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Dyshidrosis

Benjamin T. Tan, DO and Robyn Lee Reese, DO Reviewed 06/2021
 


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

    • Occupational, dietary, or household

    • Cosmetic and personal hygiene...

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

    • Desquamat...

REFERENCES

1
Veien  NK. Acute and recurrent vesicular hand dermatitis. Dermatol Clin.  2009;27(3):337–353. [View Abstract on OvidMedline]
2
...

ADDITIONAL READING

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

SEE ALSO

Algorithm: Rash 

CODES

ICD10

L30.1 Dyshidrosis [pompholyx] 

SNOMED

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

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

  • 402222007 Vesicular hand ecze...

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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