Dyshidrotic dermatitis - Symptoms, Causes, Images, and Treatment Options

Diseases

Highlights & Basics

Key Highlights

Dyshidrotic dermatitis is a chronic, relapsing-remitting vesicular eruption of the palms and soles; classically pruritic; also known as dyshidrotic eczema.
The common exacerbating factor is irritation, as seen in frequent hand washing, hyperhidrosis, and stress. However, the underlying etiology is unknown.
Diagnosis is based on characteristic history and physical examination.
The foremost objective in treatment is identification and avoidance of exacerbating factors.
First-line therapy is topical corticosteroids or immunomodulators.

Dyshidrotic eczema

Photograph courtesy of Dr Spencer Holmes, MD; used with permission

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Definition

Epidemiology

Etiology

Pathophysiology

Citations

Key Articles

Agner T, Elsner P. Hand eczema: epidemiology, prognosis and prevention. J Eur Acad Dermatol Venereol. 2020 Jan;34 Suppl 1:4-12.[Abstract][Full Text]
Elsner P, Agner T. Hand eczema: treatment. J Eur Acad Dermatol Venereol. 2020 Jan;34 Suppl 1:13-21.[Abstract][Full Text]
Jacob PT, Marie LAS, Jose HA, et al. Guidelines for diagnosis, prevention and treatment of hand eczema. Contact Dermatitis. 2022 May;86(5):357-78.[Abstract]
Christoffers WA, Coenraads PJ, Svensson Å, et al. Interventions for hand eczema. Cochrane Database Syst Rev. 2019 Apr 26;4(4):CD004055.[Abstract][Full Text]

Referenced Articles

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