The classic patient is someone who washes his/her hands frequently (e.g., a parent who changes many diapers or a homemaker, mechanic, etc.).
The classic patient is someone who washes his/her hands frequently (e.g., a parent who changes many diapers or a homemaker, mechanic, etc.).
Red, scaly areas or tiny blisters on the palms and fingers are common signs of hand dermatitis (HD). It may affect the very young or very old but is most common in adults. For those with a history of allergies, asthma, hay fever or atopic dermatitis, the risk of HD is 60%.
Some patients have a hand eczema because of too much water contact, e.g., washing their hands too many times. There are certain jobs and professions that tend to trigger hand eczema--those with lots of water contact or "wet work," e.g., food service, janitorial, hair, health care, and being a homemaker with young kids. Also, hobbies or exercise that involve frequent contact with water (e.g., swimming) can be a cause.
Some patients may have hand eczema because a specific allergy. Typical allergens (something you are allergic to) include cosmetic and hygiene products, nickel (metal) and gloves. Anyone with a history of chronic hand dermatitis might need patch testing to rule out allergic contact dermatitis.
Red, scaly, eczematous areas occur on the fingers and hands.
Tiny tapioca-like vesicles (here seen at the tip) are common and are called pompholyx.
Pompholyx pattern, a more severe example.
Severe hand dermatitis caused by paraben (a preservative) in a hand cleanser.
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