Hand and foot eczema

Hand and foot eczema can be a special type of eczema also called dyshidrotic eczema or pompholyx and in the form of contact eczema.

What are the most common causes of this condition?

The causes and way of development of dyshidrotic disease are not fully known. They can be endogenous, that is, internal, where the main allergic constitution and exogenous, that is, factors from the external environment, such as chemical and microbial agents (bacteria and fungi), which can also be from distant parts of the body.

Also, the development of the disease can be influenced by other factors, such as emotional stress, sweating, increased temperature. Seasonal appearance is also observed, i.e. it occurs more often in spring and autumn.
Most often, several factors act jointly, and there are so-called idiopathic forms when it is not possible to find the cause.

Contact eczema is an allergic reaction or irritation to various substances, which can be found in products that hands, or less often, feet come into contact with. They often occur in certain professions (hairdressers, manicures, builders, florists…), although they also appear when in contact with substances outside work (alcohol, metal coins, soaps…).
The causes can be examined by epicutaneous testing about which you can read more here.

hand eczema
hand eczema

How is hand and foot eczema manifested?

Dyshidrotic eczema causes small solid blisters located deep in the skin of the hands or feet. They start developing on uninflamed skin, usually on the sides of the fingers or on the palm, and can be further infected. In chronic forms, the skin is thickened with cracks and fissures.
Contact eczema causes redness, swelling, blisters and flaking of the skin that are accompanied by itching. If the exposure to causative agents continues, eczema develops into a chronic form, with skin thickening, dryness and painful cracking.

hand eczema
hand eczema
eczema
eczema

Treatment of hand and foot eczema

Topical corticosteroid preparations and immunomodulators are most often used in the hand and foot eczema treatment, and emollient creams are also necessary. If possible, it is necessary to eliminate the cause. Antibiotic ointments are also prescribed if there is a secondary infection. In case of contact eczema, it is necessary to avoid further exposure to harmful substances, irritants that provoke it. Antibiotic ointments are also prescribed if there is a secondary infection. In case of contact eczema, it is necessary to avoid further exposure to harmful substances, irritants that provoke it. Rarely, in the most severe forms, systemic therapy may also be required.

In the prevention of recurrence, as well as the regular use of emollient creams that restore the skin’s lipid barrier on the hands and feet.

Also, with contact eczema it is important to use protective gloves when in contact with allergens and irritants
— alcohol, soaps, solvents or money. The causes of allergic contact eczema can be detected by epicutaneous testing, that is performed in our dermatology practice.

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