) – definicja i charakterystyka

Wyprysk dyshidrotyczny (pompholyx, egzema dyshidrotyczna) to przewlekły, nawracający typ wyprysku charakteryzujący się powstawaniem intensywnie swędzących, wypełnionych płynem pęcherzyków, które występują głównie na brzegach palców, dłoniach i podeszwach stóp.12 Nazwa „pompholyx” pochodzi z języka greckiego i oznacza „bąbel” lub „pęcherzyk”.3 Schorzenie to charakteryzuje się ostrymi epizodami, które mogą trwać kilka tygodni, a następnie ustępować, jednak często nawraca i może mieć charakter przewlekły.4

Wyprysk dyshidrotyczny objawia się tworzeniem małych, głęboko osadzonych pęcherzyków, które mogą być bolesne i powodować intensywny świąd. Pęcherzyki te mogą być pojedyncze lub zlewać się, tworząc większe struktury.5 Stan ten może dotyczyć również fałdów paznokciowych i skóry wokół paznokci, powodując obrzęk (zanokcica).6 Po ustąpieniu pęcherzyków skóra często pozostaje sucha, popękana i może się łuszczyć.7

Epidemiologia i czynniki ryzyka

Wyprysk dyshidrotyczny najczęściej dotyka osoby w wieku 20-40 lat, przy czym częściej występuje u kobiet. Osoby z osobistym lub rodzinnym wywiadem w kierunku egzemy lub kontaktowego zapalenia skóry są bardziej podatne na rozwój tej choroby.8 Choroba może znacząco wpływać na jakość życia pacjentów ze względu na lokalizację zmian, które utrudniają codzienne czynności.9

Etiologia i czynniki wyzwalające wyprysk dyshidrotyczny

Dokładna przyczyna wyprysku dyshidrotycznego nie jest w pełni poznana, jednak zidentyfikowano liczne czynniki, które mogą wyzwalać lub zaostrzać objawy. Aktywacja układu immunologicznego w odpowiedzi na drobne czynniki drażniące lub alergeny jest jednym z głównych mechanizmów patofizjologicznych.10

Najczęstsze czynniki wyzwalające

Identyfikacja i unikanie indywidualnych czynników wyzwalających jest kluczowym elementem długoterminowego leczenia i zapobiegania nawrotom.20

Objawy kliniczne wyprysku dyshidrotycznego

Wyprysk dyshidrotyczny charakteryzuje się specyficznymi objawami klinicznymi, które pomagają w postawieniu diagnozy. Główne objawy to:2122

  • Małe, napięte pęcherzyki na bocznych powierzchniach palców, dłoniach i podeszwach stóp
  • Intensywny świąd i pieczenie skóry
  • Bolesność pęcherzyków
  • Zwiększona potliwość wokół zmian
  • Sucha, popękana skóra po ustąpieniu pęcherzyków
  • Możliwe występowanie obrzęku tkanek

W ciężkich przypadkach pęcherzyki mogą się zlewać, tworząc większe zmiany pęcherzowe, a nawet prowadzić do ograniczenia sprawności ruchowej dłoni i stóp.23 Typowy przebieg choroby to nawracające zaostrzenia trwające od 2 do 3 tygodni, po których następuje poprawa, ale bez odpowiedniego leczenia objawy mogą utrzymywać się dłużej lub nawracać częściej.24

Możliwe powikłania

Jeśli skóra jest popękana lub pęcherzyki pękają, istnieje ryzyko wtórnej infekcji bakteryjnej. Objawy infekcji obejmują zwiększone zaczerwienienie, obrzęk, bolesność, wyciek ropny oraz możliwe żółte strupki.25 Długotrwałe drapanie może prowadzić do pogrubienia i stwardnienia skóry (lichenifikacja), co utrudnia leczenie.26

Diagnostyka wyprysku dyshidrotycznego

Diagnostyka wyprysku dyshidrotycznego opiera się głównie na badaniu klinicznym i dokładnym wywiadzie z pacjentem. Typowy obraz kliniczny zwykle pozwala na postawienie diagnozy bez konieczności wykonywania dodatkowych badań.27

Metody diagnostyczne

  • Dokładne badanie fizykalne skóry dłoni i stóp
  • Szczegółowy wywiad medyczny, w tym pytania o czynniki wyzwalające i historię atopii
  • Testy płatkowe w przypadku podejrzenia alergii kontaktowej, szczególnie na nikiel lub kobalt2829
  • Biopsja skóry – rzadko wykonywana, zwykle w przypadkach opornych na leczenie lub gdy diagnoza jest niepewna30
  • Badania mikologiczne w celu wykluczenia infekcji grzybiczej31

Diagnoza różnicowa powinna uwzględniać inne schorzenia skórne, takie jak kontaktowe zapalenie skóry, grzybica stóp i dłoni, łuszczyca dłoni i stóp, czy reakcje typu id (reakcje wypryskowe na odległych obszarach skóry).32

Leczenie wyprysku dyshidrotycznego w praktyce pielęgniarskiej

Leczenie wyprysku dyshidrotycznego wymaga kompleksowego podejścia obejmującego zarówno leczenie farmakologiczne, jak i metody niefarmakologiczne. Plan leczenia powinien być dostosowany do nasilenia objawów i indywidualnych potrzeb pacjenta.3334

Leczenie miejscowe

  • Emolienty (preparaty nawilżające) – podstawa leczenia, stosowane codziennie w celu zapobiegania wysuszeniu skóry i jako substytut mydła3536
  • Miejscowe kortykosteroidy – stosowane w celu zmniejszenia stanu zapalnego i świądu; siła preparatu powinna być dostosowana do nasilenia objawów37
  • Inhibitory kalcyneuryny (takrolimus, pimekrolimus) – alternatywa dla kortykosteroidów, szczególnie przydatna przy długotrwałym leczeniu3839
  • Okłady i kompresy – okłady z roztworu octanu glinu lub nadmanganianu potasu (1:10 000) mogą pomóc w osuszeniu pęcherzyków i zmniejszeniu ryzyka infekcji4041

Leczenie ogólnoustrojowe

W przypadku ciężkiego lub opornego na leczenie miejscowe wyprysku dyshidrotycznego można zastosować:4243

  • Doustne kortykosteroidy – krótkotrwałe kuracje w ciężkich zaostrzeniach
  • Antyhistaminiki – mogą zmniejszyć świąd i poprawić jakość snu
  • Leki immunosupresyjne (cyklosporyna, metotreksat, azatiopryna) – w przypadkach opornych na standardowe leczenie
  • Alitretynoina – doustny retinoid stosowany w ciężkim, przewlekłym wyprysku rąk
  • Antybiotyki – w przypadku wtórnego zakażenia bakteryjnego
  • Dupilumab – biologiczny lek stosowany w ciężkich przypadkach opornych na inne metody leczenia44

Fototerapia

Fototerapia może być skuteczną opcją leczenia dla pacjentów z uporczywym wypryskem dyshidrotycznym. Stosowane metody to:4546

Pielęgnacja i opieka pielęgniarska w wyprysku dyshidrotycznym

Odpowiednia pielęgnacja skóry jest kluczowym elementem kompleksowego leczenia wyprysku dyshidrotycznego. Personel pielęgniarski odgrywa istotną rolę w edukacji pacjentów i wdrażaniu właściwych praktyk pielęgnacyjnych.47

Codzienna pielęgnacja skóry

  • Mycie – używać letniej (nie gorącej ani zimnej) wody i delikatnych, bezzapachowych środków myjących zamiast zwykłego mydła48
  • Nawilżanie – stosować emolienty kilka razy dziennie, szczególnie po umyciu rąk/stóp; kremy i maści są bardziej skuteczne niż lotiony49
  • Suszenie – dokładnie osuszać skórę po umyciu, delikatnie dotykając ręcznikiem, nie trzeć50
  • Ochrona – nosić rękawiczki ochronne (najlepiej z bawełnianą wyściółką) podczas kontaktu z detergentami, chemikaliami i rozpuszczalnikami51

Postępowanie w zaostrzeniach

W przypadku zaostrzenia objawów personel pielęgniarski powinien wdrożyć następujące interwencje:5253

  • Stosowanie zimnych kompresów na zmiany skórne 2-4 razy dziennie przez 15 minut
  • Aplikowanie przepisanych leków miejscowych zgodnie z zaleceniami
  • Bandażowanie lub opatrunki na dłonie/stopy dla ochrony skóry i zwiększenia wchłaniania leków
  • Monitorowanie pod kątem objawów infekcji (zwiększone zaczerwienienie, obrzęk, ropna wydzielina)
  • W przypadku dużych pęcherzy, mogą one być aseptycznie drenowane (przez lekarza) w celu zmniejszenia bólu54

Edukacja pacjenta

Edukacja pacjenta jest kluczowym elementem opieki pielęgniarskiej w wyprysku dyshidrotycznym. Powinna obejmować:5556

  • Informacje o przewlekłym charakterze choroby i możliwości nawrotów
  • Identyfikację i unikanie indywidualnych czynników wyzwalających
  • Prawidłowe techniki aplikacji leków miejscowych
  • Znaczenie regularnego stosowania emolientów
  • Informacje o konieczności unikania drapania i przekłuwania pęcherzyków
  • Techniki radzenia sobie ze stresem jako potencjalnym czynnikiem wyzwalającym
  • Rozpoznawanie objawów infekcji wymagających konsultacji medycznej

Zapobieganie nawrotom wyprysku dyshidrotycznego

Wyprysk dyshidrotyczny ma tendencję do nawracania, dlatego ważne jest wdrożenie strategii zapobiegających zaostrzeniom. Personel pielęgniarski powinien edukować pacjentów w zakresie:5758

Metody zapobiegania nawrotom

  • Identyfikacja i unikanie czynników wyzwalających – prowadzenie dziennika w celu śledzenia potencjalnych czynników wywołujących zaostrzenia59
  • Odpowiednia higiena rąk i stóp – używanie delikatnych środków myjących i letniej wody60
  • Regularne nawilżanie skóry – stosowanie emolientów nawet po ustąpieniu objawów61
  • Ochrona skóry – noszenie odpowiednich rękawiczek i obuwia62
  • Zarządzanie stresem – techniki relaksacyjne, medytacja, głębokie oddychanie63
  • Unikanie ekstremalnych warunków pogodowych – zarówno wysokiej, jak i niskiej temperatury64

Kiedy skontaktować się z lekarzem

Pacjenci powinni być poinformowani o sytuacjach wymagających konsultacji medycznej:6566

  • Gdy objawy nie ustępują po zastosowaniu zalecanych metod leczenia domowego
  • W przypadku objawów infekcji (zwiększona bolesność, zaczerwienienie, ciepło, gorączka)
  • Gdy wyprysk znacząco utrudnia codzienne funkcjonowanie
  • W przypadku nasilenia się zmian skórnych lub pojawienia się nowych objawów
  • Gdy wyprysk powraca często mimo stosowania się do zaleceń

Specjalne aspekty opieki pielęgniarskiej w wyprysku dyshidrotycznym

W opiece nad pacjentami z wypryskem dyshidrotycznym należy zwrócić uwagę na kilka specjalnych aspektów, które mogą znacząco poprawić jakość życia pacjenta i efektywność leczenia.67

Wpływ na jakość życia i aspekty psychologiczne

Wyprysk dyshidrotyczny może znacząco wpływać na jakość życia i stan psychiczny pacjentów ze względu na:6869

  • Lokalizację zmian na dłoniach i stopach, które są widoczne i niezbędne do codziennego funkcjonowania
  • Intensywny świąd, który może zaburzać sen i koncentrację
  • Trudności w wykonywaniu codziennych czynności, takich jak przygotowywanie posiłków, pisanie czy chodzenie
  • Poczucie dyskomfortu w sytuacjach społecznych
  • Stres związany z przewlekłym charakterem choroby i nawrotami

Personel pielęgniarski powinien uwzględniać te aspekty w opiece, oferując wsparcie psychologiczne, pomoc w radzeniu sobie ze stresem oraz kierując pacjenta do specjalistów (np. psychologa) w razie potrzeby.70

Wyzwania zawodowe dla personelu medycznego z wypryskem dyshidrotycznym

Personel medyczny, w tym pielęgniarki i pielęgniarze z wyprykiem dyshidrotycznym, stoi przed szczególnymi wyzwaniami ze względu na:71

  • Częste mycie rąk wymagane w środowisku medycznym
  • Konieczność noszenia rękawiczek przez długi czas
  • Ekspozycję na środki dezynfekujące i inne potencjalne czynniki drażniące

Strategie pomocne dla personelu medycznego z wyprykiem dyshidrotycznym obejmują:72

  • Informowanie przełożonych o schorzeniu i dokumentowanie go w aktach osobowych
  • Używanie łagodnych środków myjących do rąk
  • Stosowanie kremów ochronnych przed założeniem rękawiczek
  • Regularne aplikowanie emolientów w przerwach między procedurami
  • Posiadanie planu postępowania w przypadku zaostrzenia objawów
  • Używanie bawełnianych rękawiczek na noc po namoczeniu rąk i aplikacji kremu

Nowoczesne podejścia terapeutyczne w leczeniu wyprysku dyshidrotycznego

W ostatnich latach pojawiło się kilka nowych opcji terapeutycznych dla pacjentów z opornym na standardowe leczenie wyprykiem dyshidrotycznym:7374

Leki biologiczne

  • Dupilumab – inhibitor interleukiny-4 i interleukiny-13, wykazujący obiecujące wyniki w leczeniu opornego wyprysku dyshidrotycznego75
  • Inne leki biologiczne – badane są również inne celowane terapie biologiczne76

Inne innowacyjne terapie

  • Iniekcje toksyny botulinowej – mogą pomóc w redukcji nadmiernej potliwości, która jest czynnikiem wyzwalającym wyprysk dyshidrotyczny7778
  • Chelatory niklu (np. disulfiram) – dla pacjentów z udokumentowaną alergią na nikiel79
  • Specjalistyczne opatrunki hydrokoloidowe – mogą przyspieszać gojenie bolesnych pęknięć skóry80

Personel pielęgniarski powinien być zaznajomiony z tymi nowymi metodami, aby móc odpowiednio edukować pacjentów i współpracować z lekarzami w zarządzaniu kompleksowym leczeniem.81

Praktyczne wskazówki dla personelu pielęgniarskiego

Opieka nad pacjentem z wyprykiem dyshidrotycznym wymaga kompleksowego podejścia. Oto najważniejsze praktyczne wskazówki dla personelu pielęgniarskiego:8283

Kluczowe interwencje pielęgniarskie

  • Dokładna ocena stanu skóry pacjenta przy każdej wizycie
  • Monitorowanie skuteczności leczenia i występowania działań niepożądanych
  • Demonstracja prawidłowych technik aplikacji leków miejscowych
  • Edukacja w zakresie pielęgnacji skóry i unikania czynników wyzwalających
  • Wsparcie w radzeniu sobie z przewlekłym charakterem choroby
  • Współpraca z lekarzami dermatologami w przypadku opornych na leczenie zmian
  • Pomoc w identyfikacji i dokumentowaniu czynników wyzwalających u danego pacjenta
  • Edukacja dotycząca rozpoznawania objawów infekcji i konieczności szybkiego wdrożenia leczenia

Pacjenci z wyprykiem dyshidrotycznym wymagają cierpliwości i systematycznego podejścia ze strony personelu medycznego. Często konieczne jest wypróbowanie różnych metod leczenia, zanim znajdzie się skuteczną kombinację dla danego pacjenta.84

Należy podkreślić, że wyprysk dyshidrotyczny może być chorobą długoterminową, z okresami zaostrzeń i remisji. Kluczowe jest więc budowanie dobrej relacji terapeutycznej i wspieranie pacjenta w długofalowym zarządzaniu chorobą.85

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Pompholyx (dyshidrotic) eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/
    Pompholyx eczema (also known as dyshidrotic eczema) is a type of eczema that affects the hands and feet. It involves the development of intensely itchy, watery blisters, affecting the sides of the fingers, the palms of the hands and soles of the feet. […] Pompholyx eczema can also affect the nail folds and skin around the nails, causing swelling (paronychia). […] Any obvious trigger for the pompholyx flare should be avoided as far as possible, especially in the case of a contact allergy. […] Emollients (medical moisturisers) are a first-line treatment and should be used for moisturising and washing. […] Pompholyx eczema needs to be treated with topical steroids to reduce inflammation and heal cracks. […] If your hands and/or feet are sore and weepy, and yellow crusting is present, you may have a bacterial infection. This will require a course of oral antibiotics, prescribed by a healthcare professional.
  • #2 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    Pompholyx (also called dyshidrotic eczema) is a type of eczema that affects the hands or feet. It’s usually a long-term condition, but treatment can help control the symptoms. […] Pompholyx is usually a long-term condition that comes and goes over time. Treatment can help control the symptoms. […] The main treatments for pompholyx are: moisturisers (emollients) used every day to stop the skin becoming dry; steroid creams and ointments (topical steroids) used for a few weeks at a time to reduce irritation and soreness. […] If the blisters leak fluid, a GP may suggest soaking your skin in potassium permanganate solution. This helps dry the blisters and reduces the risk of them getting infected. […] If your symptoms are severe or treatment is not helping, a GP may refer you to a skin specialist (dermatologist).
  • #3 Pompholyx eczema: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000832.htm
    Pompholyx eczema is a condition in which small blisters develop on the hands and feet. The blisters are often itchy. Pompholyx comes from the Greek word for bubble. […] Treatment is aimed at controlling the symptoms, such as itching and preventing blisters. Your provider will likely recommend self-care measures. […] Keep your skin moist by lubricating or moisturizing the skin. Use ointments (such as petroleum jelly), creams, or lotions. […] Medicines that help relieve itching can be bought without a prescription. […] Your provider may prescribe topical medicines. These are ointments or creams that are applied to the skin. Types include corticosteroids, which calm swollen or inflamed skin. […] If symptoms are severe, you may need other treatments, such as corticosteroid pills, corticosteroid shots, coal tar preparations, systemic immunomodulators, or phototherapy (ultraviolet light therapy).
  • #4 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    Pompholyx (also called dyshidrotic eczema) is a type of eczema that affects the hands or feet. It’s usually a long-term condition, but treatment can help control the symptoms. […] Pompholyx is usually a long-term condition that comes and goes over time. Treatment can help control the symptoms. […] The main treatments for pompholyx are: moisturisers (emollients) used every day to stop the skin becoming dry; steroid creams and ointments (topical steroids) used for a few weeks at a time to reduce irritation and soreness. […] If the blisters leak fluid, a GP may suggest soaking your skin in potassium permanganate solution. This helps dry the blisters and reduces the risk of them getting infected. […] If your symptoms are severe or treatment is not helping, a GP may refer you to a skin specialist (dermatologist).
  • #5 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    The most common symptoms of dyshidrotic eczema include: Small, firm blisters on the sides of your palms, fingers and soles. Painful blisters. Itchy, scaly skin on or around your blisters. Increased sweat around your blisters. Dry, cracked skin that appears as blisters fade. […] Healthcare workers and researchers dont know exactly what causes dyshidrosis. A combination of triggers can cause dyshidrosis flare-ups, including: Immune system activation: If you have dyshidrotic eczema, your immune system reacts to minor irritants or allergens. […] If your blisters become infected, contact your healthcare provider. They may prescribe antibiotics to clear your infection. […] For many people, getting rid of dyshidrotic eczema starts with an at-home skin care routine. Home care may include: Using warm water instead of hot water when washing your hands. Soaking your hands and feet in cool water to improve your symptoms.
  • #6 Pompholyx (dyshidrotic) eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/
    Pompholyx eczema (also known as dyshidrotic eczema) is a type of eczema that affects the hands and feet. It involves the development of intensely itchy, watery blisters, affecting the sides of the fingers, the palms of the hands and soles of the feet. […] Pompholyx eczema can also affect the nail folds and skin around the nails, causing swelling (paronychia). […] Any obvious trigger for the pompholyx flare should be avoided as far as possible, especially in the case of a contact allergy. […] Emollients (medical moisturisers) are a first-line treatment and should be used for moisturising and washing. […] Pompholyx eczema needs to be treated with topical steroids to reduce inflammation and heal cracks. […] If your hands and/or feet are sore and weepy, and yellow crusting is present, you may have a bacterial infection. This will require a course of oral antibiotics, prescribed by a healthcare professional.
  • #7 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    The most common symptoms of dyshidrotic eczema include: Small, firm blisters on the sides of your palms, fingers and soles. Painful blisters. Itchy, scaly skin on or around your blisters. Increased sweat around your blisters. Dry, cracked skin that appears as blisters fade. […] Healthcare workers and researchers dont know exactly what causes dyshidrosis. A combination of triggers can cause dyshidrosis flare-ups, including: Immune system activation: If you have dyshidrotic eczema, your immune system reacts to minor irritants or allergens. […] If your blisters become infected, contact your healthcare provider. They may prescribe antibiotics to clear your infection. […] For many people, getting rid of dyshidrotic eczema starts with an at-home skin care routine. Home care may include: Using warm water instead of hot water when washing your hands. Soaking your hands and feet in cool water to improve your symptoms.
  • #8 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    Dyshidrotic eczema is a common skin condition that causes blisters and itchy skin. Effective treatments include at-home treatments, therapies and prescription medicines. […] Dyshidrotic eczema causes dry, scaly patches of skin with blisters. These symptoms are common on your hands and feet. […] Dyshidrotic eczema is a chronic (long-term) skin condition that causes small blisters and dry, itchy skin. It usually develops on your fingers, hands and feet. […] Dyshidrotic eczema can affect anyone. However, it most commonly affects people: Between the ages of 20 and 40. Who are female. With a personal or family history of eczema. With a personal or family history of contact dermatitis. […] Dyshidrotic eczema affects the skin around the palms of your hands, fingers and soles of your feet.
  • #9 Dyshidrotic eczema (Pompholyx, Vesicular Hand Eczema) — DermNet
    https://dermnetnz.org/topics/dyshidrotic-eczema
    Dyshidrotic eczema (pompholyx) is an itchy, chronic, recurrent, often symmetric eruption on the palms of hands, fingers, and soles of the feet. […] Dyshidrotic eczema (pompholyx) can lead to: […] Physical and psychological disability; potential economic cost due to loss of work opportunity. […] Avoid aggravating factors where possible. […] Potassium permanganate soaks may be useful in the acute phase. […] Topical treatments: […] Regular use of emollients and moisturisers […] Systemic treatments: […] A short course of oral corticosteroids for immediate relief […] The disorder can be chronic and cyclic. Short-term or long-term second-line treatment may be needed depending on the behaviour of the disease. However, for many the disorder settles in time and treatments can be withdrawn.
  • #10 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    The most common symptoms of dyshidrotic eczema include: Small, firm blisters on the sides of your palms, fingers and soles. Painful blisters. Itchy, scaly skin on or around your blisters. Increased sweat around your blisters. Dry, cracked skin that appears as blisters fade. […] Healthcare workers and researchers dont know exactly what causes dyshidrosis. A combination of triggers can cause dyshidrosis flare-ups, including: Immune system activation: If you have dyshidrotic eczema, your immune system reacts to minor irritants or allergens. […] If your blisters become infected, contact your healthcare provider. They may prescribe antibiotics to clear your infection. […] For many people, getting rid of dyshidrotic eczema starts with an at-home skin care routine. Home care may include: Using warm water instead of hot water when washing your hands. Soaking your hands and feet in cool water to improve your symptoms.
  • #11 Dyshidrotic Eczema (Pompholyx): Background, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1122527-overview
    Dyshidrotic eczema (pompholyx). Multiple tense vesicles on palm. View Media Gallery […] Treatments for dyshidrotic eczema include the following: First-line treatment – High-strength topical steroids and cold compresses; systemic steroids are also used […] Individuals with dyshidrotic eczema should be educated about the difficulty of achieving successful treatment. They should be informed that the typical first-line treatments for the blisters of this condition are high-strength topical steroids and cold compresses and that additional treatments that might be helpful include stress reduction (possibly involving consultation with a mental health professional and potentially including biofeedback therapy) and hand care measures (eg, use of moisturizers and emollients) […] Bed rest may be necessary if large blisters develop on the feet. Work activities or activities of daily living (ADLs) may be hampered by blisters on the hands […] Nickel- or cobalt-sensitive dyshidrotic eczema patients should be instructed to avoid contact with these allergens; this may involve avoidance of certain activities, foods, and beverages.
  • #12
    https://journals.lww.com/aptm/fulltext/2023/16010/atypical_pompholyx_presentation_of_secondary.8.aspx
    Pompholyx refers to pruritic vesicles or bullous rash that mainly distribute on the palms and lateral surfaces of the fingers. […] In severe conditions, a secondary bacterial infection of pompholyx with Staphylococcus or Streptococcus is common and results in pain, swelling, and pustules on the hands and feet. […] Atypical manifestation of pompholyx makes it hard to diagnose. The diagnosis can be confirmed with meticulous history-taking and physical examination. Wound caring and controlling of the infection should be done to earn an optimal outcome. […] Pompholyx or dyshidrotic eczema, also known as dyshidrotic dermatitis, is characterized by pruritic, tense, deep-seated vesicles mainly on the palms and lateral surfaces of the fingers. […] The etiology of RVPD remains obscure. Factors that may predispose to the development of RVPD in a susceptible individual include atopy, contact allergens, contact irritants, infection of dermatophyte, allergy to ingested metal (in particular, nickel and cobalt), hyperhidrosis, prolonged use of protective gloves, intravenous immunoglobulin treatment, psychological stress, and smoking.
  • #13 What Is the Fastest Way to Get Rid of Dyshidrotic Eczema?
    https://www.medicinenet.com/fastest_way_to_get_rid_of_dyshidrotic_eczema/article.htm
    dyshidrotic eczema Treatment of dyshidrotic eczema includes topical corticosteroid creams and avoiding triggers. […] To get rid of dyshidrotic eczema fast, you may follow these 13 tips: […] Apply topical corticosteroids: Over-the-counter (OTC) corticosteroid creams or ointments help reduce skin inflammation and discomfort. You may apply them after you use cold compresses. […] Apply moisturizers or emollients: Dyshidrotic eczema can leave your skin dry, crusted, and irritated. Apply emollients to soothe your skin. […] Avoid potential triggers: Avoid triggers such as exposure to certain metals (cobalt and nickel), cigarette smoke, certain foods (chocolate, mushrooms, canned foods, and coffee), sun exposure, and personal care products that contain harsh chemicals or fragrances. […] Manage stress: Stress is an important trigger for dyshidrotic dermatitis. Moreover, skin lesions can cause considerable anxiety and stress. You may practice meditation, yoga, or other stress management techniques.
  • #14 Dyshidrotic Eczema | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/dyshidrotic-eczema
    Wearing gloves if the weather is cold or wet […] Staying away from possible irritants, such as detergents, solvents, or hair products […] Staying away from weather extremes, when possible […] Reducing your stress may also help you limit your symptoms. […] Steroid ointment and moisturizing lotion or cream are some treatments for the condition. […] General skin care may help you limit how often and severely your symptoms happen.
  • #15 Dyshidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/dyshidrosis/diagnosis-treatment/drc-20352348
    Heavy sweating of the palms and soles may contribute to dyshidrosis. Your doctor might suggest anti-perspirants or injection with botulinum toxin A. This treatment may help reduce sweating and improve the skin. […] Home treatment might include: […] A wet, cool cloth may help reduce itching. […] Antihistamine medicine that you can get at a store without a prescription may help relieve itching. Examples are diphenhydramine and loratadine (Alavert, Claritin).
  • #16 What Is the Fastest Way to Get Rid of Dyshidrotic Eczema?
    https://www.medicinenet.com/fastest_way_to_get_rid_of_dyshidrotic_eczema/article.htm
    Get appropriate treatment: If you have some infection such as an athletes foot, get proper treatment. Many people find relief in their dyshidrosis symptoms by taking treatment for athletes foot. […] Dyshidrotic eczema cannot be cured. The condition, however, can be appropriately managed with treatment and avoiding triggers. Some people may get a few episodes that come and go, whereas others may have more frequent flare-ups.
  • #17 Dyshidrotic Eczema | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/dyshidrotic-eczema
    Wearing gloves if the weather is cold or wet […] Staying away from possible irritants, such as detergents, solvents, or hair products […] Staying away from weather extremes, when possible […] Reducing your stress may also help you limit your symptoms. […] Steroid ointment and moisturizing lotion or cream are some treatments for the condition. […] General skin care may help you limit how often and severely your symptoms happen.
  • #18 What Is the Fastest Way to Get Rid of Dyshidrotic Eczema?
    https://www.medicinenet.com/fastest_way_to_get_rid_of_dyshidrotic_eczema/article.htm
    dyshidrotic eczema Treatment of dyshidrotic eczema includes topical corticosteroid creams and avoiding triggers. […] To get rid of dyshidrotic eczema fast, you may follow these 13 tips: […] Apply topical corticosteroids: Over-the-counter (OTC) corticosteroid creams or ointments help reduce skin inflammation and discomfort. You may apply them after you use cold compresses. […] Apply moisturizers or emollients: Dyshidrotic eczema can leave your skin dry, crusted, and irritated. Apply emollients to soothe your skin. […] Avoid potential triggers: Avoid triggers such as exposure to certain metals (cobalt and nickel), cigarette smoke, certain foods (chocolate, mushrooms, canned foods, and coffee), sun exposure, and personal care products that contain harsh chemicals or fragrances. […] Manage stress: Stress is an important trigger for dyshidrotic dermatitis. Moreover, skin lesions can cause considerable anxiety and stress. You may practice meditation, yoga, or other stress management techniques.
  • #19 Sunlight-Induced Pompholyxlogo-32logo-40logo-60NEJM Journal WatchnejmJW_1L_RGB-b
    https://www.jwatch.org/jd200402170000005/2004/02/17/sunlight-induced-pompholyx
    Pompholyx, also known as dyshidrotic eczema, is a common condition characterized by recurrent pruritic, spongiotic vesicles of the palms and soles. The cause remains unknown, although various factors precipitate flares, including stress and such irritants as heat, humidity, and hot and cold weather. […] Although sunlight exposure has not previously been associated with pompholyx, this impressive and thorough investigation confirms that UVA exposure is sometimes implicated. The authors identified only five cases among the thousands of patients seen in their unit, suggesting that this condition is rare. The authors, however, believe that this sample may underrepresent the true prevalence. They correctly suggest that patients with seasonal pompholyx subject to summer exacerbations be considered for further phototesting.
  • #20 Dyshidrotic Eczema (Dyshidrosis): Causes, Pictures, and More
    https://www.healthline.com/health/dyshidrotic-eczema
    More severe or frequent symptoms might require other treatments, such as: prescription steroid creams, pimecrolimus cream, tacrolimus ointment, systemic medications to suppress the immune system, light treatment at a doctors office (but avoiding unprotected sun exposure and tanning beds), getting plenty of rest, if possible, biofeedback or other techniques to help manage stress. […] Dyshidrotic eczema can be uncomfortable. It may affect your quality of life. […] Its not always possible to prevent dyshidrotic eczema, but the following tips may help: Keep a journal of possible triggers and avoid them if possible, Speak with a doctor about dietary changes they may recommend, Avoid smoking and secondhand smoke, if possible, Wear protective gloves when using cleaning products, like detergent, Use footwear made with natural products, such as white cotton socks without dye, Use a strong moisturizer and emollient soap, Manage stress through mindfulness, meditation, deep breathing, or other techniques, Work with a doctor or dermatologist on a prevention plan.
  • #21 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    The most common symptoms of dyshidrotic eczema include: Small, firm blisters on the sides of your palms, fingers and soles. Painful blisters. Itchy, scaly skin on or around your blisters. Increased sweat around your blisters. Dry, cracked skin that appears as blisters fade. […] Healthcare workers and researchers dont know exactly what causes dyshidrosis. A combination of triggers can cause dyshidrosis flare-ups, including: Immune system activation: If you have dyshidrotic eczema, your immune system reacts to minor irritants or allergens. […] If your blisters become infected, contact your healthcare provider. They may prescribe antibiotics to clear your infection. […] For many people, getting rid of dyshidrotic eczema starts with an at-home skin care routine. Home care may include: Using warm water instead of hot water when washing your hands. Soaking your hands and feet in cool water to improve your symptoms.
  • #22 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    Pompholyx (also called dyshidrotic eczema) is a type of eczema that affects the hands or feet. It’s usually a long-term condition, but treatment can help control the symptoms. […] Pompholyx is usually a long-term condition that comes and goes over time. Treatment can help control the symptoms. […] The main treatments for pompholyx are: moisturisers (emollients) used every day to stop the skin becoming dry; steroid creams and ointments (topical steroids) used for a few weeks at a time to reduce irritation and soreness. […] If the blisters leak fluid, a GP may suggest soaking your skin in potassium permanganate solution. This helps dry the blisters and reduces the risk of them getting infected. […] If your symptoms are severe or treatment is not helping, a GP may refer you to a skin specialist (dermatologist).
  • #23 Pompholyx eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/pompholyx-eczema-14-10-2003/
    – The intense itching associated with pompholyx eczema causes significant distress. […] – Denudation of the fingers and palms, from regular eruptions on the hands, can make simple daily activities such as cutting vegetables, peeling fruit or handling paper a major problem. […] – Pronounced eruptions on the feet can lead to problems in walking or an inability to walk.
  • #24 Dyshidrotic Eczema (Dyshidrosis): Causes, Pictures, and More
    https://www.healthline.com/health/dyshidrotic-eczema
    Flares of dyshidrotic eczema usually resolve in 2 to 3 weeks without leaving noticeable marks or scars. However, it may come back if its not possible to avoid triggers. […] You may be able to manage some of the symptoms at home, but its best to make an appointment with a doctor for a diagnosis and treatment plan.
  • #25 Pompholyx (dyshidrotic) eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/
    Pompholyx eczema (also known as dyshidrotic eczema) is a type of eczema that affects the hands and feet. It involves the development of intensely itchy, watery blisters, affecting the sides of the fingers, the palms of the hands and soles of the feet. […] Pompholyx eczema can also affect the nail folds and skin around the nails, causing swelling (paronychia). […] Any obvious trigger for the pompholyx flare should be avoided as far as possible, especially in the case of a contact allergy. […] Emollients (medical moisturisers) are a first-line treatment and should be used for moisturising and washing. […] Pompholyx eczema needs to be treated with topical steroids to reduce inflammation and heal cracks. […] If your hands and/or feet are sore and weepy, and yellow crusting is present, you may have a bacterial infection. This will require a course of oral antibiotics, prescribed by a healthcare professional.
  • #26 Pompholyx eczema: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000832.htm
    Pompholyx eczema usually goes away without problems, but symptoms may come back. Severe scratching may lead to thick, irritated skin. This is called lichenified skin. This makes the problem harder to treat. […] Contact your provider if you have signs of infection such as tenderness, redness, warmth, or fever.
  • #27 Dyshidrotic Eczema: A Common Cause of Palmar Dermatitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7647841/
    Dyshidrotic eczema (DE) or acute palmoplantar eczema is a common cause of hand and foot dermatitis in adults. […] The management of DE focuses on the treatment of acute eruptions and long-term skincare. […] The treatment of acute DE is based on the severity of the presentation. […] Mild to moderate cases are treated with topical corticosteroids and calcineurin inhibitors. […] Severe disease is treated with systemic corticosteroids. […] DE treatment is considered refractory when there is a lack of improvement after two to four weeks of adequate therapy. […] The identification of the condition by clinical features is crucial given that it is mainly a clinical diagnosis and biopsy is reserved for patients with refractory disease or suspected secondary infection.
  • #28 Pompholyx (dyshidrotic) eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/
    For severe pompholyx eczema, a dermatology referral may be required for treatment and/or diagnosing contact allergy through patch testing. […] Phototherapy (UVB or PUVA), using either UVB or UVA rays administered by a special foot/hand light box, may be recommended if this treatment option is available locally to you. […] Use lukewarm water for washing as very hot or cold water may irritate the skin. Remember to use an emollient as a soap substitute. […] Bandaging or wrapping the hands and/or feet can help protect the skin. Alternatively, cotton, bamboo or silk gloves or socks can be worn. Covering the skin can bring some relief as well as ensuring that creams and ointments are given the maximum opportunity for absorption.
  • #29 Dyshidrotic Eczema (Pompholyx) Treatment & Management: Approach Considerations, Pharmacologic Therapy, Ultraviolet Light Therapy
    https://emedicine.medscape.com/article/1122527-treatment
    Dyshidrotic eczema patients should be advised to avoid known contact irritants or allergens, to reduce stress, to follow a hand care regimen, and to use regular prophylactic emollients. […] Consultation with a psychologist may be helpful for stress reduction with biofeedback therapy and other techniques. Consultation with an allergist may be helpful for oral provocation tests for nickel, cobalt, or chromium salts.
  • #30 Dyshidrotic Eczema: A Common Cause of Palmar Dermatitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7647841/
    Dyshidrotic eczema (DE) or acute palmoplantar eczema is a common cause of hand and foot dermatitis in adults. […] The management of DE focuses on the treatment of acute eruptions and long-term skincare. […] The treatment of acute DE is based on the severity of the presentation. […] Mild to moderate cases are treated with topical corticosteroids and calcineurin inhibitors. […] Severe disease is treated with systemic corticosteroids. […] DE treatment is considered refractory when there is a lack of improvement after two to four weeks of adequate therapy. […] The identification of the condition by clinical features is crucial given that it is mainly a clinical diagnosis and biopsy is reserved for patients with refractory disease or suspected secondary infection.
  • #31 Dyshidrotic eczema: Effective management strategies – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/dyshidrotic-eczema-effective-management-strategies
    Dyshidrotic eczema, also known as pompholyx, is a skin condition that causes extremely itchy bumps and watery blisters to form on the hands and feet. […] There are both over-the-counter and prescription medications available for the treatment of dyshidrotic eczema. First-line therapy usually involves topical eczema creams or ointments that are applied to the skin. […] While treatment options can help manage the episodic flares of dyshidrotic eczema, there is no cure for the skin condition. You can manage your symptoms and prevent flares through certain lifestyle changes and adopting good skin habits. Practical tips include: Keep skin clean, dry, and moisturized. Gently clean your hands and feet and dry them thoroughly. Apply moisturizers (emollients) daily and after every hand wash. […] If you cannot identify your triggers, or your symptoms are worsening despite treatment, see a dermatologist. Your doctor may test for fungal infection, or perform allergy testing to pinpoint specific triggers.
  • #32
    https://drbaileyskincare.com/blogs/blog/dyshidrotic-eczema?srsltid=AfmBOopOEfjkHVUvR4Kc1GMkUs_sYEJybJ3WN5Gcwf19xA3EBOIY4RDs
    Diagnosis is based on the physical exam of the skin. It also involves exclusion of other, blistering conditions of the hands and soles such as allergic contact dermatitis, fungus and an id reaction (sympathetic palm/sole blisters to a rash on the body that occurs somewhere else). […] We typically treat this type of eczema with topical cortisone creams and ointments. This medicine is used to treat the inflammation. Sometimes, systemic cortisones in the form of pills or a shot are used. Importantly, hands must be protected from irritation while they heal. If not, irritant hand-eczema will lead to two types of eczema and make symptoms worse. […] Even in the best case, hand-skin suffering from dyshidrotic hand eczema can take up to six months to fully heal. During this time, hand skin must be treated with care and protected from irritation: Only use gentle cleansers on the skin. Moisturizers should be applied after washing and toweling skin dry. Cleansers and moisturizers should be hypoallergenic and deeply hydrating. Gloves need to be worn when doing any hand work that will put damaged hand-skin in contact with caustic and irritation things think washing dishes, painting, etc. […] Only if you figure out what caused them (an allergy to nickel you can avoid, lots of stress you can control, etc.)
  • #33 Eczema types: Dyshidrotic eczema diagnosis and treatment
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/treatment
    If you frequently get blisters, making an appointment to see a board-certified dermatologist can be helpful. Several different diseases can cause blisters, including dyshidrotic eczema. To get effective treatment, you need an accurate diagnosis. […] The following explains how dermatologists diagnose and treat dyshidrotic eczema, which can cause blisters on your hands, feet, or both. […] Your dermatologist will create a treatment plan for you to follow at home. This treatment plan will be tailored to your individual needs and may include the following: […] Soaks and cool compresses: Medicated soaks and cool compresses can be very effective for drying blisters. You will apply these two to four times a day for 15 minutes at a time. […] Corticosteroid that you apply to your skin: After each soak or cool compress, you’ll likely need to apply a medicated cream or ointment, such as a prescription corticosteroid. This helps to reduce the inflammation and clear the blisters.
  • #34 Pompholyx: Causes, Symptoms, and Treatment
    https://patient.info/skin-conditions/atopic-eczema/pompholyx
    Pompholyx is a type of eczema where there are itchy blisters on the hands and feet, followed by inflamed and dry skin. The first step in managing pompholyx is to identify and avoid things that make it worse. Treatment includes creams and ointments to reduce inflammation and irritation. If the symptoms are severe and persistent, a short course of steroid tablets might be helpful. […] Pompholyx can often get better on its own, but treatment can help reduce symptom duration, recurrence and discomfort. […] Avoid anything that seems to make the symptoms worse. Try to limit time spent in wet conditions and using strong cleansers. Make sure to wear protective gloves and footwear. […] As with eczema generally, moisturising creams or ointments are helpful for dry, peeling or cracked skin that act as a barrier against water or chemicals.
  • #35 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    Pompholyx (also called dyshidrotic eczema) is a type of eczema that affects the hands or feet. It’s usually a long-term condition, but treatment can help control the symptoms. […] Pompholyx is usually a long-term condition that comes and goes over time. Treatment can help control the symptoms. […] The main treatments for pompholyx are: moisturisers (emollients) used every day to stop the skin becoming dry; steroid creams and ointments (topical steroids) used for a few weeks at a time to reduce irritation and soreness. […] If the blisters leak fluid, a GP may suggest soaking your skin in potassium permanganate solution. This helps dry the blisters and reduces the risk of them getting infected. […] If your symptoms are severe or treatment is not helping, a GP may refer you to a skin specialist (dermatologist).
  • #36 Pompholyx (dyshidrotic) eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/
    Pompholyx eczema (also known as dyshidrotic eczema) is a type of eczema that affects the hands and feet. It involves the development of intensely itchy, watery blisters, affecting the sides of the fingers, the palms of the hands and soles of the feet. […] Pompholyx eczema can also affect the nail folds and skin around the nails, causing swelling (paronychia). […] Any obvious trigger for the pompholyx flare should be avoided as far as possible, especially in the case of a contact allergy. […] Emollients (medical moisturisers) are a first-line treatment and should be used for moisturising and washing. […] Pompholyx eczema needs to be treated with topical steroids to reduce inflammation and heal cracks. […] If your hands and/or feet are sore and weepy, and yellow crusting is present, you may have a bacterial infection. This will require a course of oral antibiotics, prescribed by a healthcare professional.
  • #37 Dyshidrotic Eczema (Pompholyx) Treatment & Management: Approach Considerations, Pharmacologic Therapy, Ultraviolet Light Therapy
    https://emedicine.medscape.com/article/1122527-treatment
    Treatment of dyshidrotic eczema (pompholyx) can be quite challenging, both because of the severe inflammatory process that can be involved and because of the frequency of recurrences. The economic burden of this chronic eczema has been stressed. […] In dyshidrotic eczema, typical first-line treatment includes high-strength topical steroids and cold compresses. Corticosteroids are cornerstones of topical therapy. Short courses of oral steroids are the second line of treatment for acute flares, and other immunosuppressants have also been tried. Calcineurin inhibitors may also be effective. […] For recalcitrant cases, corticosteroids are combined with immunosuppressants. […] If bullae (blisters) are present, the following measures are appropriate: Apply compresses with Burow solution (10% aluminum acetate) in a 1:40 dilution until bullae resolve (usually within a few days)
  • #38 Dyshidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/dyshidrosis/diagnosis-treatment/drc-20352348
    Dyshidrosis treatment might involve: […] Your doctor may prescribe a corticosteroid cream or ointment to help clear up the blisters. Covering the treated area in plastic wrap or a moist bandage helps the skin absorb the medicine. Long-term use of steroids can cause side effects, such as spider veins and thinning of skin. […] In severe cases, your doctor may prescribe a brief course of oral steroids, such as prednisone, as a bridge to other treatments. […] If other treatments aren’t effective, your doctor may recommend light therapy. In this treatment, a UV light called narrowband UVB is directed at the affected skin. […] The calcineurin inhibitor tacrolimus (Protopic) may be helpful for people who want to limit their exposure to steroids. Do not combine this treatment with phototherapy.
  • #39 Dyshidrotic Eczema (Pompholyx) Treatment Cream Options
    https://miiskin.com/skin-conditions/dyshidrotic-eczema-treatment-cream/
    Topical corticosteroid creams are only used to control acute flare-ups of dyshidrotic eczema and reduce inflammation and itching quickly. […] Topical calcineurin inhibitors like tacrolimus (Protopic) and pimecrolimus (Elidel) do not contain steroids, making them suitable for long-term use without the risk of steroid-related side effects. […] Yes, there are several over-the-counter (OTC) creams that can help manage the symptoms of mild dyshidrotic eczema. […] These are thicker than creams and can provide a longer-lasting barrier, for example, Aquaphor Healing Ointment. […] In severe cases, your dermatologist may prescribe short courses of oral corticosteroids to combat flare-ups. […] Alitretinoin (known commercially as Toctino) is an oral retinoid used for the treatment of severe chronic hand eczema (including pompholyx) that has not responded to treatment with potent topical steroids.
  • #40 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    Pompholyx (also called dyshidrotic eczema) is a type of eczema that affects the hands or feet. It’s usually a long-term condition, but treatment can help control the symptoms. […] Pompholyx is usually a long-term condition that comes and goes over time. Treatment can help control the symptoms. […] The main treatments for pompholyx are: moisturisers (emollients) used every day to stop the skin becoming dry; steroid creams and ointments (topical steroids) used for a few weeks at a time to reduce irritation and soreness. […] If the blisters leak fluid, a GP may suggest soaking your skin in potassium permanganate solution. This helps dry the blisters and reduces the risk of them getting infected. […] If your symptoms are severe or treatment is not helping, a GP may refer you to a skin specialist (dermatologist).
  • #41 Dermatitis. Hand dermatitis
    https://dermnetnz.org/cme/dermatitis/hand-dermatitis
    Pompholyx, also known as dyshidrotic or vesicular palmar eczema, refers to acute, chronic or relapsing blistering of the fingers, palms and/or soles. Crops of irritable deep-seated vesicles are followed by scaling and fissuring of the affected areas and may be complicated by Staphylococcus aureus infection. […] Wet dressings may be required for the early vesicular phase of pompholyx, using 3% acetic acid or 1:10 000 potassium permanganate compresses. […] Resistant and severe cases may require photochemotherapy or immunosuppressive medications, most often azathioprine and ciclosporin. Pompholyx may also respond to dapsone or colchicine.
  • #42 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    A dermatologist may recommend other treatments, such as: steroid tablets; treatment with ultraviolet (UV) light; other medicines, such as alitretinoin. […] If you have pompholyx, your skin may get irritated easily. There are some things you can try to see if they help. […] wash your hands with warm (not hot or cold) water and use a moisturiser (emollient) soap substitute instead of regular soap; wear protective gloves (ideally with a cotton lining) when using chemicals like shampoos, cleansers and detergents; wear socks, tights or stockings made from cotton or silk, rather than nylon; wear shoes made from leather, rather than plastic or rubber; avoid anything you think causes your symptoms, such as cleansers or detergents. […] If your skin gets very itchy and it affects your sleep, ask a pharmacist about antihistamines that make you drowsy (sedating antihistamines).
  • #43 Two Cases of Recalcitrant Dyshidrotic Eczema Treated With Dupilumab – JDDonline – Journal of Drugs in Dermatology
    https://jddonline.com/articles/two-cases-of-recalcitrant-dyshidrotic-eczema-treated-with-dupilumab-S1545961621P0558X/
    Dyshidrotic eczema, also known as dyshidrosis or pompholyx when involving larger bullae, is a chronic, relapsing palmoplantar dermatosis characterized by intensely pruritic and frequently painful deep-seated vesicles and bullae. […] Basic treatment strategies for all patients with dyshidrotic eczema include avoidance of contact irritants, gentle skin care to reduce irritation, and use of emollients to restore barrier function. […] Mild to moderate cases may be treated with topical steroids, calcineurin inhibitors, and ultraviolet light (narrow band UV-B and UVA1). […] Treatment failure with first line topical agents is common, and more potent treatments such ultra-high potency topical corticosteroids under occlusion, systemic corticosteroids, psoralen-ultraviolet A therapy (PUVA), and systemic immunosuppressants such as methotrexate, mycophenolate mofetil, cyclosporine, and azathioprine are often used.
  • #44 Two Cases of Recalcitrant Dyshidrotic Eczema Treated With Dupilumab – JDDonline – Journal of Drugs in Dermatology
    https://jddonline.com/articles/two-cases-of-recalcitrant-dyshidrotic-eczema-treated-with-dupilumab-S1545961621P0558X/
    Unfortunately, many cases of dyshidrotic eczema are recalcitrant to multiple treatment trials, resulting in significant morbidity. […] Treatment with 60mg of intramuscular triamcinolone led to complete resolution of symptoms, but recurrence occurred within 1 month. […] He was started on dupilumab 600mg subcutaneously (SQ) followed by 300mg SQ every other week with clobetasol as needed. […] At follow up, he noted rapid and profound improvement beginning within 1 week of his first dose. […] At 6 months, improvement was sustained without application of clobetasol.
  • #45 Pompholyx (dyshidrotic) eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/
    For severe pompholyx eczema, a dermatology referral may be required for treatment and/or diagnosing contact allergy through patch testing. […] Phototherapy (UVB or PUVA), using either UVB or UVA rays administered by a special foot/hand light box, may be recommended if this treatment option is available locally to you. […] Use lukewarm water for washing as very hot or cold water may irritate the skin. Remember to use an emollient as a soap substitute. […] Bandaging or wrapping the hands and/or feet can help protect the skin. Alternatively, cotton, bamboo or silk gloves or socks can be worn. Covering the skin can bring some relief as well as ensuring that creams and ointments are given the maximum opportunity for absorption.
  • #46 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    A dermatologist may recommend other treatments, such as: steroid tablets; treatment with ultraviolet (UV) light; other medicines, such as alitretinoin. […] If you have pompholyx, your skin may get irritated easily. There are some things you can try to see if they help. […] wash your hands with warm (not hot or cold) water and use a moisturiser (emollient) soap substitute instead of regular soap; wear protective gloves (ideally with a cotton lining) when using chemicals like shampoos, cleansers and detergents; wear socks, tights or stockings made from cotton or silk, rather than nylon; wear shoes made from leather, rather than plastic or rubber; avoid anything you think causes your symptoms, such as cleansers or detergents. […] If your skin gets very itchy and it affects your sleep, ask a pharmacist about antihistamines that make you drowsy (sedating antihistamines).
  • #47 Eczema types: Dyshidrotic eczema self-care
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/self-care
    Moisturizer plays a key role in helping your skin heal. Dermatologists recommend using a fragrance-free cream or ointment. Avoid lotions, which can worsen dyshidrotic eczema because they contain too much water. […] If you have dyshidrotic eczema, your skin needs gentle skin care and protection from anything that might irritate it. Heres what dermatologists recommend does just that: […] Wash skin with dyshidrotic eczema gently. When washing, youll want to: […] Apply moisturizer (or barrier repair cream) frequently throughout your day. Dyshidrotic eczema leaves you with extremely dry skin. The best times to apply your moisturizer or barrier repair cream are: […] Learn to manage stress really well. Some patients find that their skin clears with effective stress reduction and treatment prescribed by their dermatologist.
  • #48 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    A dermatologist may recommend other treatments, such as: steroid tablets; treatment with ultraviolet (UV) light; other medicines, such as alitretinoin. […] If you have pompholyx, your skin may get irritated easily. There are some things you can try to see if they help. […] wash your hands with warm (not hot or cold) water and use a moisturiser (emollient) soap substitute instead of regular soap; wear protective gloves (ideally with a cotton lining) when using chemicals like shampoos, cleansers and detergents; wear socks, tights or stockings made from cotton or silk, rather than nylon; wear shoes made from leather, rather than plastic or rubber; avoid anything you think causes your symptoms, such as cleansers or detergents. […] If your skin gets very itchy and it affects your sleep, ask a pharmacist about antihistamines that make you drowsy (sedating antihistamines).
  • #49 Eczema types: Dyshidrotic eczema self-care
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/self-care
    Moisturizer plays a key role in helping your skin heal. Dermatologists recommend using a fragrance-free cream or ointment. Avoid lotions, which can worsen dyshidrotic eczema because they contain too much water. […] If you have dyshidrotic eczema, your skin needs gentle skin care and protection from anything that might irritate it. Heres what dermatologists recommend does just that: […] Wash skin with dyshidrotic eczema gently. When washing, youll want to: […] Apply moisturizer (or barrier repair cream) frequently throughout your day. Dyshidrotic eczema leaves you with extremely dry skin. The best times to apply your moisturizer or barrier repair cream are: […] Learn to manage stress really well. Some patients find that their skin clears with effective stress reduction and treatment prescribed by their dermatologist.
  • #50 Dyshidrotic Eczema | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/dyshidrotic-eczema
    Other medicines. Several more targeted injectable or oral biologic medicines have now been approved for treating eczema. Early information suggests these may also help dyshidrotic eczema. […] You will need to use moisturizing lotion or cream every day. This helps to treat skin dryness as the blisters heal. If your symptoms dont decrease, you may need more tests to help check for other possible causes of your symptoms. […] General skin care may also help you limit how often and severely your symptoms happen. Your healthcare provider may advise: […] Using lukewarm water instead of hot […] Using mild, fragrance-free cleansers […] Making sure you dry your hands well […] Using cream or petroleum jelly to protect your hands after drying them […] Wearing latex-free gloves when washing dishes
  • #51 Pompholyx (dyshidrotic eczema)
    https://www.nhs.uk/conditions/pompholyx/
    A dermatologist may recommend other treatments, such as: steroid tablets; treatment with ultraviolet (UV) light; other medicines, such as alitretinoin. […] If you have pompholyx, your skin may get irritated easily. There are some things you can try to see if they help. […] wash your hands with warm (not hot or cold) water and use a moisturiser (emollient) soap substitute instead of regular soap; wear protective gloves (ideally with a cotton lining) when using chemicals like shampoos, cleansers and detergents; wear socks, tights or stockings made from cotton or silk, rather than nylon; wear shoes made from leather, rather than plastic or rubber; avoid anything you think causes your symptoms, such as cleansers or detergents. […] If your skin gets very itchy and it affects your sleep, ask a pharmacist about antihistamines that make you drowsy (sedating antihistamines).
  • #52 Eczema types: Dyshidrotic eczema diagnosis and treatment
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/treatment
    If you frequently get blisters, making an appointment to see a board-certified dermatologist can be helpful. Several different diseases can cause blisters, including dyshidrotic eczema. To get effective treatment, you need an accurate diagnosis. […] The following explains how dermatologists diagnose and treat dyshidrotic eczema, which can cause blisters on your hands, feet, or both. […] Your dermatologist will create a treatment plan for you to follow at home. This treatment plan will be tailored to your individual needs and may include the following: […] Soaks and cool compresses: Medicated soaks and cool compresses can be very effective for drying blisters. You will apply these two to four times a day for 15 minutes at a time. […] Corticosteroid that you apply to your skin: After each soak or cool compress, you’ll likely need to apply a medicated cream or ointment, such as a prescription corticosteroid. This helps to reduce the inflammation and clear the blisters.
  • #53 Dyshidrotic Eczema (Pompholyx) Treatment & Management: Approach Considerations, Pharmacologic Therapy, Ultraviolet Light Therapy
    https://emedicine.medscape.com/article/1122527-treatment
    Treatment of dyshidrotic eczema (pompholyx) can be quite challenging, both because of the severe inflammatory process that can be involved and because of the frequency of recurrences. The economic burden of this chronic eczema has been stressed. […] In dyshidrotic eczema, typical first-line treatment includes high-strength topical steroids and cold compresses. Corticosteroids are cornerstones of topical therapy. Short courses of oral steroids are the second line of treatment for acute flares, and other immunosuppressants have also been tried. Calcineurin inhibitors may also be effective. […] For recalcitrant cases, corticosteroids are combined with immunosuppressants. […] If bullae (blisters) are present, the following measures are appropriate: Apply compresses with Burow solution (10% aluminum acetate) in a 1:40 dilution until bullae resolve (usually within a few days)
  • #54 Pompholyx: Causes, Symptoms, and Treatment | Doctor
    https://patient.info/doctor/pompholyx-pro
    Pompholyx comes from the Greek word for bubble. It is a dermatitis or eczema of unknown aetiology, characterised by an itchy vesicular eruption of the hands, fingers and soles of the feet. It can be acute, recurrent or chronic and is difficult to treat effectively. […] The condition is self-limiting but, as it can be intensely itchy, symptomatic treatment may be in order. In practice, many patients require a combination of treatments. […] Large blisters can be drained under aseptic conditions. […] Emollients, strong topical steroids to control itching, and cold compresses (eg, a 1:10.000 solution of potassium permanganate), are the usual first-line treatment. […] Second-line treatment may be oral steroids. […] Severe cases may be treated with methotrexate, azathioprine, mycophenolate mofetil or ciclosporin. […] If nickel sensitivity has been documented, a nickel chelator such as sulfiram (Antabuse) may be helpful. […] Botulinum A toxin has been very helpful in some patients. […] Most patients recover spontaneously in three to four weeks but some have a chronic and unremitting course.
  • #55 Dyshidrotic Eczema (Pompholyx): Background, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1122527-overview
    Dyshidrotic eczema (pompholyx). Multiple tense vesicles on palm. View Media Gallery […] Treatments for dyshidrotic eczema include the following: First-line treatment – High-strength topical steroids and cold compresses; systemic steroids are also used […] Individuals with dyshidrotic eczema should be educated about the difficulty of achieving successful treatment. They should be informed that the typical first-line treatments for the blisters of this condition are high-strength topical steroids and cold compresses and that additional treatments that might be helpful include stress reduction (possibly involving consultation with a mental health professional and potentially including biofeedback therapy) and hand care measures (eg, use of moisturizers and emollients) […] Bed rest may be necessary if large blisters develop on the feet. Work activities or activities of daily living (ADLs) may be hampered by blisters on the hands […] Nickel- or cobalt-sensitive dyshidrotic eczema patients should be instructed to avoid contact with these allergens; this may involve avoidance of certain activities, foods, and beverages.
  • #56 3 Reasons Not To Pop Dyshidrotic Eczema Blisters | MyEczemaTeam
    https://www.myeczemateam.com/resources/reasons-not-to-pop-dyshidrotic-eczema-blisters
    Do you have itchy hands and feet with tiny fluid-filled blisters? This may be a sign of a type of eczema called dyshidrotic eczema also called pompholyx or dyshidrosis. The blisters that come with the condition arent just irritating they can sometimes be debilitating. […] People with dyshidrotic eczema sometimes wonder whether popping their blisters is safe or not. Though its natural to think doing so might bring relief, health care experts recommend against popping them. […] One way to help dyshidrotic eczema heal is to avoid popping the itchy blisters. Tempting though it may be especially when all you want to do is scratch your skin the risks of bursting your blisters are greater than any rewards. […] The skin covering the blister is actually still protecting you, even when its itching like crazy. Scratching and irritating that layer of skin will leave you more vulnerable to infections.
  • #57 Dyshidrotic Eczema (Dyshidrosis): Causes, Pictures, and More
    https://www.healthline.com/health/dyshidrotic-eczema
    More severe or frequent symptoms might require other treatments, such as: prescription steroid creams, pimecrolimus cream, tacrolimus ointment, systemic medications to suppress the immune system, light treatment at a doctors office (but avoiding unprotected sun exposure and tanning beds), getting plenty of rest, if possible, biofeedback or other techniques to help manage stress. […] Dyshidrotic eczema can be uncomfortable. It may affect your quality of life. […] Its not always possible to prevent dyshidrotic eczema, but the following tips may help: Keep a journal of possible triggers and avoid them if possible, Speak with a doctor about dietary changes they may recommend, Avoid smoking and secondhand smoke, if possible, Wear protective gloves when using cleaning products, like detergent, Use footwear made with natural products, such as white cotton socks without dye, Use a strong moisturizer and emollient soap, Manage stress through mindfulness, meditation, deep breathing, or other techniques, Work with a doctor or dermatologist on a prevention plan.
  • #58 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    A good skin care routine and medicines such as antihistamines can help you manage your symptoms. Other therapies, including phototherapy, can help as needed. […] You may have dyshidrotic eczema once and then never have it again, or it may come and go throughout your life. […] Be sure to avoid anything that triggers dyshidrotic eczema, moisturize your skin, take your medicine and follow your healthcare providers recommendations. […] You can do a few things to make your blisters more comfortable, including: Wash your affected areas gently with a mild soap. Apply antibacterial cream or ointment. Cover your affected areas with a bandage or gauze. […] Call your healthcare provider as soon as you notice blisters on your hands, fingers and feet. […] Over-the-counter creams, ointments and medications can treat mild cases of dyshidrotic eczema. More severe cases of dyshidrotic eczema may require prescription medications or other therapies. With a proper skin care routine, you can reduce the impact of dyshidrotic eczema.
  • #59 Dyshidrotic Eczema (Dyshidrosis): Causes, Pictures, and More
    https://www.healthline.com/health/dyshidrotic-eczema
    More severe or frequent symptoms might require other treatments, such as: prescription steroid creams, pimecrolimus cream, tacrolimus ointment, systemic medications to suppress the immune system, light treatment at a doctors office (but avoiding unprotected sun exposure and tanning beds), getting plenty of rest, if possible, biofeedback or other techniques to help manage stress. […] Dyshidrotic eczema can be uncomfortable. It may affect your quality of life. […] Its not always possible to prevent dyshidrotic eczema, but the following tips may help: Keep a journal of possible triggers and avoid them if possible, Speak with a doctor about dietary changes they may recommend, Avoid smoking and secondhand smoke, if possible, Wear protective gloves when using cleaning products, like detergent, Use footwear made with natural products, such as white cotton socks without dye, Use a strong moisturizer and emollient soap, Manage stress through mindfulness, meditation, deep breathing, or other techniques, Work with a doctor or dermatologist on a prevention plan.
  • #60 Dyshidrotic Eczema (Dyshidrosis): Symptoms, Causes, Treatments
    https://my.clevelandclinic.org/health/diseases/17728-dyshidrotic-eczema
    The most common symptoms of dyshidrotic eczema include: Small, firm blisters on the sides of your palms, fingers and soles. Painful blisters. Itchy, scaly skin on or around your blisters. Increased sweat around your blisters. Dry, cracked skin that appears as blisters fade. […] Healthcare workers and researchers dont know exactly what causes dyshidrosis. A combination of triggers can cause dyshidrosis flare-ups, including: Immune system activation: If you have dyshidrotic eczema, your immune system reacts to minor irritants or allergens. […] If your blisters become infected, contact your healthcare provider. They may prescribe antibiotics to clear your infection. […] For many people, getting rid of dyshidrotic eczema starts with an at-home skin care routine. Home care may include: Using warm water instead of hot water when washing your hands. Soaking your hands and feet in cool water to improve your symptoms.
  • #61 Eczema types: Dyshidrotic eczema self-care
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/self-care
    Moisturizer plays a key role in helping your skin heal. Dermatologists recommend using a fragrance-free cream or ointment. Avoid lotions, which can worsen dyshidrotic eczema because they contain too much water. […] If you have dyshidrotic eczema, your skin needs gentle skin care and protection from anything that might irritate it. Heres what dermatologists recommend does just that: […] Wash skin with dyshidrotic eczema gently. When washing, youll want to: […] Apply moisturizer (or barrier repair cream) frequently throughout your day. Dyshidrotic eczema leaves you with extremely dry skin. The best times to apply your moisturizer or barrier repair cream are: […] Learn to manage stress really well. Some patients find that their skin clears with effective stress reduction and treatment prescribed by their dermatologist.
  • #62 Dyshidrotic Eczema | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/dyshidrotic-eczema
    Wearing gloves if the weather is cold or wet […] Staying away from possible irritants, such as detergents, solvents, or hair products […] Staying away from weather extremes, when possible […] Reducing your stress may also help you limit your symptoms. […] Steroid ointment and moisturizing lotion or cream are some treatments for the condition. […] General skin care may help you limit how often and severely your symptoms happen.
  • #63 ALL YOU NEED TO KNOW ABOUT DYSHIDROSIS | Mya Care
    https://myacare.com/blog/all-you-need-to-know-about-dyshidrosis
    Dyshidrosis, or otherwise known as Dyshidrotic eczema, is a chronic skin condition that appears as small, itchy blisters on the feet and hands, more common on the lateral sides of fingers and toes. […] 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 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. […] Maintaining proper skin care and avoiding known triggers are essential to prevent these complications. […] There is no cure for dyshidrosis, but there are numerous treatment and management options. […] Proper skin care includes using mild, hypoallergenic, fragrance-free soaps and moisturizers to protect the skin barrier.
  • #64 Eczema types: Dyshidrotic eczema self-care
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/self-care
    Take precautions in very dry or hot conditions. Heat, dryness, and sweat are known to trigger dyshidrotic eczema. […] Protect your hands with gloves. Many things that touch your skin can cause dyshidrotic eczema to flare. […] Wear moisture-wicking socks. If you have dyshidrotic eczema on your feet, this will help keep your feet dry.
  • #65 FloridaHealthFinder | Pompholyx eczema | Health Encyclopedia | FloridaHealthFinder
    https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/1/000832
    Pompholyx may go away on its own. Treatment is aimed at controlling the symptoms, such as itching and preventing blisters. Your provider will likely recommend self-care measures. […] Keep your skin moist by lubricating or moisturizing the skin. Use ointments (such as petroleum jelly), creams, or lotions. […] Medicines that help relieve itching can be bought without a prescription. […] Your provider may prescribe topical medicines. These are ointments or creams that are applied to the skin. Types include: […] Follow instructions on how to apply these medicines. Do not apply more than you’re supposed to use. […] If symptoms are severe, you may need other treatments, such as: […] Contact your provider if you have: […] A rash that does not go away with simple home treatments.
  • #66 Pompholyx eczema: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000832.htm
    Pompholyx eczema usually goes away without problems, but symptoms may come back. Severe scratching may lead to thick, irritated skin. This is called lichenified skin. This makes the problem harder to treat. […] Contact your provider if you have signs of infection such as tenderness, redness, warmth, or fever.
  • #67 Pompholyx eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/pompholyx-eczema-14-10-2003/
    – The intense itching associated with pompholyx eczema causes significant distress. […] – Denudation of the fingers and palms, from regular eruptions on the hands, can make simple daily activities such as cutting vegetables, peeling fruit or handling paper a major problem. […] – Pronounced eruptions on the feet can lead to problems in walking or an inability to walk.
  • #68 Dyshidrotic eczema (Pompholyx, Vesicular Hand Eczema) — DermNet
    https://dermnetnz.org/topics/dyshidrotic-eczema
    Dyshidrotic eczema (pompholyx) is an itchy, chronic, recurrent, often symmetric eruption on the palms of hands, fingers, and soles of the feet. […] Dyshidrotic eczema (pompholyx) can lead to: […] Physical and psychological disability; potential economic cost due to loss of work opportunity. […] Avoid aggravating factors where possible. […] Potassium permanganate soaks may be useful in the acute phase. […] Topical treatments: […] Regular use of emollients and moisturisers […] Systemic treatments: […] A short course of oral corticosteroids for immediate relief […] The disorder can be chronic and cyclic. Short-term or long-term second-line treatment may be needed depending on the behaviour of the disease. However, for many the disorder settles in time and treatments can be withdrawn.
  • #69 Dyshidrotic Eczema (Pompholyx) Treatment Cream Options
    https://miiskin.com/skin-conditions/dyshidrotic-eczema-treatment-cream/
    Dr. Fernandez says that if you have dyshrosis (dyshidrotic eczema), there are several things you should avoid to help manage the condition and prevent flare-ups. […] Avoid jewelry, coins, and other items that contain nickel or cobalt. […] Dr. Fernandez says that dyshidrotic eczema is not contagious. […] Dr. Fernandez says that although stress is a significant trigger for dyshidrotic eczema, it is not the sole cause. […] Dr. Fernandez says that while uncomfortable and sometimes painful, dyshidrotic eczema is not considered dangerous. […] Persistent itching and pain can interfere with daily activities, work, and sleep, leading to chronic discomfort and stress.
  • #70 Dyshidrotic Eczema (Pompholyx) Treatment & Management: Approach Considerations, Pharmacologic Therapy, Ultraviolet Light Therapy
    https://emedicine.medscape.com/article/1122527-treatment
    Dyshidrotic eczema patients should be advised to avoid known contact irritants or allergens, to reduce stress, to follow a hand care regimen, and to use regular prophylactic emollients. […] Consultation with a psychologist may be helpful for stress reduction with biofeedback therapy and other techniques. Consultation with an allergist may be helpful for oral provocation tests for nickel, cobalt, or chromium salts.
  • #71 Please Advise for Nursing with Hand Eczema – General Student Support
    https://allnurses.com/please-advise-nursing-hand-eczema-t75590/
    I also have dyshidrotic eczema, description below, which means (for me) washing my hands the least amount as possible. When I do wash them I wash them for at least a couple minutes, wait for them to dry, then put lotion on. […] I can wear latex gloves and as long as I can remove them every so often I’m fine. I have medication that helps keep the flare-ups minimal and I don’t have distinct flare-ups more than 3 or 4 times a year. […] Wearing gloves will most certainly help your exposure to allergens that might cause a flare up, but I was taught to still wash hands after glove removal. Being a nurse in a traditional hospital means changing gloves and washing your hands a lot, and I’m not sure that would be the best for you. […] Make sure that your instructors are well aware of your condition and it is documented clearly in your files! Also, should a flare up occur, have a plan. […] I have a very mild case of eczema as well…I just had a dermatology nurse suggest soaking my hands at night, don’t dry them and apply lotion. Then put on cotton gloves and sleep with them on.
  • #72 Please Advise for Nursing with Hand Eczema – General Student Support
    https://allnurses.com/please-advise-nursing-hand-eczema-t75590/
    I also have dyshidrotic eczema, description below, which means (for me) washing my hands the least amount as possible. When I do wash them I wash them for at least a couple minutes, wait for them to dry, then put lotion on. […] I can wear latex gloves and as long as I can remove them every so often I’m fine. I have medication that helps keep the flare-ups minimal and I don’t have distinct flare-ups more than 3 or 4 times a year. […] Wearing gloves will most certainly help your exposure to allergens that might cause a flare up, but I was taught to still wash hands after glove removal. Being a nurse in a traditional hospital means changing gloves and washing your hands a lot, and I’m not sure that would be the best for you. […] Make sure that your instructors are well aware of your condition and it is documented clearly in your files! Also, should a flare up occur, have a plan. […] I have a very mild case of eczema as well…I just had a dermatology nurse suggest soaking my hands at night, don’t dry them and apply lotion. Then put on cotton gloves and sleep with them on.
  • #73 Two Cases of Recalcitrant Dyshidrotic Eczema Treated With Dupilumab – JDDonline – Journal of Drugs in Dermatology
    https://jddonline.com/articles/two-cases-of-recalcitrant-dyshidrotic-eczema-treated-with-dupilumab-S1545961621P0558X/
    Dyshidrotic eczema, also known as dyshidrosis or pompholyx when involving larger bullae, is a chronic, relapsing palmoplantar dermatosis characterized by intensely pruritic and frequently painful deep-seated vesicles and bullae. […] Basic treatment strategies for all patients with dyshidrotic eczema include avoidance of contact irritants, gentle skin care to reduce irritation, and use of emollients to restore barrier function. […] Mild to moderate cases may be treated with topical steroids, calcineurin inhibitors, and ultraviolet light (narrow band UV-B and UVA1). […] Treatment failure with first line topical agents is common, and more potent treatments such ultra-high potency topical corticosteroids under occlusion, systemic corticosteroids, psoralen-ultraviolet A therapy (PUVA), and systemic immunosuppressants such as methotrexate, mycophenolate mofetil, cyclosporine, and azathioprine are often used.
  • #74 Two Cases of Recalcitrant Dyshidrotic Eczema Treated With Dupilumab – JDDonline – Journal of Drugs in Dermatology
    https://jddonline.com/articles/two-cases-of-recalcitrant-dyshidrotic-eczema-treated-with-dupilumab-S1545961621P0558X/
    Unfortunately, many cases of dyshidrotic eczema are recalcitrant to multiple treatment trials, resulting in significant morbidity. […] Treatment with 60mg of intramuscular triamcinolone led to complete resolution of symptoms, but recurrence occurred within 1 month. […] He was started on dupilumab 600mg subcutaneously (SQ) followed by 300mg SQ every other week with clobetasol as needed. […] At follow up, he noted rapid and profound improvement beginning within 1 week of his first dose. […] At 6 months, improvement was sustained without application of clobetasol.
  • #75 Two Cases of Recalcitrant Dyshidrotic Eczema Treated With Dupilumab – JDDonline – Journal of Drugs in Dermatology
    https://jddonline.com/articles/two-cases-of-recalcitrant-dyshidrotic-eczema-treated-with-dupilumab-S1545961621P0558X/
    Unfortunately, many cases of dyshidrotic eczema are recalcitrant to multiple treatment trials, resulting in significant morbidity. […] Treatment with 60mg of intramuscular triamcinolone led to complete resolution of symptoms, but recurrence occurred within 1 month. […] He was started on dupilumab 600mg subcutaneously (SQ) followed by 300mg SQ every other week with clobetasol as needed. […] At follow up, he noted rapid and profound improvement beginning within 1 week of his first dose. […] At 6 months, improvement was sustained without application of clobetasol.
  • #76 Dyshidrotic Eczema | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/dyshidrotic-eczema
    Other medicines. Several more targeted injectable or oral biologic medicines have now been approved for treating eczema. Early information suggests these may also help dyshidrotic eczema. […] You will need to use moisturizing lotion or cream every day. This helps to treat skin dryness as the blisters heal. If your symptoms dont decrease, you may need more tests to help check for other possible causes of your symptoms. […] General skin care may also help you limit how often and severely your symptoms happen. Your healthcare provider may advise: […] Using lukewarm water instead of hot […] Using mild, fragrance-free cleansers […] Making sure you dry your hands well […] Using cream or petroleum jelly to protect your hands after drying them […] Wearing latex-free gloves when washing dishes
  • #77 Dyshidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/dyshidrosis/diagnosis-treatment/drc-20352348
    Heavy sweating of the palms and soles may contribute to dyshidrosis. Your doctor might suggest anti-perspirants or injection with botulinum toxin A. This treatment may help reduce sweating and improve the skin. […] Home treatment might include: […] A wet, cool cloth may help reduce itching. […] Antihistamine medicine that you can get at a store without a prescription may help relieve itching. Examples are diphenhydramine and loratadine (Alavert, Claritin).
  • #78 What Triggers Dyshidrotic Eczema?
    https://www.emedicinehealth.com/what_triggers_dyshidrotic_eczema/article_em.htm
    Itchy blisters on the soles of the feet are a sign of dyshidrotic eczema. Dyshidrotic eczema (also called pompholyx or acute and recurrent vesicular hand dermatitis) is a skin condition characterized by small, intensely itchy blisters on the edges of the fingers, toes, palms of the hands, and soles of the feet. […] Dyshidrotic eczema (pompholyx) is typically chronic and recurrent, though episodes occur less frequently with age and most patients eventually go into complete remission. Dyshidrotic eczema may become infected. […] Treatment aims to relieve symptoms and signs and includes the following: High-strength topical steroids and/or systemic steroids for itching, Drainage of large blisters (bullae): systemic antibiotics prescribed that cover Staphylococcus aureus and group A streptococci to prevent infection, UVA or UVA-1 alone or with oral or topical psoralen, Topical calcineurin inhibitors, OnabotulinumtoxinA injections (Botox), For severe cases: azathioprine, methotrexate, mycophenolate mofetil, cyclosporine, or etanercept, Alitretinoin (9-cis retinoic acid), Nickel chelators (for example, disulfiram) may be used in nickel-sensitive patients.
  • #79 Pompholyx: Causes, Symptoms, and Treatment | Doctor
    https://patient.info/doctor/pompholyx-pro
    Pompholyx comes from the Greek word for bubble. It is a dermatitis or eczema of unknown aetiology, characterised by an itchy vesicular eruption of the hands, fingers and soles of the feet. It can be acute, recurrent or chronic and is difficult to treat effectively. […] The condition is self-limiting but, as it can be intensely itchy, symptomatic treatment may be in order. In practice, many patients require a combination of treatments. […] Large blisters can be drained under aseptic conditions. […] Emollients, strong topical steroids to control itching, and cold compresses (eg, a 1:10.000 solution of potassium permanganate), are the usual first-line treatment. […] Second-line treatment may be oral steroids. […] Severe cases may be treated with methotrexate, azathioprine, mycophenolate mofetil or ciclosporin. […] If nickel sensitivity has been documented, a nickel chelator such as sulfiram (Antabuse) may be helpful. […] Botulinum A toxin has been very helpful in some patients. […] Most patients recover spontaneously in three to four weeks but some have a chronic and unremitting course.
  • #80 Dyshidrotic Eczema Treatment: Blisters & Cracked Skin – Cutis Dermatology
    https://cutis.com.au/dyshidrotic-eczema/
    By incorporating these practical tips into your daily routine, you can better manage and alleviate the discomfort of pompholyx eczema. […] If youre dealing with painful cracks after the blister stage, you can try using Extra Thin Duoderm, a helpful hydrocolloid dressing. […] For severe cracks, a healthcare professional may prescribe a steroid impregnated tape to protect them and speed up healing.
  • #81 Dyshidrotic Eczema: Symptoms, Causes, Treatment, & More
    https://www.health.com/dyshidrotic-eczema-8553239
    Consult a dermatologist (skin specialist) as soon as you experience symptoms of dyshidrotic eczema, as starting early treatment can help reduce flare-ups and their severity. […] Following preventive measures like keeping your skin moisturized, avoiding scratching your skin, and treating flare-ups can help keep you comfortable and reduce the possibility that you’ll have a resulting infection.
  • #82 Eczema types: Dyshidrotic eczema diagnosis and treatment
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/treatment
    If you frequently get blisters, making an appointment to see a board-certified dermatologist can be helpful. Several different diseases can cause blisters, including dyshidrotic eczema. To get effective treatment, you need an accurate diagnosis. […] The following explains how dermatologists diagnose and treat dyshidrotic eczema, which can cause blisters on your hands, feet, or both. […] Your dermatologist will create a treatment plan for you to follow at home. This treatment plan will be tailored to your individual needs and may include the following: […] Soaks and cool compresses: Medicated soaks and cool compresses can be very effective for drying blisters. You will apply these two to four times a day for 15 minutes at a time. […] Corticosteroid that you apply to your skin: After each soak or cool compress, you’ll likely need to apply a medicated cream or ointment, such as a prescription corticosteroid. This helps to reduce the inflammation and clear the blisters.
  • #83 Eczema types: Dyshidrotic eczema diagnosis and treatment
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/treatment
    Anti-itch medicine: An antihistamine pill or other anti-itch medicine can reduce your discomfort. Anything you can do to reduce scratching is helpful because scratching tends to worsen dyshidrotic eczema. […] Moisturizer or a barrier repair cream: Dyshidrotic eczema can make your skin extremely dry. To reduce dryness and decrease flare-ups, your dermatologist will recommend a moisturizer or barrier repair cream. […] Medication to treat an infection: Skin with dyshidrotic eczema can be very itchy. Scratching often causes an infection. To clear the infection, your dermatologist will first determine what type of infection you have and then prescribe medication to treat it. […] If you continue to have flare-ups after following the treatment plan prescribed by your dermatologist, tell your dermatologist. It can take time to find the right treatment for dyshidrotic eczema.
  • #84 Eczema types: Dyshidrotic eczema diagnosis and treatment
    https://www.aad.org/public/diseases/eczema/types/dyshidrotic-eczema/treatment
    If you have painful blisters on your feet, you may need bed rest. Blisters on the hands may require a break from work. […] Self-care plays a key role in controlling dyshidrotic eczema. While treatment can help clear your skin and calm the itch, dyshidrotic eczema can be a long-term disease. It can be especially active from your 20s through your 40s, with fewer flare-ups later in life. […] Self-care can help reduce flare-ups. To find the self-care that dermatologists recommend, go to, Dyshidrotic eczema: Self-care.
  • #85 Dyshidrotic Eczema (Dyshidrosis): Causes, Pictures, and More
    https://www.healthline.com/health/dyshidrotic-eczema
    Flares of dyshidrotic eczema usually resolve in 2 to 3 weeks without leaving noticeable marks or scars. However, it may come back if its not possible to avoid triggers. […] You may be able to manage some of the symptoms at home, but its best to make an appointment with a doctor for a diagnosis and treatment plan.