Synonym(s)
acute; acute hand eczema; dyshidrotic hand eczema; Hand eczema
HistoryThis section has been translated automatically.
Hutchinson, 1875
DefinitionThis section has been translated automatically.
Large blistered special form of dyshidrosis on hands and feet.
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General therapyThis section has been translated automatically.
Search for causes (e.g. atopy, contact allergy, tinea, pyoderma) and if possible eliminate them. Protection of the hands with cotton gloves, if feet are involved no occluding footwear.
External therapyThis section has been translated automatically.
Sterile puncturing of the blisters, leave the blister roof as protection against infection. Medium-strength glucocorticoid ointments such as 0.1% mometasone (e.g. Ecural fat cream) in combination with moist antiseptic compresses such as polihexanide (Serasept, Prontoderm), octenidine (Octenisept) or potassium permanganate (light pink). Subsequently synthetic tanning agents (e.g. Tannosynt, Tannolact) as baths or creams. See below dyshidrosis, see below. Eczema, dyshidrotic.
Internal therapyThis section has been translated automatically.
In case of highly inflammatory component glucocorticoids internally in medium dosage such as prednisolone (e.g. Decortin H) 40-60 mg/day, fast balancing. In case of secondary infection broad-spectrum antibiotics such as Ofloxacin (e.g. Tavanic) 2-3 g/day in 4-6 ED. S.u. Dyshidrosis, see below Eczema, dyshidrotic.
LiteratureThis section has been translated automatically.
- Braun-Falco M et al (2003) Palmoplantar vesicular lesions in childhood. dermatologist 54: 156-159
- Crosti C et al (1993) Pompholyx: a still unresolved kind of eczema. Dermatol 186: 241-242
- Hutchinson J (1875) Cheiro-Pompholix, dysidrosis. In: Illustrations of clinical surgery. J. Churchill, London
- Klein AW (2004) Treatment of dyshidrotic hand dermatitis with intradermal botulinum toxin. J Am Acad Dermatol 50: 153-154
- Man I et al (2004) Photoinduced pompholyx: a report of 5 cases. J Am Acad Dermatol 50: 55-60
- Petering H et al (2004) Comparison of localized high-dose UVA1 irradiation versus topical cream psoralen-UVA for treatment of chronic vesicular dyshidrotic eczema. J Am Acad Dermatol 50: 68-72
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Outgoing links (7)
Antibiotics; Bubble; Dyshidrosis; Dyshidrotic dermatitis; Glucocorticosteroids systemic; Octenidine; Polihexanide;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer