The cause of dyshidrotic eczema like all eczemas is unknown, but it occasionally appears to be seasonal. Small fluid filled blisters appear on the hands and feet. They usually appear along the edges of the fingers, toes, palms and soles. They accompany severe itching. This scratching leads to skin to thicken and also secondary infections. Some individuals with dyshidrotic eczema are atopic meaning that they may have an allergic predisposition. Some cases maybe triggered by contact with substances causing allergic skin reactions. This has the same occurrence level in both sexes. This usually happens before the age of forty. Problems such as emotional and mental stress may flare up this skin condition.
The diagnosis of eczema depends on many things such as the patient history, the clinical picture of the condition and the exclusion of other skin diseases. To identify this process Patch testing is used to exclude underlying contact allergies. This is because if the patient has any skin allergies such as atopy, contact allergy, irritation and fungal infections. This is because dyshidrotic eczema is approached completely differently from these diseases. Pustular psoriasis of the palms and soles, epidermolysis bullosa hereditaria, hand-foot-mouth-disease, acrodermatitis enteropathica and scabies in children are possible differential diagnoses for vesicles on the palms and soles.
The treatment of this skin disorder is done through the usage of corticosteroid creams and ointments play. The effectiveness of corticosteroid may be increased under plastic occlusion their effectiveness. If the case is severe this may require the use of oral or intramuscular corticosteroid. Oral antihistamines may help to reduce itching. Antibiotics may be necessary if infection continues to flair.
