Dyshidrotic eczema - Pompholyx

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Common-

It is a skin disease that presents as small blisters on the hands and feet, along with scaly rashes.

The cause is unknown. Factors favoring its appearance have been described: stressful situations, allergies, humidity, or after contact with cement, chromium, cobalt or nickel.

It manifests with blisters that cause itching or pain, as well as patches of skin that flake, become red, cracked and painful. Scratching of the skin causes skin changes and thickening.

Diagnosis is made by clinical history and skin examination.

There is no cure for dyshidrotic eczema. General measures are to avoid irritants or promoting factors. The physician will consider the use of antihistamines, topical/oral corticosteroids and/or phototherapy.

Bibliographic references
  1. David R Adams, James G Marks, Jr. Acute palmoplantar eczema (dyshidrotic eczema). UpToDate. Jul 14, 2015.
  2. Veien NK. Acute and recurrent vesicular hand dermatitis. Dermatol Clin 2009; 27:337.
  3. Wollina U. Pompholyx: a review of clinical features, differential diagnosis, and management. Am J Clin Dermatol 2010; 11:305.
  4. Lofgren SM, Warshaw EM. Dyshidrosis: epidemiology, clinical characteristics, and therapy. Dermatitis 2006; 17:165.
  5. Jain VK, Aggarwal K, Passi S, Gupta S. Role of contact allergens in pompholyx. J Dermatol 2004; 31:188.
  6. McCall CO, Lawley TJ: Eccema, psoriasis, infecciones cutáneas, acné y otros trastornos cutáneos frecuentes. Harrison. Manual de Medicina. 16º edición. 267-273.
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Symptoms

    Itchy skin


    Reddened skin


    Skin rash


    Vesicles join into a larger one


    Skin irritation, which sloughs off

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Persistence of symptoms during the first month of treatment.

Self-care

Take antihistamines for itching.
Apply cold compresses 3 times a day for 20 minutes to reduce the symptoms.
Use gloves for tasks involving friction, such as gardening and carpentry.
Avoid irritating substances such as: detergents, solvents, hair lotions, colorants, acidic foods, etc.