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You are here : 3-RX.com > Medical Encyclopedia > Diseases and Conditions > Dyshidrotic Eczema: Treatment & Monitoring
      Category : Health Centers > Skin Conditions

Dyshidrotic Eczema

Alternate Names : Dyshidrosis, Pompholyx

Dyshidrotic Eczema | Symptoms & Signs | Diagnosis & Tests | Prevention & Expectations | Treatment & Monitoring

What are the treatments for the condition?

When an outbreak of dyshidrotic eczema occurs, treatment includes keeping skin dry and cool. Heat, sweating, and moisture can make symptoms worse. Treatment options include:

  • antihistamines to decrease itching
  • chelation therapy, to minimize the effect of nickel
  • compresses of Burow's solution for fluid-filled lesions
  • drainage of fluid-filled lesions
  • medicines that suppress the immune system, such as azathioprine, methotrexate, or cyclosporine
  • PUVA, or phototherapy with ultraviolet A light, which may be combined with a medicine called psoralen
  • oral or topical antibiotics for secondary infections
  • oral steroids for severe cases
  • topical corticosteroid creams to reduce itching and inflammation
  • A diet low in nickel or cobalt may be considered. However, these diets are hard to follow, and their effectiveness has not been proven. Nickel levels are high in canned foods and foods cooked in nickel-plated utensils. Nickel is also found in a variety of fruits and vegetables, tea, cocoa, chocolate, and baking powder. Cobalt is found in a variety of fruits, vegetables, and spices. It is also high in cocoa, chocolate, and coffee.

    What are the side effects of the treatments?

    Long-term use of steroid creams can cause thinning of the skin. Antibiotics may cause rash, stomach upset, or other allergic reactions .

    What happens after treatment for the condition?

    Dyshidrotic eczema usually heals completely with treatment, but it may reoccur. Careful management may decrease the number of outbreaks. Biofeedback therapy for stress reduction has been successful in limiting outbreaks in some individuals.

    How is the condition monitored?

    Any new or worsening symptoms should be reported to the healthcare provider.

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    Dyshidrotic Eczema: Prevention & Expectations


    Author: Lynn West, MD
    Reviewer: Eileen McLaughlin, RN, BSN
    Date Reviewed: 08/20/01

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