Dyshidrosis

11 min read

Dyshidrosis, also known as dyshidrotic eczema, is a skin condition that is characterized by the development of small, itchy blisters on the palms of the hands and the sides of the fingers. It is a type of dermatitis, or inflammation of the skin, and is believed to be caused by an allergic reaction or stress. Dyshidrosis is a common skin condition, and while it is not life-threatening, it can be uncomfortable and cause embarrassment.

Causes of Dyshidrosis

The exact cause of dyshidrosis is unknown, but it is believed to be related to an allergic reaction or stress. It is more common in women than men, and is often seen in people who have other skin conditions, such as atopic dermatitis or contact dermatitis. It is also more common in people who have a family history of the condition.

Diagnosis of Dyshidrosis

Dyshidrosis is usually diagnosed based on the appearance of the skin. A doctor may also take a skin sample to rule out other conditions. In some cases, a doctor may order blood tests to check for allergies or other underlying conditions.

Complications of Dyshidrosis

Dyshidrosis can cause discomfort and embarrassment, and can lead to secondary infections if the blisters become infected. It can also cause scarring if the blisters are scratched or burst. In some cases, the condition can become chronic and cause long-term skin damage.

Prevention of Dyshidrosis

There is no known way to prevent dyshidrosis, but avoiding triggers such as stress and allergens can help reduce the risk of developing the condition. It is also important to practice good skin care, such as keeping the skin clean and moisturized, to help reduce the risk of developing the condition.

Symptoms

  • Itchy, painful blisters on the palms of the hands and sides of the fingers
  • Blisters on the soles of the feet
  • Dry, scaly skin
  • Redness and swelling of the affected area
  • Cracking and peeling of the skin
  • Painful, burning sensation in the affected area

If you experience any of these symptoms, it is important to see a doctor as soon as possible. Your doctor can diagnose dyshidrosis and recommend treatment options to help relieve your symptoms.

Take the Dyshidrosis Assessment

Causes

Stress

Stress is one of the most common triggers for dyshidrosis. Stress can cause the body to produce hormones that can lead to inflammation and skin irritation. It is important to manage stress levels to reduce the risk of an outbreak.

Allergies

Allergies to certain foods, plants, and metals can also trigger dyshidrosis. People with allergies should avoid contact with the allergen to reduce the risk of an outbreak.

Weather

Extreme temperatures and humidity can also trigger dyshidrosis. People with this condition should avoid extreme temperatures and humidity to reduce the risk of an outbreak.

Hormonal Changes

Hormonal changes, such as those that occur during pregnancy or menopause, can also trigger dyshidrosis. People with this condition should be aware of any hormonal changes that may occur and take steps to reduce the risk of an outbreak.

Infections

Infections, such as those caused by bacteria or viruses, can also trigger dyshidrosis. People with this condition should take steps to reduce their risk of infection, such as washing their hands regularly and avoiding contact with people who are sick.

Getting a Diagnosis

How is Dyshidrosis Diagnosed?

A doctor can usually diagnose dyshidrosis by examining the skin and asking questions about the symptoms. The doctor may also take a skin sample to rule out other conditions. In some cases, a doctor may order a blood test to check for allergies or other underlying conditions.

What to Expect During a Diagnosis

During a diagnosis, the doctor will examine the skin and ask questions about the symptoms. The doctor may also take a skin sample to rule out other conditions. In some cases, a doctor may order a blood test to check for allergies or other underlying conditions. The doctor may also ask about any medications or treatments that have been used in the past.

Treatment for Dyshidrosis

Treatment for dyshidrosis typically involves avoiding triggers, using moisturizers, and taking medications. Avoiding triggers such as stress, certain foods, and certain fabrics can help reduce flare-ups. Moisturizers can help keep the skin hydrated and reduce itching. Medications such as topical corticosteroids, oral antihistamines, and immunosuppressants may be prescribed to reduce inflammation and itching.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about all of your symptoms, including the location of the blisters, how long they have been present, and any other skin changes you have noticed. It is also important to mention any other medical conditions you have, as well as any medications or supplements you are taking.

Treatment Options

Your doctor may recommend a variety of treatments for dyshidrosis, including topical medications, oral medications, and light therapy. Be sure to ask your doctor about the potential side effects of each treatment option, as well as the expected duration of treatment.

Lifestyle Changes

Your doctor may also suggest lifestyle changes to help manage your symptoms. These may include avoiding triggers such as stress, certain foods, and certain fabrics. Your doctor may also recommend moisturizing your skin regularly and wearing gloves when doing activities that involve water.

Follow-Up Appointments

Your doctor may recommend follow-up appointments to monitor your progress and adjust your treatment plan if necessary. Be sure to ask your doctor how often you should schedule follow-up appointments.

Questions

Be sure to ask your doctor any questions you may have about your condition and treatment. It is important to understand your diagnosis and treatment plan in order to manage your symptoms effectively.

Treatment

Topical Treatments

Topical treatments are the most common form of treatment for dyshidrosis. These include corticosteroid creams, which reduce inflammation and itching, and topical immunomodulators, which help to suppress the immune system and reduce the severity of the condition. Other topical treatments include tar-based creams, which can help to reduce the itching and flaking associated with dyshidrosis, and topical antibiotics, which can help to reduce the risk of infection.

Oral Medications

In more severe cases of dyshidrosis, oral medications may be prescribed. These include antihistamines, which can help to reduce itching and inflammation, and oral corticosteroids, which can help to reduce the severity of the condition. In some cases, oral antibiotics may be prescribed to help reduce the risk of infection.

Light Therapy

Light therapy, also known as phototherapy, is another treatment option for dyshidrosis. This involves exposing the affected areas to ultraviolet light, which can help to reduce inflammation and itching. This type of therapy is usually done in a doctor's office or at home with a special light box.

Alternative Treatments

In addition to traditional treatments, there are also a variety of alternative treatments that may be beneficial for people with dyshidrosis. These include herbal remedies, such as aloe vera and chamomile, which can help to reduce inflammation and itching. Other alternative treatments include acupuncture, which can help to reduce stress and improve circulation, and hypnosis, which can help to reduce anxiety and improve the overall quality of life.

Drugs & Medications

Topical Medications

Topical medications are applied directly to the skin and are used to reduce inflammation and itching. Common topical medications used to treat dyshidrosis include corticosteroids, calcineurin inhibitors, and coal tar. Corticosteroids are anti-inflammatory medications that reduce swelling and itching. Calcineurin inhibitors, such as tacrolimus and pimecrolimus, are immunosuppressants that reduce inflammation. Coal tar is a natural product that is used to reduce itching and inflammation.

Oral Medications

Oral medications are taken by mouth and are used to reduce inflammation and itching. Common oral medications used to treat dyshidrosis include antihistamines, antibiotics, and antifungals. Antihistamines are used to reduce itching and inflammation. Antibiotics are used to treat bacterial infections that may be causing the condition. Antifungals are used to treat fungal infections that may be causing the condition.

Other Treatments

In addition to medications, other treatments may be used to treat dyshidrosis. These include phototherapy, which uses ultraviolet light to reduce inflammation and itching, and immunosuppressants, which reduce the body's immune response. Other treatments include lifestyle changes, such as avoiding triggers, and stress management techniques.

Conclusion

Dyshidrosis is a skin condition that causes itchy, painful blisters on the palms of the hands and soles of the feet. Treatment for dyshidrosis typically involves the use of topical and oral medications, as well as other treatments such as phototherapy and lifestyle changes. If you have dyshidrosis, it is important to talk to your doctor about the best treatment options for you.

Diet

What to Eat

When living with dyshidrosis, it is important to eat a balanced diet that is rich in vitamins and minerals. Eating a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation and improve overall health. Some specific foods that may be beneficial for people with dyshidrosis include:

  • Omega-3 fatty acids, such as salmon, tuna, and sardines
  • Fruits and vegetables, such as apples, oranges, spinach, and broccoli
  • Whole grains, such as oats, quinoa, and brown rice
  • Nuts and seeds, such as almonds, walnuts, and chia seeds
  • Healthy fats, such as olive oil, avocados, and coconut oil

What to Avoid

In addition to eating a balanced diet, it is important to avoid certain foods that may worsen symptoms of dyshidrosis. These include:

  • Processed foods, such as chips, crackers, and cookies
  • Refined carbohydrates, such as white bread and pasta
  • Sugary drinks, such as soda and juice
  • Fried foods, such as french fries and fried chicken
  • Alcohol and caffeine

Conclusion

Dyshidrosis is a skin condition that can cause itchy, painful blisters on the palms of the hands and soles of the feet. While the exact cause of dyshidrosis is unknown, certain dietary changes may help reduce symptoms. Eating a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation and improve overall health. It is also important to avoid processed foods, refined carbohydrates, sugary drinks, fried foods, alcohol, and caffeine.

Lifestyle

Stay Hydrated

Drinking plenty of water is essential for keeping your skin healthy and hydrated. This can help reduce the symptoms of dyshidrosis, as well as other skin conditions. Aim to drink at least 8 glasses of water a day to keep your skin hydrated and healthy.

Avoid Triggers

Certain triggers can cause dyshidrosis to flare up, so it’s important to identify and avoid them. Common triggers include stress, certain foods, and certain types of fabrics. If you’re not sure what your triggers are, keep a diary to help you identify them.

Keep Your Skin Clean

Keeping your skin clean is important for managing dyshidrosis. Use a mild, fragrance-free soap and lukewarm water to wash your skin. Avoid scrubbing or using harsh cleansers, as this can irritate your skin and make the symptoms worse.

Moisturize Regularly

Using a moisturizer regularly can help keep your skin hydrated and reduce the symptoms of dyshidrosis. Look for a moisturizer that is specifically designed for sensitive skin, and apply it after washing your skin. Avoid using products that contain fragrances or other irritants.

Wear Loose Clothing

Tight clothing can irritate your skin and make the symptoms of dyshidrosis worse. Wear loose-fitting clothing made from natural fabrics, such as cotton, to help reduce irritation and keep your skin comfortable.

Protect Your Skin from the Sun

Exposure to the sun can make the symptoms of dyshidrosis worse, so it’s important to protect your skin. Wear a hat and long-sleeved clothing when you’re outside, and use a sunscreen with an SPF of at least 30. Reapply the sunscreen every two hours, or after swimming or sweating.

See a Doctor

If you’re having difficulty managing your dyshidrosis, it’s important to see a doctor. They can help you identify triggers and recommend treatments that can help reduce the symptoms and improve your quality of life.