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Common Diseases > Pompholyx

Pompholyx is a common type of eczema affecting the hands and sometimes feet. It is also known as Contact Dermatitis, Dyshidrosis, Dyshidrotic Eczema or Dyshidrotic Dermatitis and is a skin condition typically characterized by small blisters on the hands and/or feet.

It can be an acute, chronic, or recurrent problem that just won't go away and for the sufferer, in addition to the unsightliness which causes distress in regards to social and work interactions, the incessant itching and/or burning sensation can make life miserable and debilitating.

Typical Symptoms
Initially tiny blisters form in the skin of the palms, fingers, instep or toes which may be mild with a few blisters and a little peeling, or very severe with many or big blisters and cracks which limit activity and use of the hands.

Causes and Aggravating factors
No one knows the cause and every expert has a different opinion and the greatest consensus is that allergens, fungal infections, stress or seasonal changes may cause and aggravate the condition. As in other forms of dermatitis, pompholyx is aggravated by contact with chemicals, detergents and solvents. Certain fabrics also greatly irritate the condition, including wool, nylon and many synthetic fabrics.

Pompholox blistering on the palms of the hands

Treatments
Relief from itching and burning sensations

  • Cold compresses relieve itching and burning - a cold damp cloth, or ice wrapped in a plastic bag
  • Rice water - boil rice in 2x the normal amount of water, strain off the water, chill and apply to the affected areas and even rubbing with cold cooked rice helps.
  • Washing/bathing affected areas with normal saline solution or sea water
  • Over the counter allergy suppressants such as Loratadine, Sudafed or Teldane
  • Compresses using weak solutions of Condy's crystals (potassium permanganate), aluminium acetate, or vinegar in water applied for 15 minutes four times a day to help dry up blisters.
  • Materials which breathe well such as cotton or silk limits further aggravation
    When working in wet areas, cotton gloves under rubber or latex gloves allow some work and helps with showering.
  • Emollients or hand creams can be applied liberally and frequently to keep the skin soft.
  • Plantain (Plantago major) infused in olive or other oil can be soothing.
  • Aloe Vera may be applied after cleaning hands
  • Essential oils of lavender oil or tee tree can be applied occasionally to soothe and reduce irritation for those who are not sensitive to the oils. Apply oil sparingly with a tissue. A patch test on the wrist is recommended before application to the palms.
  • A supportive family environment is most helpful.

Other Treatments

  • Topical steroids
    Can be prescribed for application to the affected areas nightly to help reduce inflammation and itching. The more potent products should not be used for more than two weeks unless your doctor advises otherwise. Steroid creams are used when the skin is blistered or weeping.
  • Antibiotics
    Antibiotics such as flucloxacillin should be prescribed by your doctor for secondary infection
  • Light treatment: UVA-1, PUVA, Grenz rays, Low Level Light Therapy using a Red + NIR (LED) combination

Things to Avoid

  • Avoid soaps with Sodium Laureth Sulfate
  • Foods high nickel content - cocoa, chocolate, whole grains, & nuts.
  • Some people report that fish and poultry makes the condition worse


 




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