Edit concept Question Editor Create issue ticket

Dysidrosis

Dyshydrosis

Dyshidrosis (cheiropompholyx, dyshidrotic eczema, pompholyx) is a skin condition that is characterized by vesicular eruption on the hands or feet.


Presentation

  • With regard to internal causes, 30 patients presented with a positive patch test result for metals, but only 2 presented with exacerbations of the lesions after a challenge test.[emedicine.medscape.com]
  • Of those, 80% presented with dermatophytosis and 20% presented with candidiasis. After 3 weeks of antifungal therapy, 6 of 19 patients remained symptomatic for pompholyx.[dermaamin.com]
  • If redness is present, it is mild. Self-Care Guidelines Help your child with the following: Avoid exposure to harsh or aggravating materials (irritants).[skinsight.com]
  • Organized alphabetically, the book presents brief, bulleted points on disease topics in a consistent 3-column format. All topics are evidence-based and include cited evidence-based references.[books.google.com]
  • The clinical presentation of vesicular hand/foot dermatitis is typical. If suspicious of a fungal infection ( tinea pedis ), skin scrapings should be taken for mycology. Patch testing is indicated in chronic or atypical cases.[dermnetnz.org]
Falling
  • My hair is falling out in chunks. Not sure if its lupus or plaquenil, but I am assuming it is the plaquenil since my disease is almost undetectable in my labs. Thanks, everyone. At my last appt, rheumy said my lupus appears to be quiet.[mylupusteam.com]
  • Some of the items that fall within the purview of such allergic irritants are cocoa, chocolate, soy, butter and cheese, etc.[primehealthchannel.com]
  • The issue began in late fall and remained until the end of winter, eventually going away on its own once spring arrived.[thefixitsite.wordpress.com]
  • […] intensely itchy small blisters on the sides of the fingers, the palms or the feet. [9] These blisters are often described as having a " tapioca pudding " appearance. [10] After a few weeks, the small blisters eventually disappear as the top layer of skin falls[en.wikipedia.org]
  • This is why it falls into the interest of podiatrists. It is quite possible to have a sub-clinical infection, called a 'colonization' by a fungus or yeast.[dyshidrosis.co.uk]
Cheilitis
  • Also in the treatment group, dry skin, dry eyes, dry mouth, dry lips, and cheilitis were reported in 10% of patients, compared with 4% of patients in the placebo group. Lipid abnormalities were similar to those seen with other retinoids.[dermaamin.com]
Eczema
  • Dyshidrosis (cheiropompholyx, dyshidrotic eczema, pompholyx) is a skin condition that is characterized by vesicular eruption on the hands or feet.[symptoma.com]
  • Dyshidrotic Eczema Pictures Photos, Images and Pictures of Dyshidrotic Eczema… Dyshidrotic Eczema 4.8 (96.34%) 82 votes[hellomrdoctor.com]
  • It a common type of eczema that the hands (has been called influences the Eczema of cheirodyshidrotic), and sometimes the feet (has been called the Eczema of pedodyshidrotic).[depression-guide.com]
  • Dyshidrotic eczema Dyshidrotic eczema: Overview Dyshidrotic eczema: Symptoms Dyshidrotic eczema: Causes Dyshidrotic eczema: Treatment Dyshidrotic eczema: Tips[aad.org]
Eczema
  • Dyshidrosis (cheiropompholyx, dyshidrotic eczema, pompholyx) is a skin condition that is characterized by vesicular eruption on the hands or feet.[symptoma.com]
  • Dyshidrotic Eczema Pictures Photos, Images and Pictures of Dyshidrotic Eczema… Dyshidrotic Eczema 4.8 (96.34%) 82 votes[hellomrdoctor.com]
  • It a common type of eczema that the hands (has been called influences the Eczema of cheirodyshidrotic), and sometimes the feet (has been called the Eczema of pedodyshidrotic).[depression-guide.com]
  • Dyshidrotic eczema Dyshidrotic eczema: Overview Dyshidrotic eczema: Symptoms Dyshidrotic eczema: Causes Dyshidrotic eczema: Treatment Dyshidrotic eczema: Tips[aad.org]
Blister
  • Draining the blisters: Your dermatologist can drain fluid from the blisters. Don't try to do this yourself. You could make the eczema worse. To control the blisters at home: Wash your hands and feet every day.[webmd.com]
  • The skin surrounding the blisters will feel itchy and painful. After about three weeks, the blisters will dry up and flake off. The skin that appears under the blisters will be red and tender.[myadvancedderm.com]
  • The blisters that occur last approximately three weeks and cause intense itching. Once the blisters dry, cracks form in the skin which can be unsightly and very painful.[dyshidrosis.net]
  • Dyshidrotic eczema blisters are often painful and itchy. When they clear up, the blisters can become dry and flaky, revealing the tender skin underneath. This causes scaly patches on the skin, which then get red and crack.[firstderm.com]
  • The blisters are usually small — about the width of a standard pencil lead — and grouped in clusters, with an appearance similar to tapioca. In more-severe cases, the small blisters may merge to form larger blisters.[mayoclinic.org]
Blister
  • Draining the blisters: Your dermatologist can drain fluid from the blisters. Don't try to do this yourself. You could make the eczema worse. To control the blisters at home: Wash your hands and feet every day.[webmd.com]
  • The skin surrounding the blisters will feel itchy and painful. After about three weeks, the blisters will dry up and flake off. The skin that appears under the blisters will be red and tender.[myadvancedderm.com]
  • The blisters that occur last approximately three weeks and cause intense itching. Once the blisters dry, cracks form in the skin which can be unsightly and very painful.[dyshidrosis.net]
  • Dyshidrotic eczema blisters are often painful and itchy. When they clear up, the blisters can become dry and flaky, revealing the tender skin underneath. This causes scaly patches on the skin, which then get red and crack.[firstderm.com]
  • The blisters are usually small — about the width of a standard pencil lead — and grouped in clusters, with an appearance similar to tapioca. In more-severe cases, the small blisters may merge to form larger blisters.[mayoclinic.org]
Eruptions
  • Dyshidrosis (cheiropompholyx, dyshidrotic eczema, pompholyx) is a skin condition that is characterized by vesicular eruption on the hands or feet.[symptoma.com]
  • After several hours of itching or burning in the hands, feet or both, the eruption develops. Tiny vesicles, about 1 or 2 mm in diameter, erupt, first along the lateral aspects of the fingers and then on the palms or soles.[patient.info]
  • Signs and Symptoms The most common presentation of dyshidrosis is a sudden eruption of vesicles over the palms, soles, and sides of the fingers and toes, accompanied or preceded by severe itchiness or a burning sensation.[skincareguide.com]
  • This is again from an unknown cause that is typically characterized by a pruritic vesicular eruption on the fingers, palms and soles of the feet.[hellomrdoctor.com]
  • Dyshidrosislike eczematous eruptions with the use of intravenous immunoglobulin (IVIG) infusions have been reported.[emedicine.medscape.com]
Pruritus Vulvae
  • vulvae L29.3 Anogenital pruritus, unspecified L29.9 Pruritus, unspecified L30 Other and unspecified dermatitis L30.0 Nummular dermatitis L30.1 Dyshidrosis [pompholyx] L30.2 Cutaneous autosensitization L30.3 Infective dermatitis L30.4 Erythema intertrigo[icd10data.com]

Workup

  • Further workup ruled out contact dermatitis, polymorphic light eruption, and heat as the culprit, confirming that the reaction was due to true photosensitivity rather than to photoaggravation. [14] Pompholyx caused by UVA exposure may possibly be considered[emedicine.medscape.com]

Treatment

  • Management [ 9 ] The condition is self-limiting but, as it can be intensely itchy, symptomatic treatment may be in order. In practice, many patients require a combination of treatments [ 10 ].[patient.info]
  • Treatment Options for Dyshidrosis The treatment options that your dermatologist recommends will depend upon the severity of your symptoms and how much they are affecting your lifestyle.[myadvancedderm.com]
  • Light treatments: This treatment exposes the skin with DE to ultraviolet (UV) light for a prescribed amount of time. Under a dermatologist’s care, light treatment can be a safe and effective treatment for DE.[aad.org]
  • Treatment Dyshidrosis normally responds to treatment. However, some treatment strategies might not work with some individuals and work for others.[doctordecides.com]
  • The dose typically starts at 0.5 J per treatment and is increased by 0.5 J at every other or every third treatment. 19,20 8-Methoxypsoralen (MOP) plus UV-A (bath-PUVA) is an option.[dermaamin.com]

Prognosis

  • Prognosis Most patients recover spontaneously in three to four weeks but some have a chronic and unremitting course.[patient.info]
  • In order to attain good prognosis, one should be compliant with the treatment provided for. The doctor’s order should be followed accordingly.[hellomrdoctor.com]

Etiology

  • Etiology and pathophysiology are unknown but are most likely relate... Subscribe to Access Full Content Sign Up for a 10-Day Free Trial Sign up for a 10-day FREE Trial now and receive full access to all content.[5minuteconsult.com]
  • The only generally accepted view is that the dermatosis has multiple etiologies. This monograph is intended to be a follow-up to Simons' book published in 1966, entitled Eczema of the Hands. Investigations into Dyshidrosiform Eruptions.[books.google.com]
  • These are the following etiological link for dyshidrotic eczema: Sweat gland dysfunction This has been quite disputed among researchers for vesicles have not been associated with sweat ducts. Sweaty hands are a trigger for this skin dysfunction.[hellomrdoctor.com]
  • Dyshidrotic eczema Dyshidrotic eczema is a recurrent or chronic relapsing form of vesicular palmoplantar dermatitis of unknown etiology.[dermaamin.com]
  • "Hand Dermatitis: Review of Etiology, Diagnosis, and Treatment". The Journal of the American Board of Family Medicine. 22 (3): 325–330. doi : 10.3122/jabfm.2009.03.080118. ISSN 1557-2625. PMID 19429739. Archived from the original on 2017-09-08.[en.wikipedia.org]

Epidemiology

  • Topics reviewed in this article include epidemiology, clinical findings, quality of life, and therapeutic considerations.[journals.lww.com]
  • Systemic steroids can be taken orally to treat especially acute and severe cases of dyshidrosis. [13] Epidemiology About 1 in 2,000 people are affected in Sweden.[en.wikipedia.org]
  • Epidemiology [ 1 ] This is a dermatitis or eczema of unknown aetiology, characterised by an itchy vesicular eruption of the hands, fingers and soles of the feet. It can be acute, recurrent or chronic and is difficult to treat effectively.[patient.info]
  • […] collaborate analysis of diabetic criteria in AsiaDECODA研究 Diabetes epidemiology collaborate analysis of diabetic criteria in EuropeDECODE研究 Diabetes epidemiology research internationalDERI研究 Diabetes mellitus due to other specific mechanisms or disease[jds.or.jp]
  • Lodi A, Betti R, Chiarelli G, Urbani CE, Crosti C: Epidemiological, clinical and allergological observations on pompholyx. Contact Dermatitis 1992;26:17–21. White JW: Dyshidrosis; in Marks G (ed): Principles and Practice of Dermatology.[karger.com]
Sex distribution
Age distribution

Pathophysiology

  • Etiology and pathophysiology are unknown but are most likely relate... Subscribe to Access Full Content Sign Up for a 10-Day Free Trial Sign up for a 10-day FREE Trial now and receive full access to all content.[5minuteconsult.com]
  • Pathophysiology [ 1 ] The term dyshidrosis indicates a sweating abnormality but histology reveals no evidence of eccrine (sweat) gland involvement. Histologically, the vesicles are intra-epidermal with little or no inflammatory change.[patient.info]
  • Pathophysiology The hypothesis of sweat gland dysfunction has been disputed because vesicular lesions have not been shown to be associated with sweat ducts.[dermaamin.com]

Prevention

  • Prevention Because the cause of dyshidrosis is generally unknown, there's no proven way to prevent this condition. You may help prevent the condition by managing stress and avoiding exposure to metal salts, such as cobalt and nickel.[mayoclinic.org]
  • Controlling and Preventing Outbreaks While it may not be possible to prevent a skin condition such as eczema, proper skin care can make your skin stronger and minimize irritation to prevent it from flaring up or becoming worse.[t2conline.com]
  • Make sure to boil chlorine-treated water first before mixing it with salt to prevent irritating the blisters further.[doctordecides.com]
  • One may go for stress management counseling to prevent the supposed cause of most of the cases of dyshidrosis. In order to prevent further pompholyx complications, one must be under the supervision of dermatologists.[primehealthchannel.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!
Last updated: 2019-07-11 22:36