Dyshidrosis lamellosa sicca L30.12

Bland, chronic or chronically recurrent peeling or peeling syndrome (minus variant of dyshidrotic eczema) with numerous, fine, ruffle-like scaly patches on the palms and sides of the fingers The pushing activity may be accompanied by slight itching.

Familial accumulation

Unknown; minus variant of atopic eczema is discussed; connection not yet clearly established.

Children and young people, also younger or medieval adults.

Clear, intraepidermally located, usually occurring in groups of smallest, < 0.1cm to 0.2-0.3cm, variably pruritic vesicles. These precursors are often not registered (or completely absent).

When the vesicles dry up, lamellar, raised, sometimes ruff-like or even circine desquamations of the groin skin of fingers and palms develop. The changes are mainly noticed on the hands, although they also occur on the soles of the feet.

The primary manifestation of the disease is a coarse lamellar desquamation of the skin, so that clinically the disease is only perceived as a recurrent lamellar desquamation. The clinical picture progresses in episodes with frequencies of varying length.

Blande nourishing creams and ointments like Ash Base Ointment, Linola Fat, if necessary with hydrating additives like 5% Urea Cream R102 or Excipial U Lipolotio. Alternatively hand care products, e.g. Excipial repair sensitive or salicylic acid containing (3-5%) external agents.

For the development of itchy blisters, see below. eczema, dyshidrotic.

1. Chang YY et al (2014) Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Br J Dermatol 167:1076-1084

2. Lee HJ et al (2001) Clinical evaluation of atopic hand-foot dermatitis. Pediatric Dermatol 18:102-106