OverviewDyshidrotic eczema is a fiercely itchy, deep-seated, blistering rash. It is seen most often on the palms of the hands, sides of the fingers, and soles of the feet.
What is going on in the body?Dyshidrotic eczema was once thought to be due to trapping of sweat beneath thick skin of the palms and soles. The cause is unknown; it has been suggested that it may be caused by an inherited allergic response. The skin of the palms, sides of the fingers, and soles of the feet react to something in the environment by forming itchy blisters.
What are the signs and symptoms of the condition?Symptoms of dyshidrotic eczema include:
• cracks and fissures in the skin
• pain and swelling at the rash site
• severe
itching
• tiny, deep-seated blisters
• weeping and crusting skin lesions
What are the causes and risks of the condition?
Dyshidrotic eczema can affect people of any age but appears to be more common in men between the ages of 20 and 50. There may be a genetic component to the disorder. It has also been suggested that it could be caused by an allergic response to something in the environment. Experts suspect that nickel, balsam, and cobalt may cause the allergic response. Nickel is found in costume jewelry, while the other substances are used in manufacturing.
What can be done to prevent the condition?
A person can help prevent dyshidrotic eczema by: allowing feet to air frequently
avoiding excessive sweating
and excessive dryness
avoiding jewelry and other objects made of nickel
avoiding unnecessary exposure to soapy water
bathing with mild soap and lukewarm water and rinsing soap off well
following measures to prevent
athlete's foot
taking good care of his or her skin
using heavy-duty gloves to protect the hands against chemicals
wearing cotton socks
How is the condition diagnosed?
Diagnosis of dyshidrotic eczema begins with a medical history and physical exam. The healthcare professional may order blood tests to check for other causes of the rash.
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