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Hand and Foot Dermatitis

(Dyshidrotic Dermatitis)


Thomas M. Ruenger

, MD, PhD, Georg-August University of Göttingen, Germany

Last full review/revision Apr 2021| Content last modified Apr 2021
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Hand and foot dermatitis is a chronic dermatitis characterized by red, scaly, thickened skin on the hands, the feet, or both.

Hand and foot dermatitis often first starts as small blisters (called dyshidrotic dermatitis). This is a misnomer, however, because dyshidrotic means caused by abnormal sweating, but hand and foot dermatitis has nothing to do with sweating or abnormal sweat glands.

Frequent or prolonged water contact (for example, frequent handwashing or work involving water or wet substances), particularly with detergents, is a common trigger, particularly in people who have atopic dermatitis, hay fever, and asthma (a combination called atopy).

The most severe form of dyshidrotic dermatitis is called pompholyx. Pompholyx is characterized by tiny blisters that come together to form larger blisters.

Symptoms of Hand and Foot Dermatitis

Symptoms of hand and foot dermatitis include redness, scaling, and thickening of the skin on the hands and feet. These symptoms may progress to itchy small blisters or large blisters on the palms, sides of the fingers, or soles. These blisters can rupture, resulting in oozing and crusting. The blisters may be the first symptom people notice. Symptoms can come and go. The skin can become infected (for example, by bacteria or fungi).

Diagnosis of Hand and Foot Dermatitis

  • The appearance of the skin

Doctors diagnose hand and foot dermatitis based on the appearance of the skin and the person's history.

Treatment of Hand and Foot Dermatitis

  • Treatment of the cause when possible

  • Sometimes corticosteroids

  • Phototherapy

  • Sometimes antibiotics

If a cause is known, it is treated.

Corticosteroids applied to the skin are sometimes given to relieve inflammation. Antihistamines can help relieve itching.

For severe hand and foot dermatitis, corticosteroids can be taken by mouth or sometimes can be injected but preferably are used for only a short term. Occasionally, if long-term immunosuppressive treatment is required, cyclosporine, mycophenolate, or methotrexate can be given by injection.

Infections are treated, typically with antibiotics.

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Atopic Dermatitis (Eczema)
Atopic dermatitis, commonly known as eczema, is a chronic condition that causes itchy inflammation of the upper layers of skin. Eczema is especially common in people who have hay fever or asthma, and in people whose family members have these conditions. Eczema is common, particularly in urban areas and developed countries. What percentage of children and adolescents are affected by eczema?  
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