Hand Dermatitis

Hand dermatitis also known as hand eczema often results from a combination of causes. Whatever the initial trigger, there are often a number of aggravating factors, which prevent it clearing up.

Some people are more prone to hand dermatitis. There is often a personal or family history of asthma, eczema or hay fever (atopy). These people often have had, or have Dermatitis at other sites such as the elbows, behind the knees, the face or feet. Some patients have a personal or family history of psoriasis (a relatively common skin disorder causing red scaly patches on the elbows, knees and scalp). Emotional stress can make the condition worse.

Contact with irritants

Some chemicals, especially industrial solvents, detergents, acids, alkali and even water and friction, can strip the skin of its normal protective layers and oils. Prolonged exposure to such irritants, even in low concentrations, can trigger hand Dermatitis and prevent it clearing up. Even occasional exposure can result in a flare of the condition.

Allergy

Occasionally hand dermatitis is caused by true allergy to substances, which the hands come into contact with. There are a number of possibilities including metals, perfumes, rubber, leather and preservatives. These may be tested for by special tests called patch tests. Contact with this material must be strictly avoided for the hand dermatitis to completely clear.

Treatments for hand dermatitis include:

• Avoiding wet work and contact with irritants
• The use of moisturizers (emollients)
• Topical steroids
• Oral or topical antibiotics
• Oral steroids or ultra violet light therapy for severe cases

View photos of hand dermatitis >>

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