Dyshidrotic Eczema: Itch in Hand and Feet

Dyshidrotic Eczema: Itch in Hand and Feet

Dyshidrotic eczema is defined as recurring or chronic relapse type of vesicular palmoplantar dermatitis of unknown cause and etiology. Dyshidrotic eczema also is called as pompholyx, which is derived from cheiropompholyx that means in Greek as “hand and bubble”.

The cause of dyshidrotic eczema is yet has been unresolved and rather believed that etiology of being multi-factorial. Rather Dyshidrotic eczema is regarded as reaction patterns caused because of various endogenous factors and exogenous conditions.

Dyshidrotic eczema or dyshidrotic dermatitis to be defined for a common man as skin disorder, when there is itchy rashes, limited to hands that is usually found to be on the palms and on the sides of fingers and even at times, this has known to be affecting to the feet. Dyshidrotic eczema usually manifests as skin getting with blisters which looks like small, fluid-filled and even itchy blisters. The cause of this skin disorder Dyshidrotic eczema is unknown. Dyshidrotic eczema is known to comes and go often, with episodes of the blisters and itching appearing more common during the warm weather.

Research suggests that the causes of Dyshidrotic eczema could be:

  • Genetic Factors
  • Atopy: that is patients have reported of having personal or familial atopic diathesis, such as hay fever, allergic sinusitis, asthma, eczema etc.
  • Nickel Sensitivity
  • Low-Nickel diets
  • Cobalt Sensitivity
  • Low Cobalt Diet
  • Exposure to sensitizing chemicals as well as metals
  • Id reaction
  • Fugal infection
  • UVA- rays
  • Aspirin ingestion
  • Oral contraceptives
  • Cigarette smoking
  • Food related allergy
  • Drug related allergy
  • Intertrigo


The symptoms of Dyshidrotic eczema is occurring of tiny, fluid-filled blisters that are called vesicles. These appear on infected individual’s fingers, on his hands, and may be on feet. These blisters mostly appear commonly along edges of fingers, palms, toes and soles. This blister causes the patient with intense itching as well as their skin gets scaly and patchy, which leads skin to get flakes constantly or skin might even become red and gets cracked, and these blisters get painful.

The urge to scratch and thereafter scratching leads to the skin changes and can also cause skin thickening. Large blisters can cause pain.

Exams and Tests for diagnosing Dyshidrotic eczema:

Doctors are able to diagnose this skin condition by just looking at infected skin of the patients.

Dyshidrotic eczema, because their symptoms are very similar to other skin disorders, under some conditions even a skin biopsy is done or skin scraping test is done, for ruling out other skin causes, and disorders such as of fungal infection.

Also if doctor thinks that the condition can be because of an allergic reaction, to any element or substance, and then he may also conduct an allergy testing/patch testing that may be done to know the causal of this allergy.


  • Anti-itch medicines: taken by orally like antihistamines
  • Moisturizers to keep skin moist and supple so that it doesn’t get scaly
  • Strong steroid ointments and creams

It’s suggested that please don’t scratch these blisters. Also should be avoided that is frequent bathing, frequently washing of infected hands, and taking care to avoid irritating substances, that are known to make itching more worse.

Outlook or Prognosis

To put it simply as such there is no cure to Dyshidrotic eczema. Dyshidrotic eczema rather usually goes away without causing problems, but the symptoms can return later. If any case you have scratched in excess, this can thicken the skin, irritate skin, which can be more difficult for treating and this takes long time to heal.

Possible Complications

  • Pain in those tiny blisters
  • Severe itching limiting use of patients hands
  • Secondary this is vulnerable for bacterial infection

When to Contact your Medical Professional

Call your physician/doctor if you experience:

  • On the infected blisters and surrounding skin there is redness, tenderness, warmth, or having fever, which are the signs of having an infection
  • Any type of rash, which is not going away with help of simple home remedies and treatments

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