Atopic hand dermatitis L20.8

Minus variant of atopic eczema in adults. Dyshidrotic skin lesions on the backs of hands and fingers, less frequently on the palms.

The clinical picture of atopic hand dermatitis (syn. atopic hand eczema) (the same applies to atopic foot dermatitis) depends crucially on the degree of acuity of the inflammatory reaction. This varies between minimal variants up to weeping or pyodermic maximum variants. On the basis of an atopic diathesis or a latent atopic hand (foot) dermatitis, severe hand (foot) dermatitis can develop due to superimposed external influences (cumulative toxic damage, or contact sensitization), which considerably impairs daily activities.

Minus variants of hand (foot) dermatitis are:

• Dyshidrosis lamellosa sicca (hands and feet, hands preferred).
• Mild dyshidrotic hand (foot) eczema
• Atopic winter feet (atopic winter hands)
• Pulpitis sicca

Classic (full-blown acute, subacute or chronic) clinical variants are:

• Full-blown dyshidrotic hand (foot) dermatitis.
• Cheiro/podopompholyx (acute maximum variant of dyshidrotic hand (foot) dermatitis.
• Cumulative-toxic hand (foot) dermatitis on the base of atopic dermatitis
• Hyperkeratotic rhagadiform hand (foot) dermatitis on the base of atopic dermatitis
• Contact allergic hand (foot) dermatitis on the basis of atopic dermatitis

According to the recommendations for hand dermatitis Hand dermatitis . S.a.u. Dermatitis, atopic.