Dyshidrotic eczema, or dyshidrosis, is a skin condition in which blisters develop on the soles of your feet and/or the palms of your hands. The blisters are usually itchy and may be filled with fluid. Blisters normally last for about two to four weeks and may be related to seasonal allergies or stress. Here are the causes and treatments of dyshidrotic eczema.
- Stress. Dyshidrosis appears to be more common during times of emotional or physical stress.
- Exposure to certain metals. These include cobalt and nickel — usually in an industrial setting.
- Sensitive skin. People who develop a rash after contact with certain irritants are more likely to experience dyshidrosis.
- Atopic eczema. Some people with atopic eczema may develop dyshidrotic eczema.
- Corticosteroids. These kind of creams and ointments may help blisters disappear more quickly. You’d better wrap the treated area in plastic and follow some moist compresses to improve absorption. In severe cases, you may need corticosteroid pills, such as prednisone. But long-term use can cause serious side effects.
- Phototherapy. If other treatments aren't effective, you may need a special kind of light therapy. It combines exposure to ultraviolet light with drugs to make your skin more receptive to this type of light.
- Immune-suppressing ointments. Medications such as tacrolimus (Protopic) and pimecrolimus (Elidel) may be a choice for people who don’t’ want to use steroids. But a side effect of these drugs is an increased risk of skin infections.
- Botulinum toxin injections. This kind of treatment may be considered in severe cases of dyshidrosis.
Please go to your doctor for more specific advice.
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