Dyshidrotic eczema

Dyshidrotic eczema 

Updated: 02/11/2021

© Jun Wang, MD, PhD

General features
  • AKA acute palmoplantar eczema
  • Pruritic vesicular eruption on palms, soles and lateral aspects of fingers and toes
  • History of atopic dermatitis or contact dermatitis increases risks
  • Rule out allergic contact dermatitis, using patch testing
  • Secondary bacterial infection of the vesicles/bullae may occur
  • Clinical course ranges from self-limited to chronic, severe
  • Usually clinical diagnosis
Pathogenesis
  • Unknown etiology
  • Probably associated with contact allergens, irritants, stress, etc
Clinical features
  • Sudden onset
  • Deep seated, pruritic vesicles
Management
  • Topical steroid
  • Cold compresses


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