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Dyshidrosis

Patricia Chipi, MD and George G.A. Pujalte, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A common chronic dermatitis often involving the palms and soles. The precise definition is frequently debated, with many terms being used interchangeably. Efforts are being made to m...

DIAGNOSIS

HISTORY

  • Episodes of pruritic rash

  • Recent emotional stress

  • Familial or personal history of atopy

  • Exposure to allergens or irritants (3)

    • Occupational, dietary, or household

    • Cosmetic and personal h...

TREATMENT

GENERAL MEASURES

  • Avoid possible causative factors: stress, direct skin contact with irritants, nickel, occlusive gloves, household cleaning products, smoking, sweating.

  • Use moisturizers/emolli...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Dyshidrotic Eczema Area and Severity Index (DASI) (1)

  • Parameters used in the DASI score

    • Number of vesicles per square centimeter

    • Erythema

    • Desquama...

REFERENCES

1
1 Veien NK. Acute and recurrent vesicular hand dermatitis. Dermatol Clin.  2009;27(3):337–353. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Wollina U. Pompholyx: a review of cl...

ADDITIONAL READING

  • Agner T, Aalto-Korte K, Andersen KE, et al; and European Environmental and Contact Dermatitis Research Group. Classification of hand eczema. J Eur Acad Dermatol Venereol.  2015...

SEE ALSO

Algorithm: Rash 

CODES

ICD10

L30.1 Dyshidrosis [pompholyx] 

ICD9

705.81 Dyshidrosis 

SNOMED

  • 402567004 vesicular eczema of hands and/or feet (disorder)

  • 402217007 Chronic vesicular eczema of hands and/or feet (disorder)

  • 402222...

CLINICAL PEARLS

  • Dyshidrosis is a transient, recurrent, vesicular eruption, most commonly of the palms, soles, and interdigital areas.

  • Etiology and pathophysiology are unknown but are most likely relate...

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