Dyshidrotic eczema, also called dyshidrosis, is a skin disorder categorised by blisters on the palms of the hands and soles of the feet. This condition is not completely curable; however, mild cases of dyshidrotic eczema can be managed, and blisters usually settle on their own.
What Is Dyshidrotic Eczema?
Dyshidrotic eczema is a chronic skin problem that results in fluid-filled blisters on the hands and feet, especially on the fingers, palms and soles. These blisters are painful, discomforting and interfere with daily routine. Blisters usually last for about three weeks, and they cause severe skin irritation. Once dry, the skin may look very scaly or dry. At times, blisters recur even before the previous one disappears entirely.
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Causes of Dyshidrotic Eczema
The cause of dyshidrotic eczema is still not evident, but several factors are believed to contribute:
People with seasonal allergies or other forms of eczema (such as atopic dermatitis) are more likely to develop dyshidrotic eczema.
Stress is one of the key triggers; both physical and emotional stress can cause flare-ups or aggravate existing symptoms.
Profuse sweating, especially during summer and humid climate, can lead to outbreaks.
Individuals working in metal industries, mainly metals like nickel or cobalt (used in jewellery, coins, and tool making) may trigger a reaction.
Fungal infections, that occur on the feet, can at times lead to or worsen dyshidrotic eczema.
Also Read: Learn About Factors That Trigger Eczema
Symptoms of Dyshidrotic Eczema
Symptoms usually appear suddenly and include:
Small, fluid-filled blisters on the corners of fingers, toes, palms, and soles.
Severe itching or burning sensations.
Redness and inflammation around the affected areas.
Scaly, cracked skin areas, once blisters heal.
Painful skin fissures or peeling.
Symptoms may last for two to four weeks per outbreak and may recur frequently.
5 Effective Strategies To Ease Dyshidrotic Eczema
Managing dyshidrotic eczema focuses on relieving symptoms, reducing flare-ups, and preventing triggers. Here are five effective strategies:
Use Moisturizer
Apply fragrance-free, thick moisturisers or ointments (like petroleum jelly) several times a day to keep the skin supple and hydrated and prevent dryness and cracking.
Pro-Tip: Apply moisturisers immediately after washing your hands or showering.
Stay Away From Triggers
Identify and avoid known irritants, such as:
Nickel or cobalt (jewellery, keys, coins)
Avoid using harsh soaps or cleaning products
Limit excessive water exposure
Stay calm and relaxed, as stress can trigger blister breakouts
Also Read: Eczema Diet: Here’s What You Should Eat And Avoid To Heal Skin Irritation
Use Medicated Creams
Topical corticosteroids are usually used to ease inflammation and itching.
In more severe cases, consult a doctor and take medication as prescribed.
Practice Gentle Skin Care
Use gentle cleansers and wash hands with warm water
Avoid hot water; use lukewarm water instead
Pat your skin dry instead of rubbing
Wear gloves when cleaning or washing dishes
Consider Light Therapy or Medication
For chronic cases not responding to topical treatments:
Phototherapy (UV light treatment) may help reduce flare-ups
Oral medications like antihistamines or immunosuppressants may be prescribed
When to See a Doctor?
Consult a dermatologist if:
Blisters are frequent, painful, or spreading
Over-the-counter treatments don’t work
If the Skin shows signs of infection, such as pus, increased redness, warmth
Conclusion
Blisters are a common symptom of dyshidrotic eczema and can be distressing. Since there is no cure yet, prompt diagnosis and appropriate treatment may speed up the healing process. If it is left untreated, the blisters may get infected and cause intense pain. If you notice rashes on your palms or feet, seek immediate medical attention.
(This article is reviewed by Kalyani Krishna, Chief Content Editor)
Author Profile:
M Sowmya Binu:
With over 15 years of expertise and a Postgraduate degree in Nutrition, M Sowmya Binu is a seasoned professional in the field of nutrition. Specialising in tailoring personalised diet plans, she underscores the significance of a balanced approach to health, emphasising the integration of medication with dietary intake for holistic wellness. Passionate about equipping individuals with knowledge to make informed decisions, Sowmya adeptly develops insightful content encompassing a wide array of topics, including food, nutrition, supplements, and overall health.
References:
Dyshidrotic Eczema: A Common Cause of Palmar Dermatitis
Paola Michelle Calle Sarmiento 1, Juan Jose Chango Azanza
https://pmc.ncbi.nlm.nih.gov/articles/PMC7647841/
Recalcitrant Dyshidrotic Eczema Successfully Treated with Upadacitinib
Samantha Venkatesh 1, Sheiva Fakhraie 1, Raj Chovatiya 1
https://pmc.ncbi.nlm.nih.gov/articles/PMC10533710/
