Disgidorosis( dyshidrotic eczema) - Causes, symptoms and treatment. MF.

Disgidorosis or dyshidrotic eczema is a chronic skin disease characterized by clogged sweat glands and a violation of their function. It is a kind of eczema. It was first described in 1873.

Causes of dyshidrosis

The exact causes of the disease are unknown for this period. Exacerbations of dyshidrotic eczema occur most often in the autumn-spring period of time, it is in these days that the turnover of patients with this pathology increases. The provoking factors are chronic diseases, stresses, skin contact with aggressive chemicals.

Symptoms of dyshidrosis

The active period lasts from weeks to months. The process begins with small ones, which can be the size of a pinhead, vesicles( bubbles), similar to sago grains. They are arranged in groups. At later stages, the vesicles merge, eroded surfaces appear as skin lesions( large and finely laminated), and cracks.

Dyshidrotic eczema on the palms

Dyshidrotic eczema, manifestations on the foot

Elements are located more often on the inner surfaces of the hands( the lateral surfaces of fingers, palms) and feet. This condition is accompanied by itching. When the appearance of cracks appears pain. I had to advise patients when one hand or one foot was hit, and both hands and both feet together.

Survey

Differential diagnosis of dyshidrotic eczema is carried out primarily with a fungal infection, by the way these two diseases can also be combined. Also, dyshidrosis should be distinguished from the following diseases: dermatitis, neurodermatitis, psoriasis, scabies. This can all be done successfully by a dermatologist.

Diagnosis is made when examined. Scratching for mushrooms is mandatory. Similarly, concluding from the above, it is desirable to be examined for all internal diseases to exclude chronic processes.

Treatment of dyshidrosis

The following preparations are used for the treatment of dyshidrosis: aniline dyes( fucarcin).They are very good at the initial stage. From the local treatment I would like to note hormonal ointments( triderm, advantan, elokom. ..).

Means used inside: antihistamines( erius, klaritin), desensitizing( calcium gluconate, sodium thiosulfate).All these medicines are sold without a prescription.

Very important is a diet with the exclusion of carbohydrates( sugars), alcoholic beverages, products that cause allergies( coffee, chocolate, citrus, eggs, tomatoes).For hand washing, it is better to use baby soap. Hands are carefully wiped dry. Contacts with aggressive substances( washing powders, detergents) stop.

It should be remembered that the effect of therapy for this type of eczema will not be rapid.

In the period without exacerbations, the use of softening and vitaminized ointments and creams( radevit) and folk remedies is justified. This group of products improves the nourishment of the skin, relieves inflammation, and possesses healing properties. Used mainly in the form of baths: decoction of the bark of oak, camisole, celandine, sage, yarrow. They are also a good help to the main treatment.

Complications of dyshidrosis

Complications of dyshidrotic eczema are associated with the attachment of a secondary infection, as a result of scratching, in the form of pustular skin infections. As it was said, the disease and the qualified specialists have some difficulties in therapy, and self-treatment, all the more, is ultimately doomed to failure.

Prevention of dyshidrosis

Prophylaxis of this pathology consists of a way of life: diet, hand care, treatment of chronic diseases. It is necessary to understand that the process is chronic, and this implies a certain way of life.

Doctor's consultation on dyshidrosis

Question: How do you feel about using rubber gloves when working with chemicals?
Answer: "Stick on two ends."On the one hand, mechanical protection, and on the other hand sweat, secreting nitrogen, urea and so on, and this is a detrimental factor.

Question: If one of the family members has a dyshidrotic eczema, do we need protection against possible infection?
Answer: No. This disease is not contagious.

Question: Somewhere in the world this disease is cured?
Answer: No, but to achieve full and long-term remission, to exist in this pathology with coordinated actions of the doctor and patient is possible.

Doctor dermatovenereologist Mansurov AS