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dyshidrosis

Updated: Jan 5

dyshidrosis

cause : unknown

history : recurrent vesicular eruption at hand and feet

physical examination : symmetrical itchy deep seated vesical both palm and sole , lateral aspect of finger  , marceration

aggravated factor:

Emotional stress

Certain work exposures (eg, cobalt) and/or recreational exposures

Recent exposure to contact allergens (eg, nickel, balsams, paraphenylenediamine, chromate, sesquiterpene lactones) before condition flares

Exposure to contact irritants before condition flares

Recent exposure to costume jewelry (patients with palmar pompholyx and allergy to nickel)

complication : secondary bacterial infection

treatment :

  1. high strength topical steroid

  2. compression

  3. short course oral steroid as second line

advice : avoid contact irritant , reduce stress , moisturizer prevention

prognosis : spontaneous resolve with in 3-4 week

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