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What Is Dyshidrotic Eczema?

What Is Dyshidrotic Eczema?

  • Dyshidrotic eczema is a vesicular eruption that affects the palms, soles, and lateral regions of the fingers and toes. 
  • Pomphholyx is another name for dyshidrotic eczema. It's crucial to rule out a dermatophyte infection, especially in foot lesions.
  • Because it is frequently a sign of other types of eczema, particularly atopic dermatitis, dyshidrotic eczema is not a distinct disease entity.

Dyshidrotic Eczema Symptoms

  • Dyshidrotic eczema is marked by symmetrical, solid, deep-seated vesicles on the palms, lateral and medial parts of the fingers, and, less frequently, the soles and toes
  • The vesicles can range in size from a pinhead to several centimeters. 
  • Tapioca pudding has been compared to tiny lesions clustering together. 
  • While the pruritic vesicles contain clear fluid at first, they are prone to  surinfection. Desquamation of the usually thick scales resolves dyshidrotic eczema.

Dyshidrotic Eczema Treatment

  • Corticosteroids :topical and systemic
  • Calcineurin inhibitors :topical
  • PUVA: Bath-PUVA is more effective than oral PUVA or UVB 52. It's important to consider and treatment of underlying allergic or irritating contact dermatitis.


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