Serving all people by providing personalized health and wellness through exemplary care, education and research.
Explore health content from A to Z.
I need information about...
Dyshidrotic eczema is an ongoing (chronic) skin condition. It causes a burning, itching feeling. Severe dyshidrotic eczema may also cause a blistering rash. It can affect your palms, the sides of your fingers, and the soles of your feet. It’s most common in people in their 20s, 30s, and 40s, but can happen at any age.
Skin has several layers. The outermost layer is the epidermis. Under this is the dermis. The dermis contains blood vessels, nerve endings, hair roots, and sweat glands. With eczema, your skin becomes inflamed. Inflammatory cells of your immune system invade the epidermis. They irritate and destroy some of the tissues there. Eczema is common. It’s also known as atopic dermatitis.
Dyshidrotic eczema is a certain form of this skin inflammation. It can cause mild to severe symptoms. In some cases, it causes symptoms that go away in a few weeks with no treatment or with use of hand lotion. More often, it happens over many months or years.
Researchers are still working to learn the causes. But some factors may increase your risk of having it, such as:
Certain things can trigger episodes, such as:
Often, the first symptom is sudden itching on the palms, the sides of your fingers, or the soles of the feet. Next, small fluid-filled blisters (vesicles) may start to appear. These cause more intense itching and pain. These blisters may get bigger. In some people, these symptoms can cause a lot of problems with daily activities. The blisters often last for a few weeks before they dry up and flake away.
Dyshidrotic eczema is more likely to affect the hands than the feet. In most cases, the symptoms happen on both hands or both feet.
Some people have symptoms in frequent episodes. The episodes may happen every month or so for months or years. Over time, this may cause chronic hand dermatitis and lead to more symptoms, such as:
You may be diagnosed by a general healthcare provider or a dermatologist. A dermatologist is a healthcare provider who specializes in diseases of the skin.
Your healthcare provider will ask about your medical history and your symptoms. Tell him or her about contact you’ve had to possible irritants. You will also have a physical exam. Your healthcare provider will need to make sure your symptoms aren’t caused by other conditions. These may include allergic contact dermatitis, ringworm, herpes, or a rare autoimmune disease. You may also have tests such as:
Treatments may include:
You will need to use moisturizing lotion or cream every day. This helps to treat skin dryness as the blisters heal. If your symptoms don’t decrease, you may need more tests to help check for other possible causes of your symptoms.
Dyshidrotic eczema can sometimes let bacteria, such as Staphylococcus, infect the skin. Your healthcare provider may swab your skin to test it for infection. An infection may be treated with antibiotic medicine.
General skin care may also help you limit how often and severely your symptoms happen. Your healthcare provider may suggest:
Reducing your stress may also help you limit your symptoms.
Copyright © 2017 Baylor Scott & White Health. All Rights Reserved. |
3500 Gaston Ave., Dallas, TX 75246-2017 | 1.800.4BAYLOR