It is also known as dyshidrotic dermatitis, pompholyx, dyshidrosis and hand-foot eczema. It is a skin disease that develops on the palms or soles of the feet. It creates small skin bumps in the area where it occurs and severe itching is felt in this area. Itching and blisters are effective for three weeks. Then, the water-filled blisters dry up and the itching subsides. However, skin cracks and grooves form in the dried area, which can cause pain. The area with the blisters can be itchy and turn into a wound, which increases the chance of infection.
The affected area becomes inflamed, causing this problem. Due to inflammation, the cells in the skin are opened, and then the fluid fills the spaces. In this case, the problem skin area appears in the form of rubber. The disease is recurrent and long-lasting. It can be seen in both women and men. It mostly occurs in people between the ages of 20–30. In addition, it is more common in regions with warm climates. Being under extreme stress can trigger dyshidrotic dermatitis. In addition, it can be said that it is more common in allergic bodies.
Causes of Dyshidrotic Dermatitis
The cause of dyshidrotic dermatitis has not been fully determined. However, it is seen that it occurs more frequently in individuals prone to allergies. It can occur in genetically allergic individuals with diseases such as asthma and hay fever. There are many factors that trigger the disease. It can be experienced in each patient due to a different factor.
Frequent irritation of the skin can lead to the development of the disease. Every day dishwashing liquid, household cleaners and cosmetic products containing allergic substances can affect some bodies more easily and cause illness. Some habits can also be associated with the disease.
Long-term and regular smoking and alcohol consumption can reveal this situation. Consuming too much coffee, tea and cola during the day, some ready-made fruit juices, cocoa, chocolate and cereals can cause allergies in sensitive people and may reveal dyshidrotic dermatitis.
Nickel, cobalt and chromium allergies trigger this problem in many patients. Contact with the skin or ingestion of these allergens can cause problems. You can also be exposed to these substances by contact with cement.
In addition to these, conditions such as frequent and long wet hands and feet, wearing gloves for a long time, and fungal infections are thought to be associated with the disease. Weather changes are also effective in this regard. It is observed that the disease intensifies in the spring months. Hot weather has an effect on the formation of the problem. On the other hand, being under excessive stress or certain treatments can also result in skin disease.
Dyshidrotic Dermatitis Symptoms
Although dyshidrotic dermatitis mostly occurs on the hands, it occurs on the soles of the feet in some patients. In some cases, it is seen around the nails. When the nails are affected by the disease, deformities may occur.
Small blisters appear in the affected area. They are full of water. In some cases, they multiply and coalesce to form larger bubbles. Severe itching occurs in the area where the water-filled blisters form. As the area itches, sores may occur and infection may occur. Symptoms last for an average of 3 weeks.
Then the blisters begin to subside and the itching subsides. But cracks and rashes begin to appear in the area. This may also cause local pain.
How Is Dyshidrotic Dermatitis Diagnosed?
The diagnosis of dyshidrotic dermatitis is made by a dermatologist. In the first doctor’s examination, symptoms, skin and disease history are evaluated. The doctor may consider certain tests necessary to make sure it is not confused with other diseases. With the tests applied, other possible diseases are eliminated and a definitive diagnosis is made.
Dyshidrotic Dermatitis Treatment
The treatment of dyshidrotic dermatitis is planned according to the condition of the disease. Various applications, creams and drugs can be preferred when necessary. In addition to these, it is also important to avoid the factors that trigger the disease.
If the disease is in the period when the blisters become severe, cold compresses are preferred to reduce it. It can be applied during the day as directed by the doctor. This application also helps to reduce itching.
After the bubble period, a cream can be applied to the cracks in the area and to moisturize in general. However, in some cases, creams containing cortisone are considered necessary. These are effective remedies to prevent itching. If the disease is in the period of cracks, ointments containing cortisone can also be given.
If the area is infected, antibiotic drugs are used for this. In addition, PUVA therapy can provide rapid recovery in some patients. This application is ultraviolet light therapy. But then the disease can recur.