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Eczema on the hands: causes and treatment, initial stage, photo

What is eczema? Eczema (dermatitis) is a chronic inflammatory process of the surface layer of the skin with periods of exacerbation and remission that occurs in response to the impact on the body of various factors of the internal or external environment (see photo).

Eczema of the skin of the hands in most cases is caused by an allergic reaction and occurs in dermatology most often. The disease affects equally often adults and children, but the latter are more likely to have eczema, because they are more sensitive to the skin.

There are several types of eczema:

  • True - characterized by a sharp current with pronounced itching of the skin and the formation on its surface of the fluid bubbles;
  • Microbial - is a complication of atopic or true eczema and occurs as a result of the attachment of a secondary bacterial infection;
  • Atopic - occurs most often in children with a genetic predisposition to allergies, in infants, in people with bronchial asthma;
  • Seborrheic - characterized by the formation of yellow crusts on the skin, resulting in the patient experiencing severe itching and scratching;
  • Professional - occurs in people who are forced to contact aggressive substances ( dry eczema on the hands gives way to scratching and damp skin).


Causes of eczema on the hands

eczema on the fingers of hands, photo

eczema on the fingers of hands, photo

Doctors can not name the exact reasons for the development of eczema of the hands, but they identify a number of factors that provoke the inflammatory processes of the surface layer of the skin. These factors include:

  1. Prolonged skin contact with detergents or irritants, for example, gasoline, thinner, acetone, varnishes, paint, and other;
  2. Allergic reaction to synthetic clothing, dust, animal hair, pollen of plants;
  3. Bacterial or fungal infection of the skin.

Chronic eczema of the hands is most common in people who suffer:

  • Reduced immunity;
  • Hormonal disorders ;
  • Chronic diseases (tonsillitis, dental caries, disorders in the work of the kidneys);
  • Constant stress;
  • Have to take any medications;
  • Have hereditary predisposition.
eczema on hands photo initial stage

photo, initial stage

Inflammatory process of the skin trigger special substances - prostaglandins, produced by the human immune system. It is under the influence of prostaglandins that the mediators (provocators) of the inflammation, histamine and serotonin, are released into the blood, which leads to the appearance of various rashes and swelling on the skin.

Symptoms of hand eczema

Symptoms of hand eczema

formation of dense crusts, photo

The initial stage of eczema on the hands is characterized by the appearance of increased dryness of the skin, peeling and a feeling of tightness. As the accumulation of histamine and serotonin in the blood, the clinical picture progresses, the symptoms described above are added to:

  • Redness of skin areas in the localization of pathological process;
  • Puffiness;
  • An unbearable itch that intensifies at night;
  • The formation of small bubbles filled with liquid - when combing these bubbles, on the affected parts of the skin, wet erosions are formed.

Eczema of hands significantly limits the patient in his actions, since even ordinary hygiene procedures cause pain, itching and severe discomfort.

There are three stages of inflammation of the upper layer of the skin:

  1. Acute - the onset of swollen foci with pronounced reddening and the formation of seals and vials filled with liquid. As the progression progresses, the bubbles burst, a clear liquid is released from them, and yellow dense crusts form in their place;
  2. Subacute - the appearance of thickened hyperemic foci of the skin with a change in the skin pattern;
  3. Chronic - the formation of dense hyperemic thickened foci, on which over time pigmentation is disturbed.

Treatment of eczema in the hands

Treatment of eczema in the hands

If there are signs of skin inflammation, the patient should consult a dermatologist. Treatment of eczema on the hands begins, first of all, with the exclusion of the cause and factors that could provoke the development of the disease. After determining the stage and identifying possible causes of the disease, the doctor will determine how to treat eczema.

Significantly improve the skin condition with eczema of any kind will help to comply with the general recommendations:

  • Eliminate foods that are potential allergens from the diet and may aggravate the course of the disease (chicken eggs, citrus fruits, honey, red caviar, chocolate, cocoa, nuts, strawberries);
  • Eliminate skin contact with detergents, in particular with detergent, dishwashing gel, rinsing agents for tissues (it is recommended to wash with household soap, thoroughly ironing then on both sides);
  • Avoid prolonged exposure to exposed sunlight;
  • To wear linen only from natural fabrics;
  • Do not contact animals, pollen of plants, do wet cleaning daily (carpets and other dust collectors are recommended to be removed);
  • Take vitamin complexes, lead a healthy lifestyle;
  • Eliminate stress, ensure a healthy full sleep at least 8 hours a day.

To treat eczema on the hands at the initial stage follows only in conjunction with the doctor, as self-medication can lead to aggravation of the course of the disease and the transition of inflammation to a chronic form.

In an acute period, with the appearance of severe clinical symptoms, conservative treatment is performed:

  • Lotions of furacillin and other local antiseptics - when the affected areas are wetted, to prevent secondary bacterial infection and dry the combs;
  • Hormonal ointment - to treat eczema on the hands in an acute period can be through local drugs, which include Prednisolone or Dexamethasone, but they can only be used according to the doctor's prescription;
  • Antihistamines (tablets, drops, injections) - block the release of histamines and eliminate the itching of the skin;
  • Quartz on wet areas during a severe course of the disease.

When joining a bacterial infection, the patient must be prescribed a course of antibiotics. After achieving a stable remission, sanatorium-and-spa treatment is recommended.

Eczema on the hands during pregnancy - features

By itself, pregnancy is a serious test for the female body. The properties of the immune system are aimed at the safe bearing and development of the child. If before pregnancy a woman suffered from any allergic skin diseases, dermatitis with high probability will again be felt.

In addition, after attaching the fetal egg inside the uterus, the organism of the expectant mother undergoes serious hormonal changes, the prostaglandins necessary for relaxing the smooth muscles are intensively produced. These factors can become provocateurs in the development of the inflammatory process of the skin.

Future moms note - during pregnancy the skin becomes drier, sensitivity increases. Using the usual gels for the shower, soap and creams can cause eczema.

To prevent such trouble, you should replace cosmetics and hygiene products with hypoallergenic ones, and, starting from the 4th month of pregnancy, the skin should be nourished with baby oil or special milk for future mothers, so that you can eliminate such unpleasant symptoms as stiffness, dryness and flaking.

Every pregnant woman, faced with eczema, worries: will not the disease affect the development of her baby? Experts say that dermatitis itself does not pose any threat to fetal development, but itchy skin, irritability of the woman and insomnia on the background of unpleasant sensations can lead to negative consequences.

Is eczema on the hands contagious or not?

chronic eczema of hands photo

chronic eczema of hands photo

Dermatitis is not contagious to other people, but the patient suffering from this disease should use individual hygiene items so as not to be at risk.

Clogging areas are the entrance gate for bacteria, and with dermatitis of any kind the immune system weakens, which makes the patient's body vulnerable.

Do you need a diet with eczema on your hands?

Compliance with diet with eczema allows to improve the course of the disease and significantly reduce its clinical manifestations. Therapeutic diet is especially important if dermatitis is caused by food allergy or the cause of the disease is not established.

From the diet, spicy spices, condiments, canned food, sausages, red products (tomatoes, strawberries, bell peppers, etc.), honey, nuts, fish are excluded.

Preference is given to sour-milk products, cereals, fresh vegetables and fruits of green color.

2016-09-19 15:02:45
I decided not to pass by, but to tell my story. When my youngest daughter died, I suffered eczema sores from my stress, 70% of the body was hit. But I was so all the same on myself, asked my daughter to take me with me ... but then for me took the eldest, under the pen drove to the dermatologist, sometimes even forced me to take pills and smeared with creams. From the acute stage, then quickly helped Beloderm, but because they can not be long smeared, hormonal and affects health. Replaced by losterin. The daughter somewhere subtracted that with gel for a shower losterin it is possible to do or make baths, here for arms or hand and legs or foots did or made, other body as usual shower gel at washing put or rendered and washed off water. The clemastine tablets were antihistamines. The diet was still prescribed, so I did not even want to eat anything, even the older ones forced the allowed products through force. Then she took me to the sea to the Adler. I was already a little cheerful, started to behave more actively, the sores were almost gone ... Now it's been 2 years, I still, thanks to my daughter, got rid of eczema. In the remission now. I wrote all this to the fact that you need to live on, you need to monitor yourself, do not run the disease. And suddenly my treatment history will help someone, I will be only glad. All of health.
2017-02-28 16:18:36
Hello Irina. Me, too, "visited" such a disease as eczema, on the hands, palms, hands and above, feet. A lot of things have already been used, we are helping something, which is not quite ... Tell me, does listerin go as a hormonal agent? and how long did they use it?
2017-03-30 10:12:44
Who used Losterinom? What are the results? Helps with eczema?
2017-04-13 04:39:06
Olga, non-hormonal losterin, yes. The length of the treatment you need the doctor to say. This also depends on the severity of the disease, there is hardly anyone who will tell you, not knowing you, how much you will be treated.

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