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Dyshidrotic Eczema And Autoimmune Disease

Dyshidrotic eczema is a skin ailment that lasts a long time. It gives a burning and itchy sensation. A blistering rash is another symptom of severe dyshidrotic eczema. Your palms, sides of your fingers, and the soles of your feet may be affected. It affects adults in their 20s, 30s, and 40s the most, although it can strike anyone at any age.

There are multiple layers to the skin. The epidermis is the outermost layer. The dermis is located beneath the epidermis. Blood arteries, nerve endings, hair roots, and sweat glands are all found in the dermis. Eczema causes your skin to become irritated. Your immune system's inflammatory cells infiltrate the epidermis. Some of the tissues there are irritated and destroyed by them. Eczema is a common skin condition. Atopic dermatitis is another name for it.

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Dyshidrotic eczema is a type of eczema that affects the skin. It can induce symptoms that range from moderate to severe. It can create symptoms that go away in a few weeks without therapy or with the use of hand lotion in certain circumstances. It usually happens over a period of months or years.

Atopic Dermatitis is an in situ immune-mediated disease

  • Although there are many theories about the origin of pompholyx, the pathogenesis of the disease is still unknown. Only a few studies have been published that look at the immune response in this disease in situ.
  • Complement, MPO, and the T-cell immune response are all part of a complex immunological process. In addition, the existence of an IgE immune response may indicate a secondary allergy reaction, which may be aggravated by the use of other medications.

What are the other causes of dyshidrotic eczema?

Many things can enhance your chances of getting it, including:

  • Having previously suffered from atopic dermatitis.
  • Allergies, such as allergic rhinitis, are common.
  • Allergens or irritants, such as some metals, are being exposed.
  • Smoking.
  • A skin illness caused by a fungus.
  • UV radiation is being received.
  • Sweat glands that are hyperactive.
  • Episodes can be triggered by a variety of factors, including:
    • Stress
    • Weather :hot or extremely cold
    • Air : dry or humid

What signs and symptoms do you have if you have dyshidrotic eczema?

  • Sudden itching on the palms, sides of fingers, or soles of the feet is frequently the initial sign. Small fluid-filled blisters (vesicles) may form after that. 
  • Itching and pain are more extreme as a result of these. 
  • These blisters may grow in size. These symptoms might cause a lot of issues with daily activities in some people. Blisters usually last a few weeks before drying up and flaking away.
  • The hands are more likely to be affected by dyshidrotic eczema than the feet. In the majority of instances, the symptoms appear on both hands and feet.
  • Some people have symptoms on a regular basis. The incidents may occur once or twice a month for months or even years. This can lead to persistent hand dermatitis and a slew of other symptoms, including:
    • Skin that is reddened and hard.
    • Skin that is scaling and peeling.
    • Your skin has cracks in it.
    • Your nails will change color.

How can you know if you have dyshidrotic eczema?

  • A dermatologist or a general healthcare physician may diagnose you. A dermatologist is a medical professional who specializes in skin problems.
  • Your doctor will inquire about your medical history as well as your symptoms. Tell him or her about any possible irritants you've come into touch with. You will also be subjected to a physical examination. 
  • You may also be subjected to tests such as:
    • Patch skin testing is used to determine whether or not a person is allergic to something.
    • Blood tests to rule out an autoimmune condition.
    • To screen for infection, a skin scraping or biopsy is performed.
  • Your doctor will need to rule out any other illnesses that could be causing your symptoms: Allergic contact dermatitis, ringworm, herpes, or a rare autoimmune disease are examples. 

What is the treatment for dyshidrotic eczema?

Treatment options include:

  • Lotion or cream that moisturizes
  • Reduces inflammation with steroid ointment
  • Creams containing calcineurin, which may also help to relieve inflammation
  • For more severe symptoms, oral steroid medication is prescribed.
  • Large blisters are drained to relieve pain.
  • For patients with chronic, severe symptoms, psoralen and ultraviolet light (PUVA) therapy is used.
  • Every day, you'll need to apply a moisturizing lotion or cream. As the blisters heal, this aids in the treatment of skin dryness. 
  • If your symptoms do not improve, you may need more tests to rule out other possible causes.

What are the risks of dyshidrotic eczema?

Bacteria such as Staphylococcus can sometimes invade the skin due to dyshidrotic eczema. A swab of your skin may be used to test for infection by your healthcare professional. Antibiotics can be used to treat an infection.

What is the best way to treat dyshidrotic eczema?

General skin care might also help you reduce the frequency and severity of your symptoms. Your doctor may advise you to do the following:
  • instead of hot water, use lukewarm water
  • Using soap-free cleaning products
  • Make sure your hands are completely dry.
  • After drying your hands, apply cream or petroleum jelly to protect them.
  • When washing dishes, use latex-free gloves.
  • If the weather is chilly or rainy, gloves should be used.
  • Keeping away from potential irritants such detergents, solvents, and hair products
  • Whenever feasible, avoiding exposure to weather extremes
  • Stress reduction may also help you manage your symptoms.

The most important things to know about dyshidrotic eczema

  • Dyshidrotic eczema is a type of eczema that affects the skin. It generates a blistering rash as well as a burning, itchy sensation.
  • Your palms, sides of your fingers, and the soles of your feet may be affected. These symptoms might be fairly severe in some persons.
  • You could require testing to figure out what's wrong with you.
  • Treatments for the ailment include steroid ointment and moisturizing lotion or cream.
  • General skin care can help you reduce the frequency and severity of your symptoms.


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