Dyshidrotic eczema is a chronic eczematous dermatitis affecting the skin of the palms and soles and characterized by rashes in the form of small serous bubbles.
As with other types of eczema, the specific causes and mechanism of development of the dyshydrotic type are not identified, only the role of some provoking factors is known.
Diagnosis of the disease is carried out mainly by eliminating a similar pathology. Treatment of dyshidrotic eczema is carried out with ointments, antihistamines and sedatives, corticosteroids if necessary. An important role is played by the elimination of provoking factors.
Often there is dyshidrotic eczema of the hands, on the legs, and also on the fingers. We will talk about symptoms and treatment in this article.
Causes of dyshidrotic eczema
What it is? Doctors are still unknown the exact causes of dyshidrosis. It is assumed that its occurrence is a kind of allergic reaction of the body, which usually has an autoimmune nature.
The causes of dyshidrotic form can be identified a great many, among which the first places are:
- Stressful situations.
- Mental trauma.
- Endocrine diseases (including diabetes and hyperthyroidism).
- Diseases of the digestive tract of various origins (cholecystitis, pancreatitis, colitis and gastritis).
- Vegetative-vascular dystonia.
- Hereditary factor and genetic predisposition.
- Allergic diseases.
- Chronic gonococcal process in the body.
- Mycosis of the feet.
The disease is accompanied by frequent relapses. Dyshidrotic form of eczema (pompholyx, dyshidrosis) is noted in 20-25% of all cases of eczematous processes on the hands.
Symptoms of dyshidrotic eczema
In the case of dyshidrotic eczema, the symptoms are small vesicles, which over time form large patches of skin lesions and cause severe itching. After 1-3 weeks, the vesicles are opened, forming small erosion.
An infection may occur in the wounds that provoke significant aggravations during dyshidrosis. Infectious complications require separate treatment. As a rule, it is associated with the appointment of antibiotics.
It is worth noting that in 80% of patients with dyshydrotic eczema, the disease affects only one arm, in 10% of patients, symptoms appear only on the legs, and in 10% of cases, bubbles form on the arms and legs.
When making a diagnosis and confirmation of dyshidrotic eczema, a single external examination and tests may not be enough.
Therefore, in addition to them, such similar signs and manifestations of diseases are excluded, such as, for example:
- Epidermofitiyu feet;
- Pustular psoriasis of the soles and palms;
- Andrews pustular bacteridum;
- Chronic actodermatitis Allopo.
When a diagnosis has already been made, it is important to choose the most appropriate method of treatment in a particular case of illness.
The basis of the development of eczema is an allergic reaction. Therefore, at the time of exacerbation of the disease from the diet of the patient should be excluded any products that stimulate the hyper response of the immune system.
- Red vegetables;
- Strong tea, coffee;
- Honey and sweets;
- Smoked products;
- A fish;
- Any spicy foods;
- Cow's milk;
Patients are advised to eat more fermented milk products, fresh and steamed vegetables.
How dyshidrotic eczema looks: photo
Sometimes the signs of dyshidrotic eczema disappear within a few weeks after the start of treatment, without causing any complications. In many cases, however, treatment takes much longer, and often the disease spills over into the chronic form and then passes, then appears again. Some patients for years can not get rid of dyshidrosis, despite the use of all sorts of drugs for this disease.
In no case should the combed skin areas be combed. Damage to the skin can lead to even greater discomfort and even dangerous bacterial infections.
Treatment of dyshydrotic eczema
There are many ways to treat dyshidrotic eczema, an individual approach to each patient is important for success, the effect on the main link of the pathogenetic chain (cause).
Before treatment, pathological foci that served as a triggering factor — scarring after skin trauma, neurosis, chronic infectious diseases, and damage to internal organs are identified and eliminated. As well as possible, various external factors that are irritating to the patient’s skin and nervous system are eliminated.
In the presence of small rashes in the first stage of treatment, the fukartsin aniline dye very well helps. It is necessary to use various creams containing naphthalene, sulfur, tar, hormonal ointments, such as advantan, elokom, powder, talc, starch, zinc, as well as chatter and indifferent pastes. Not bad help cool wet compresses with tap water, or with a solution of Burov.
The following medications are used as medications for the treatment of dyshidrotic eczema of the hands or fingers:
- Antihistamines (suprastin, tavegil, claritin and others);
- Hyposensitizing drugs (magnesium sulfate and calcium gluconate);
- Nonsteroidal anti-inflammatory drugs;
- Hormonal anti-inflammatory drugs;
- Complexes of vitamins, primarily vitamins of group A and E.
- Favorably affect the course of eczema dyshidrotic thalassotherapy (baths with salts of the Dead Sea).
With a severe exacerbation of the disease, courses of corticosteroid therapy may be applied, which implies the application of an ointment. The use of corticosteroids inside is prescribed only in exceptional cases and only for a short period of time, since this can cause complications and lead to dependence on drugs.
Physiological procedures such as ultraphonophoresis, ultraviolet irradiation of blood, laser therapy, cryotherapy, darsonvalization, magnetic therapy, mud therapy and thalassotherapy are indicated for the treatment of all types of eczema. These procedures eliminate itching, promote better wound healing, and also have a beneficial effect on the nervous system, replacing sedatives.
Excellent effect gives a combination of physiotherapy with local preparations, for example, electrophoresis and Dimexidum. In the conditions of sanatorium treatment, it is possible to combine several types of physiotherapy.
At home, dyshidrotic eczema is not cured, but you can try to relieve inflammation and itching using popular methods.
- They take in equal quantities oak bark, chamomile, yarrow, a string and make a decoction for the baths. It is recommended to hold hands in it for 15-20 minutes. To eliminate the infection, local antiseptic treatment is carried out with ointments having antibacterial properties.
- Take 20 grams of crushed leaves of yarrow and add boiling water to a glass, let it brew for 1 hour. Take 1 cup daily.
- In case of dyshidrosis, lesions and redness can be smeared with sea buckthorn oil several times a day.
- Drug tincture eucalyptus diluted with water in a ratio of 1: 1, then moisten the bandage and impose in the form of applications on the hands; exposure time - 5-10 minutes.
- You can lubricate the affected areas with black currant ointment. 200 grams of butter mixed with crushed to powder black currant branches. The resulting mixture is placed in a water bath for five minutes.
In general, traditional methods of treatment can have a positive effect on the condition of the skin, especially in the period of the chronic course of the disease.