Skin Care Guide

Dyshidrotic Eczema: Itch in Hand and Feet


Dyshidrotic eczema is defined as a recurring or chronic relapse type of vesicular palmoplantar dermatitis of unknown cause and etiology. Dyshidrotic eczema is also called pompholyx, derived from cheiropompholyx that means in Greek as “hand and bubble.”

The cause of dyshidrotic eczema is yet unresolved, and instead, it believed that the etiology of being multi-factorial. Rather Dyshidrotic eczema is regarded as reaction patterns caused because of various endogenous factors and exogenous conditions.

Dyshidrotic eczema or dyshidrotic dermatitis to be defined for a common man like a skin disorder, when there are itchy rashes, limited to hands that are usually found to be on the palms and the sides of fingers and even at times, this has known to be affecting to the feet. Dyshidrotic eczema usually manifests as skin getting with blisters, which looks like small, fluid-filled, and even itchy blisters. The cause of this skin disorder Dyshidrotic eczema is unknown. Dyshidrotic eczema is known to come and often go, with episodes of the blisters and itching appearing more common during the warm weather.

Research suggests that the causes of Dyshidrotic eczema could be:

  • Genetic Factors
  • Atopy: that is, patients have reported having personal or familial atopic diathesis, such as hay fever, allergic sinusitis, asthma, eczema, etc.
  • Nickel Sensitivity
  • Low-Nickel diets
  • Cobalt Sensitivity
  • Low Cobalt Diet
  • Exposure to sensitizing chemicals as well as metals
  • Id reaction
  • Fungal infection
  • UVA- rays
  • Aspirin ingestion
  • Oral contraceptives
  • Cigarette smoking
  • Food-related allergy
  • Drug-related allergy
  • Intertrigo

Symptoms of Dyshidrotic eczema:

The symptoms of Dyshidrotic eczema is occurring of tiny, fluid-filled blisters that are called vesicles. These appear on an infected individual’s fingers, on his hands, and maybe on feet. These blisters mostly appear commonly along edges of fingers, palms, toes, and soles. This blister causes the patient with intense itching, and their skin gets scaly and patchy, which leads the skin to get flakes always, or skin might even become red and gets cracked, and these blisters get painful.

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The urge to scratch and after that, scoring leads to skin changes and can also cause skin thickening. Large blisters can cause pain.

Exams and Tests for diagnosing Dyshidrotic eczema:

Doctors can diagnose this skin condition by just looking at the infected skin of the patients.

Dyshidrotic eczema, because their symptoms are very similar to other skin disorders, under some conditions even a skin biopsy is done, or skin scraping test is done, for ruling out other skin causes, and disorders such as of fungal infection.

Also, if the doctor thinks that the condition can be because of an allergic reaction to any element or substance, and then he may also conduct an allergy testing/patch testing that may be done to know the causal of this allergy.

Treatment of Dyshidrotic eczema:

  • Anti-itch medicines: taken by orally like antihistamines
  • Moisturizers to keep skin moist and supple so that it doesn’t get scaly
  • Strong steroid ointments and creams

It’s suggested that please don’t scratch these blisters. Also should be avoided: frequent bathing, frequently washing of infected hands and taking care to avoid irritating substances that are known to make itching worse.

Outlook or Prognosis

To put it only as such, there is no cure to Dyshidrotic eczema. Dyshidrotic eczema rather usually goes away without causing problems, but the symptoms can return later. If you have scratched in excess, this can thicken the skin and irritate the skin, which can be more difficult for treating, and this takes a long time to heal.

Possible Complications

  • Pain in those tiny blisters
  • Severe itching limiting use of patients hands
  • Secondary this is vulnerable for bacterial infection
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When to Contact your Medical Professional

Call your physician/doctor if you experience:

  • On the infected blisters and surrounding skin, there is redness, tenderness, warmth, or having fever, which are the signs of having an infection
  • Any rash, which is not going away with simple home remedies and treatments.
Rao Shab
Hey there! I am Vikas Yadav and welcome to my blog Guide India, where you will see the different aspects of our lives through my thoughts on various subjects. Feel free to explore as much as you like.

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