Dyshidrotic eczema is a condition of skin with wide areas hit with small itching blisters hitting the soles and palms. The condition is also known as dyshidrotic dermatitis, dyshidrosis or pompholyx. The blisters are called vesicles and may be filled with fluid. The most common location of the blister appearance are the edges of fingers, soles, toes and palms. The blisters last about three weeks after first occurrence and are normally followed with severe itching. If a patient will scratch the blisters they may burst and get worsened.
Mild cases of dyshidrotic eczema perform stand alone blisters of a size of a pencil lead. In more severe cases small blisters can form into one large blister which boosts the risk of premature bursting and damaging the skin even deeper. Severe cases of Dyshidrotic eczema are usually very itchy and painful.
The first symptoms of dyshidrotic eczema are very similar to common allergic reactions to some aggressive triggers. First redness may look like chemical burn and may feel the same. The stand alone blisters may not be noticed. Itching may also be related to some skin damages. The key difference in simple skin damaging and first symptoms of dyshidrotic eczema is the flow. In case of allergy and simple irritation the symptoms will fade away when the action of trigger will be stopped. If the symptoms are caused with dyshidrotic eczema then they will not improve with flow of time but will add other symptoms typical to the disease. That is why it is strongly recommended to see a doctor as soon as you will notice some conspicuous evidences of dyshidrotic eczema in certain locations of your hands and foots.
If untreated, the patches of skin may flake, crack and cause pain. If cracked and flaking, the skin gets thicker and rougher. The chronic cases of dyshidrotic eczema commonly recur blisters right before the damaged part of the skin are totally recovered. The flow of dyshidrotic eczema is alike the flow of any other type of eczema and follows the scheme of erythema, blisters formation, blister bursting and crust appearance.
Different types of eczema are triggered by different internal and external factors.
The triggers of dyshidrotic eczema are:
- physical and mental stress
- acute allergic reactions
- hands or soles being constantly affected by water
- skin exposed to direct contact with nickel, chromium or cobalt
Dyshidrotic eczema requires the same treatment as any other type of the disease. Eczema treatment commonly includes moisturizing creams or ointments that you rub into the affected areas of the skin. In severe eczema cases, your doctor may suggest corticosteroid pills, such as prednisone, that should be taken orally. In some cases antihistamines will be added to the course of treatment to ease the symptoms and the flow of the disease.
The biggest challenge in treatment of dyshidrotic eczema is that the part of body it affects are commonly damaged (feet and palms) in course of everyday life. If having acute form of dyshidrotic eczema you should take extreme care of your skin to prevent other disease triggers penetrating through weak skin barriers and worsening the flow of eczema with joined infections.