a) Local therapy:
Corticosteroids (ointments, e.g. with clobetasol – have an anti-inflammatory effect),
Calcineurin inhibitors (tacrolimus, pimecrolimus – an alternative to steroids),
Aluminum acetate compresses (dry the blisters),
Emollients (e.g. with urea – prevent skin cracking).
b) General therapy:
Antihistamines (e.g. cetirizine – relieves itching),
Phototherapy (PUVA or UVB – in resistant cases),
Antibiotics (for secondary bacterial infections).
c) Home remedies:
Avoid wet hands and contact with cleaning products (wear cotton gloves under latex gloves).
Baths in potassium permanganate (diluted! – disinfectant effect),
Tea tree oil (anti-inflammatory properties).
5. Prognosis and complications
The disease is chronic, but heals spontaneously after years in 30–40% of patients.
Complications: secondary bacterial infections (e.g. staphylococci), lichenification of the skin (thickening of the epidermis with long-term inflammation).
6. Differentiation
Dyshydrotic eczema must be differentiated from:
Fungal infection of the skin (requires antifungal treatment),
Pustular psoriasis of the hands and feet,
Contact dermatitis.
7. Recommendations for patients
Keep a relapse diary (note the factors that precede the exacerbations),
Avoid stress (relaxation techniques can reduce the frequency of episodes),
Wear protective gloves when doing housework.
Important! If the lesions are extensive, fester, or accompanied by fever, consult a dermatologist immediately.
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