Dyshidrose: what is it? How to treat?


Dyshidrose: have you heard that? Although it is not usually serious, this type of skin problems can become quite unpleasant. Find out more about this disease, how to treat it, and be careful to minimize its recurrence.


What is dyshidrosis?

Dyshidrose is an eczema found on the hands and, although rarer is, on the feet that occurs in eruptions. It manifests itself through liquid bubbles, but sometimes without symptoms. This disease is also known as dystrophic eczema or dystrophic dermatitis.

This disease is more common in young adults with a maximum incidence between 20-40 years. Its occurrence is uncommon in children and does not affect a particular sex.

How does it manifest itself?

Dyshidrose initially manifests itself through small bubbles (vesicles) with a transparent liquid on the hands and feet. In the hands, these vesicles are usually placed (in 70 to 80% of cases) on the lateral or dorsal edge of the fingers.

These small blisters are usually accompanied by an itching (itching) that can be very intense and irritating. When scratches the lesions, the patient breaks the bubbles, removing a transparent liquid. The fluid present in the bubbles is caused by an inflammatory process.

The blisters can stretch to palms and feet. Over time, they end up drying and flaging. The episodes can last for a few weeks and are more frequent during the hot months. Finally, episodes of dyshidrosis can recur on a regular basis.

What are the causes of dysidorsis?

In fact, the causes of dyshidrosis are not known. However, certain conditions have been observed in patients with manifestations of episodes of the disease:

Atopic or contactdermatitis
Atopic skin
Emotional stress and anxiety
Exposure to substances such as nickel, chromium and cobalt
Exposure to irritants such as detergents, solvents or acidic liquids

How is it diagnosed?

Observation of the skin and a history of repeated episodes is usually sufficient. However, some cases may require tests to rule out the possibility of infection or contactdermatitis.

What is the treatment?

For the most part, dyshidrose requires no treatment that disappears by itself after a few days to weeks. Hand washing is recommended followed by a softening cream.

An antibiotic may be necessary just if there is evidence of secondary infection.

The use of topical corticosteroids is reserved for the most severe cases of dyshidrosis.

What measures should be taken to prevent episodes of dyshidrosis?

The Health Atlas mentions several precautions to be taken to prevent the recurrence of this disease:

Whenever possible, avoid moisture and heat in the affected areas
Wear cotton socks and shoes with leather sole
Do not use shoes made of synthetic materials
Remove shoes and socks often so sweat evaporates
Wear vinyl gloves lined with cotton to avoid contact with fabrics that may irritate the affected areas (cleaning products, cleaning products, gardening and others)
Wear gloves when handling sour fruits and vegetables
Wash the inside of the glove after use
Change gloves often
Remove the rings before doing housework or washing your hands
Bath with hot water and use mild soap.


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