Xeroderma results from delayed shedding of the superficial cells of the skin, yielding fine white scale. Risk factors for xerosis include the following:
Residence in a dry, cold climate
Frequent bathing, particularly if using harsh soaps
Severe dry skin on the hands may become inflamed, leading to hand dermatitis (hand eczema).
Diagnosis of Xeroderma
Diagnosis of xeroderma is based on clinical evaluation.
Xeroderma can usually be differentiated by inflammatory disorders such as atopic dermatitis Atopic Dermatitis (Eczema) Atopic dermatitis is a chronic relapsing inflammatory skin disorder with a complex pathogenesis involving genetic susceptibility, immunologic and epidermal barrier dysfunction, and environmental... read more and psoriasis Diagnosis Psoriasis is an inflammatory disease that manifests most commonly as well-circumscribed, erythematous papules and plaques covered with silvery scales. Multiple factors contribute, including... read more by the absence of erythema in xeroderma. Unlike the fine white scales of xeroderma, ichthyosis Ichthyosis Ichthyosis is scaling and flaking of skin ranging from mild but annoying dryness to severe disfiguring disease. Ichthyosis can also be a sign of systemic disease. Diagnosis is clinical. Treatment... read more is characterized by fish-like scales.
Treatment of Xeroderma
Maximization of skin moisture
Treatment of xeroderma is focused on keeping the skin moist:
Frequency of bathing should decrease and tepid, rather than hot, water should be used.
Skin moisturizers should be used frequently, particularly immediately after bathing, to decrease transepidermal water loss. Thicker moisturizers Moisturizing agents Topical dermatologic treatments are grouped according to their therapeutic functions and include Cleansing agents Moisturizing agents (emollients, skin hydrators, and softeners) Drying agents... read more such as petrolatum- or oil-based moisturizers are more effective than water-based lotions, although water-based lotions may be better tolerated in warmer climates. Moisturizers with additives such as ceramides, alpha-glycolic acids (eg, lactic, glycolic, and pyruvic acids), and beta-glycolic acids (eg, salicylic acid) are very commonly used.
Increasing fluid intake and using humidifiers also help.
Patients who develop hand dermatitis sometimes require topical corticosteroids to decrease inflammation and maintain the skin barrier.
Drugs Mentioned In This Article
|Drug Name||Select Trade|
|Akurza , Aliclen, Bensal HP, Clear Away, Clear Away Liquid, Clear Away One Step, Clear Away Plantar, Clearasil Rapid Rescue Deep Treatment, Compound W, Compound W Total Care Wart & Skin, Corn/Callus Remover, Curad Mediplast, DermacinRx Atrix, DermacinRx Salicate, Dermarest Psoriasis Moisturizer, Dermarest Psoriasis Overnight Treatment, Dermarest Psoriasis Scalp Treatment, Dermarest Psoriasis Shampoo plus Conditioner, Dermarest Psoriasis Skin Treatment, Dr. Scholl's Callus Removers, Dr. Scholl's Corn Removers, Dr. Scholl's Extra Thick Callus Remover, Dr. Scholl's One Step Callus Remover, Dr. Scholl's One Step Corn Removers, Dr. Scholl's Ultra, Dr.Scholl's Dual Action FREEZE AWAY, Dr.Scholl's Duragel, DuoFilm Wart Remover, Freezone, Gold Bond Psoriasis Relief, Gordofilm , Hydrisalic, Ionil, Ionil Plus, Keralyt, Keralyt 5, Keralyt Scalp Complete, MOSCO Callus & Corn Remover, MOSCO One Step Corn Remover, Neutrogena Acne Wash, Neutrogena T/Sal Scalp, Occlusal-HP, P&S, RE SA , SalAC, Salactic Film , Salacyn, Salex, Salimez, Salimez Forte, Salisol , Salisol Forte , Salitech, Salitech Forte, Salitop , Salkera, Salvax, Scalpicin 2 in 1 Anti-Dandruff, Selsun Blue, Thera-Sal , Trans-Ver-Sal, UltraSal-ER, VIRASAL, Wart-Off, XALIX|