Dyshidrotic Eczema/ Pompholyx

Dyshidrotic eczema is a condition in where small blisters develop on the hands and feet. The blisters that occur in dyshidrotic eczema generally the last form 3-4 weeks and causes intense itching and it might be painful. Pompholyx Greek word means “Bubble”

dyshidrotic eczema

 

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The most common cause of this type is family history, prolong hand moist or in water, or allergy to certain material like nickel or chromium, it can also be triggered by stress. The skin of the palms, sides of the fingers or the soles of the feet are major sites of incidence.
Who Are Affected?

Dyshidrotic eczema can affect common people between 20-50 years; females have a higher incidence of dyshidrotic eczema.

Causes of Dyshidrotic Eczema/ Pompholyx

• Family history
• Stress
• Allergic response to environment like hay-fever, asthma
• Hand often moist or in water
• Sudden change in temperature
• Excessive sweating
• Chemicals
• Bacterial infection
• Nickel or chromium allergy

Dyshidrotic Eczema/ Pompholyx Signs and Symptoms

• Skin Itchy, red
• Skin flakes, Cracks, and fissures
• Excessive sweating
• Pain and swollen rash
• Small deep-seated blisters
• Blister very itchy
• Scaly patches of skin
• Weeping/ crusting skin lesions
• Scratching leads to skin color changes
• Skin thickening caused by scratching
• Severe pompholyx causes nail dystrophy

Investigations of Dyshidrotic Eczema/ Pompholyx

• Complete case history
• Physical examination
• Potassium hydroxide (KOH) test
• Patch testing
• Skin biopsy

Treatment of Dyshidrotic Eczema/ Pompholyx

• Anti-itch medicines
• Petroleum jelly
• Steroid pills after doctors advice
• Coal tar preparation
• Ultraviolent light therapy (Phototherapy)

Prognosis of Dyshidrotic Eczema/ Pompholyx

Patients with dyshidrotic eczema recover spontaneously in 3 to 4 weeks; there is no specific cure for this. Excessive itching and scratching can lead to thick irritated skin which is hard to treat

Complications of Dyshidrotic Eczema/ Pompholyx

• Pain, redness, swelling, and itching
• Skin crusting or pustules
• Secondary infection
• Emotional stress
• Bacterial infection from scratching

Differential diagnosis of Dyshidrotic Eczema/ Pompholyx

• Pustular psoriasis
• Fungal infection
• Bacterial infections
• Pemphigoid gestations
• Erythema multiforme
• Fixed drug eruption
• Friction blister
• Herpes simplex

Dietary Changes Help

• Yoga and meditation helps a lot
• Use stress releasing techniques
• Keep hands and feet clean and dry
• Limit skin exposure to water
• Follow a healthy diet, avoid consumption of processed food
• Avoid scratching the rash
• Use moisturizing hand cream after washing hands
• Use cold compression
• Petroleum jelly is also helpful
• Protect hands from irritants like perfumes, lotions or dishwashing soap
• Avoid exposure to mineral salts like chromium and nickel
• Use gloves on hands while dealing with dust, water and cleaning agents

Homeopathic treatment for Dyshidrotic Eczema/ Pompholyx

Arsenic album:
• Intense burning of skin
• Foetid or purulent discharge or dry, scaly eruption
• Dry parchment-like skin
• Thirsty, drinking little and often aggravated after midnight
• Skin worse after midnight, from cold, in open air and from scratching with bleeding afterward
• Better with heat

Antimonium crudum:
• Skin producing thick, horny callosities in the tissue
• Often indicated in eczematous eruptions
• Eruptions consisting of crust which are horny yellow color
• Skin cracks readily, indicated for eczema about nostrils or corners of mouth

Borax veneta:
• Indicated medicine for eczema
• Skin unhealthy, every little cut or scratch suppurates easily
• Itching of the skin particularly on the back of fingers
• Eczema of fingers

Graphites:
• Skin scaly, dirty looking eruptions
• Itching from warmth of bed
• Skin rough and oozing  a glutinous fluid

Kreosotum:
• Indicated for eczema in which scales pile up into large masses
• Eruption on the extensor surface of the limbs

Petroleum:
• Eczema forming thick scabs and oozing pus.
• Skin grows more harsh and dry
• Deep cracks and fissures which bleed and suppurate

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