<\/span><\/h2>\nVesicular dermatitis of the hand is a form of hand. eczema<\/span> characterized by vesicles<\/span> or bullas<\/span> (blisters) A similar condition can affect the feet (vesicular dermatitis of the foot).<\/p>\nThis form of eczema is also called vesicular endogenous<\/span> eczema, dyshidrotic eczema and pompholyx; cheiropompholyx affects the hands and pedopompholyx affects the feet.<\/p>\n\n<\/span>Vesicular hand\/foot dermatitis<\/span><\/h5>\n<\/section>\n\n\n
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Pompholyx<\/p>\n
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See more images of vesicular hand\/foot dermatitis.<\/p>\n
<\/span>Who gets vesicular hand\/foot dermatitis?<\/span><\/h2>\nVesicular hand\/foot dermatitis most often affects young adults.<\/p>\n
\n- It is more common in women than in men.<\/li>\n
- Many of them report palmoplantar<\/span> hyperhidrosis<\/span>.<\/li>\n
- There is a personal or family history of atopic<\/span> eczema in 50%.<\/li>\n<\/ul>\n
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<\/span>What causes vesicular hand\/foot dermatitis?<\/span><\/h2>\nVesicular hand\/foot dermatitis is multifactorial<\/span>. In many cases, it appears to be related to sweating, as rashes often occur during hot weather, damp<\/span> conditions or after an emotional disturbance. Other contributing factors include:<\/p>\n\n- Genetics<\/li>\n
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Contact with irritants<\/span> such as water, detergents, solvents and friction<\/li>\n- association with contact allergy<\/span> to nickel and others Allergens<\/span>\n<\/li>\n
- \nInflammatory<\/span> dermatophyte infections (ringworm) (when known as dermatophytes)<\/li>\n
- \nAdverse reaction<\/span> to drugs more often immunoglobulin<\/span> therapy.<\/li>\n<\/ul>\n
<\/span>What are the clinical features of vesicular hand\/foot dermatitis?<\/span><\/h2>\nVesicular hand\/foot dermatitis presents as recurrent<\/span> Deep blister cultures on the palms and soles. They cause intense itching or a burning sensation. The blisters peel off and the skin appears red, dry and sore. fissures<\/span> (cracks)<\/p>\nWhen it involves the distal<\/span> finger adjacent<\/span> or proximal<\/span> to the nail fold, can result in paronychia<\/span> (swelling of the nail fold) and nails dystrophy<\/span> with irregular bites<\/span> and crests.<\/p>\n<\/span>What are the complications of vesicular hand\/foot dermatitis?<\/span><\/h2>\nSecondary bacterial<\/span> infection<\/span> with Staphylococcus aureus<\/em> me Streptococcus pyogenes<\/em> is common in vesicular hand\/foot dermatitis and results in pain, swelling, and pustules<\/span> on the hands and\/or feet.<\/p>\n\n<\/span>Infected vesicular dermatitis of the hand<\/span><\/h5>\n<\/section>\n\n\n
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Pustules<\/p>\n
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chronic paronychia<\/p>\n<\/p><\/div>\n<\/section>\n
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<\/span>How is vesicular hand\/foot dermatitis diagnosed?<\/span><\/h2>\nThe clinical presentation of vesicular hand\/foot dermatitis is typical.<\/p>\n
\n- If you suspect a fungal infection (tinea pedis), skin scrapings should be taken for mycology.<\/li>\n
- \nPatch<\/span> the test is indicated in chronic<\/span> or atypical<\/span> cases.<\/li>\n
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Skin biopsy<\/span> It is rarely necessary. Sample spongy<\/span> eczema.<\/li>\n<\/ul>\n<\/span>What is the treatment for vesicular hand\/foot dermatitis?<\/span><\/h2>\nVesicular hand\/foot dermatitis is difficult to treat. Current<\/span> therapy is relatively ineffective due to the thick horny layer<\/span> skin of palms and soles.<\/p>\n<\/span>General measures<\/span><\/h3>\n\n- Wet dressings to dry blisters, using diluted potassium permanganate, aluminum acetate, or acetic acid<\/li>\n
- cold compresses<\/li>\n
- Pain relieving emollient<\/span> lotions and creams<\/li>\n
- Powerful antiperspirants applied to palms and soles at night<\/li>\n
- Protective gloves should be worn when doing wet or dirty work.<\/li>\n
- Well-fitting footwear, with 2 pairs of socks to absorb sweat and reduce friction.<\/li>\n<\/ul>\n
Contact with irritants such as water, detergents and solvents should be avoided as much as possible and protective gloves should be worn to prevent irritating<\/span> contact dermatitis. <\/p>\n\n- Note that cream<\/span> cleaners are not antimicrobial<\/span>; Soap and water or a disinfectant is needed to wash your hands in order to destroy pathogens<\/span> such as the SARS-CoV-2 virus responsible for COVID-19.<\/li>\n<\/ul>\n
People with vesicular hand dermatitis who are allergic to nickel should try to avoid touching nickel items.<\/p>\n
<\/span>Prescription drugs<\/span><\/h3>\n\n- Ultra-strong topical corticosteroid creams applied to new blisters below occlusion<\/span>and ointments applied during the dry inflamed phase.<\/li>\n
- short courses of systemic<\/span> Corticosteroids, usually prednisone or prednisolone, are prescribed for flare-ups.<\/li>\n
- Oral antistaphylococcal antibiotics are prescribed for secondary bacterial infection.<\/li>\n
- Topical and oral antifungal agents are prescribed for confirmed dermatophytic infection.<\/li>\n
- In patients with hyperhidrosis, it may be worth trying an anticholinergic agent such as propantheline or oxybutynin.<\/li>\n
- In severe cases, immunomodulatory drugs are indicated. These include methotrexate, mycophenolate mofetil, azathioprine, and cyclosporine.<\/li>\n
- When available, alitretinoin is used for chronic resistant disease.<\/li>\n<\/ul>\n
<\/span>Other options<\/span><\/h3>\n\n- Superficial radiotherapy<\/span>\n<\/li>\n
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Botulinum toxin<\/span> injections (to prevent sweating)<\/li>\n- \n
Phototherapy and photochemotherapy (PUVA) therapy<\/li>\n<\/ul>\n
<\/span>What is the prognosis for vesicular hand\/foot dermatitis?<\/span><\/h2>\nVesicular hand\/foot dermatitis usually subsides gradually and resolves spontaneously. It may recur in hot weather or after a period of stress, and in some patients it is recalcitrant<\/span>.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"Que es vesicular mano dermatitis? La dermatitis vesicular de la mano es una forma de mano. eczema caracterizado por ves\u00edculas o bullas (ampollas) Una condici\u00f3n similar puede afectar los pies…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7666","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7666","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7666"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7666\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7666"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7666"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7666"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}