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Dyshidrotic dermatitis is a type of eczema or dermatitis that occurs only in the hands and also in the soles of the feet. This type of eczema creates a spongy appearance on skin and rashes that appear on these specific areas have a burning sensation and are very itchy in nature.
Dyshidrotic dermatitis can also be called vesicular eczema or vesicular plamoplantar eczema.
There are specific signs and symptoms for this particular type of eczema:
• The blisters of dyshidrotic dermatitis are characterized as small, deep and can be found in specific areas like the palm of the hands, the sides of the fingers and also on the soles of the feet. These blisters can have intense burning and itching sensation.
• Skin is hot to the touch and can appear very red in color.
• These blisters can ooze after being scratched repeatedly. These can become infected if not treated immediately. After the blisters heal, the skin area becomes crusty and sometimes peels. There are instances when the skin heals but another wave of blisters appears again.
• The characteristic sponge-
• Nail changes are also evident in dyshidrotic dermatitis; the fingernails can become ridged and pitted. Nails can also become very thick and discolor as well.
This type of eczema occurs in all races and can affect people between 20 to 40 years old. This skin condition is rare in children but can also be evident if a child had atopic dermatitis before.
The cause for developing dyshidrotic dermatitis is unknown but skin specialists agree that having another skin condition can increase your chances of getting dyshidrotic dermatitis. There are risk factors however, involved in the development of dyshidrotic dermatitis. Stress is a common factor in almost all eczema types. Females are reported to be more susceptible in getting dyshidrotic dermatitis. Hot and humid weather can increase dyshidrotic dermatitis flare ups.
The treatment of dyshidrotic dermatitis could be challenging and dermatologist often has an arsenal of techniques to manage dyshidrotic dermatitis symptoms:
• Topical steroids are often prescribed to treat skin inflammation and skin itching in dyshidrotic dermatitis. Cold compresses can also be used to relieve severe itching and may be used as often as a patient wants to.
• There are cases that large and water or pus filled blisters form in dyshidrotic dermatitis which causes severe pain. These blisters are drained and a sterile dressing applied to relieve pain and inflammation.
• Antibiotics are necessary to fight skin infection.
• Oral steroids and immunosuppresants are also prescribed to manage severe cases of dyshidrotic dermatitis.
• Light therapy and other relatively new approaches to treat this type of skin condition have been introduced to battle dyshidrotic dermatitis and other eczema types.
Reducing stress is the number one preventive treatment for dyshidrotic dermatitis. Dermatologists also help you determine your irritants and you must try your best to avoid them. Avoid sweating and always keep yourself cool so you can prevent triggering dyshidrotic dermatitis. Protect your hands and feet from further injury by wearing gloves and cotton socks always.
Always follow your dermatologists advice regarding proper skin care management and never self medicate with herbal preparations and home remedies. Any food restriction and activity restriction must be followed.