Dyshidrotic Eczema

Definition

Dyshidrotic eczema is a form of eczema, in which tiny blisters of serum form just below the skin's surface. Small, clear bubble-like vesicles appear in the affected area. It is a fiercely itchy, deep-seated, blistering rash. It is defined as - an irritation of the skin on the palms of hands and soles of the feet characterized by clear, deep blisters that itch and burn. Pompholyx is a common type of eczema affecting the hands and sometimes the feet. It is also known as dyshidrotic eczema or vesicular eczema.

Causes of Dyshidrotic Eczema

Dyshidrotic eczema can affect people of any age but appears more commonly in men of age group between 20 to 50 years.

• Fungal infections elsewhere in the body can trigger Dyshidrotic Eczema in the hands.
• Metal implants, such as total hip replacements, may lead to dyshidrotic eczema.
• Genetic factors: Monozygotic twins have been affected simultaneously by dyshidrotic eczema.
• Atopic dermatitis, can be a cause for dyshidrotic eczema.
• Costume jewelry that often contains nickel may produce the skin infection.
• Dyshidrotic eczema, can also occur due to some skin infections.
• Stress or Anxiety: Stress or Anxiety is another main cause for dyshidrotic eczema.
• The temperature changes, can also cause dyshidrotic eczema condition.
• Increased humidity in the atmosphere is also one of the cause of dyshidrotic eczema.
• Some bacterial infections may also lead to the condition of dyshidrotic eczema.
• The family history of asthma , sinusitis , or hay fever, may also lead to the dyshidrotic eczema.

Symptoms of Dyshidrotic Eczema

Symptoms of dyshidrotic eczema include:

• There will be tiny, deep-seated blisters on the affected area.
• The weeping and crusting skin lesions may occur in the patients.
• Crusting skin cuts.
• The affected skin areas get dry.
• Excessive sweating may be seen in the patient, who is suffering from dyshidrotic eczema.
• The nails may show signs of disfiguring when the area around it is involved.
• You may have the extreme feeling of itching in some chronic cases.
• Cracks and gaps in the skin are also very commonly seen in dyshidrotic eczema suffering patients.
• Small but deep rooted blisters can also be seen.
• Intense itching at the site of the blistering.
• Pain may occur with larger blisters.

Treatment of Dyshidrotic Eczema

• Oral anti-pruritics such as Atarax or Benadryl may alleviate itching.
• In some severe cases of dyshidrotic eczema oral prednisolone can be used in short courses.
• Corticosteroid creams and ointments play an important role in the treatment of this disorder.
• Light therapy is also very effective in the treatment of dyshidrotic eczema.
• Immunosuppressants like Azathioprine, Methotrexate and even Cyclosporine can be used to get relief from pain and swelling.
• Dyshidrotic eczema is mostly  treated  with potent topical corticosteroids combined with the frequent application of moisturizers.
• Chelating therapy may be introduce to remove itching.