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Eczema on hands: photo and treatment


Eczema on hands photo Eczema is a chronic skin disease of an allergic nature. Dermatologists refer to eczema among the so-called allergic dermatoses of the skin. The main symptoms of eczema are various rashes on the skin of the hands, as well as severe itching.

The word "allergy" can be translated from Greek as "act differently, in a different way." In fact, any allergic reaction is nothing more than a modified, pathological work of the cells of the immune system.

Normally, immune cells must destroy viruses, bacteria, cancer cells. To do this, they are endowed with the ability to memorize the "enemy in the face" with the help of its special structures (antigens), and when meeting with him - to attack and destroy, launching in the body all sorts of destructive reactions, including using antibodies produced by special cells.

Allergy develops when our immune system for some reason begins to consider ordinary shampoo, pollen, household chemicals, etc., to be its “worst enemies”. As in the case of ordinary viruses or bacteria, the body "remembers the enemy in the face", then to meet with him a good response, causing various destructive reactions. In this case, the substance that causes the allergy is called an allergen.

In the case of eczema, antigens with antibodies most often interact on the surface of lymphocytes, which, after an “attack,” begin to secrete serotonin, histamine, lymphokines and some other inflammatory mediators into the surrounding space. These substances trigger a cascade of reactions that cause inflammation of the skin.

As a rule, eczema develops when hypersensitivity develops at once to several allergens (less often to one). The intensity of the inflammatory process that develops as a result of an allergy depends on the duration of contact with the allergen, its quantity, as well as on the strength of the allergic reaction itself.

Causes of eczema on the hands

Eczema can develop as a result of both external and internal factors. External factors include:

1. Chemicals:

  • Aromatic additives found in food, household chemicals or hygiene.
  • Solvents.
  • Dyes of plant and chemical origin.
  • Additives for the manufacture of rubber shoes, belts or gloves: mercapto-benzathiazole, carbamates, thiurams, etc.
  • Preservatives that are in the means of hygiene or additives in cosmetics, for example: in washing powder, soap, nail polish, sunscreen, tonic, lotion.
  • Objects from special materials: glasses, watches, jewelry, jewelry, kitchenware, clothing.
  • Some components of hair dye: paraphenylenediamine
  • Drugs: vaccines, analgesics, some anti-inflammatory drugs, antibiotics, etc.
  • Various creams and ointments.

2. Various micro and macroscopic organisms: fungal skin lesions, streptococcus, staphylococcus, various helminths (for example, giardiasis, enterobiosis).

3. Food: carbonated drinks, nuts, eggs, chocolate, fish, smoked meats, citrus fruits, some vegetables or legumes, grains.

4. Production factors: metals: chromium, cobalt, nickel, plant dust, fertilizers, glass wool, epoxy resins, formaldehyde, cement, tar, various paints and varnishes.

5. Household factors: house dust, mold, animal hair, pollen.

In some cases, eczema develops after skin contact with sunlight or its first manifestations are observed after insect bites.

Eczema can also worsen as a result of internal (endogenous) causes. For example, a carious tooth, chronic tonsillitis , otitis media, sinusitis under certain conditions can provoke eczema.

Other internal factors contributing to the appearance or aggravation of eczema:

  • stress,
  • excessive exercise combined with chronic sleep deprivation,
  • various diseases of the liver and intestines,
  • endocrine disorders
  • pregnancy,
  • genetic predisposition.

Classification and symptoms of eczema on the hands

Usually dermatologists distinguish the following types of eczema:

  • microbial,
  • true
  • seborrheic,
  • professional.

True eczema

Eczema on hands photo treatment True dermatologists call such eczema, which develops due to hypersensitivity to allergens of various types.


  1. The initial signs of the disease . At first, the skin swells a little (puffiness appears), it turns red.
  2. Phase soak . Then there are small bubbles that can merge with each other. If such a bubble is opened, then in its place a small erosion is formed, the surface of which is covered with droplets of liquid.
  3. Further course of the disease . Gradually, in place of erosion, crusts, scales and nodules are formed, the skin thickens and thickens, skin pattern increases (most characteristic with a protracted course - over 6 months).

Usually, from the appearance of the first signs of inflammation on the skin, eczema is accompanied by severe itching or burning. Sometimes itching becomes so severe and painful that a person loses sleep, loses his appetite, he has various neurotic disorders, for example: tearfulness, irritability, frequent mood changes. True eczema is exacerbated in winter or autumn, and in summer and in spring it calms down.

Dyshidrotic eczema is a variety of true and is characterized by the fact that rashes and other changes on the skin are mainly observed on the lateral surfaces of the fingers and palms. Its main symptoms are small multi-chamber or single-chamber blisters on the background of a slight flaking and redness of the skin, intense itching, burning and a long, persistent flow.

For true eczema is characterized by the symmetry of the rash, for example: on the wrist of both hands, etc.


In contrast to the true, the rashes in eczema of microbial origin are located asymmetrically and are caused by any pathogen: staphylococcus, streptococcus and other microorganisms.

Its varieties are:

  • varicose veins (occurs on the background of circulatory disorders in case of varicose veins),
  • mycotic (fungal infection),
  • post-traumatic (develops on the injured skin).

Main symptoms: in the center of bluish-red or red spots are numerous nodules, crusts, blisters, bubbles with purulent contents. After the removal of these rash elements, oozing erosion is formed. The inflamed skin is swollen, the boundaries of the focus are clear, with visible “screenings” of individual crusts or bubbles to the periphery of the spot. Microbial eczema is also accompanied by severe itching with all the ensuing consequences.


Eczema treatment on hands Seborrheic eczema is usually not located in the hands, but extends to the skin of the forehead and scalp. It is accompanied by a minor itching and has the following main symptoms:

  • yellow, dense scales or crusts,
  • get wet after removing the elements of the rash,
  • clear boundaries of foci


Occupational eczema develops when the skin is in contact with various substances with irritating properties for a long time. For example, the most common eczema in the hands occurs in representatives of the following professions:

  • painters, plasterers,
  • nurses
  • chemical workers,
  • hairdressers,
  • weavers.

As a rule, eczema symptoms first appear on small areas of the skin (wrist, fingers), and then spread to more extensive areas.

Main symptoms: vesicles, weeping erosion, nodules located on reddened skin with clear boundaries of the center of inflammation. Gradually, borders lose their clarity, inflammation extends even to those areas of the skin that are not in direct contact with allergens. The disease completely disappears, if you eliminate the production of allergens.


In order to accurately determine the diagnosis, it is necessary to consult a dermatologist. This specialist will examine the patient, examine the elements of the rash, and, if necessary, prescribe the advice of an allergist and some other specialists, as well as a blood test for the most common household, professional, food and drug allergens.

In case of allergic dermatosis, skin tests are not carried out due to the fact that they can provoke an exacerbation of the disease.

Eczema treatment on hands

In the case of a competent prescription of treatment and the patient fulfilling all the recommendations, a sufficiently long remission of the disease can be achieved, prolong periods of life without exacerbation of eczema.

General principles of eczema treatment on the hands

  1. Strict adherence to the regime and all recommendations during the period of exacerbation of the disease and a gradual return to the usual lifestyle as the inflammatory process subsides.
  2. Normalization of the nervous system, enough sleep.
  3. Fight against excessive sweating (such as palms), as sweat with eczema can contribute to skin irritation.

Requirements for the room

  1. Optimal parameters in the room: relative humidity not less than 60%, air temperature up to + 23 ° С.
  2. Providing good ventilation.
  3. Regular wet cleaning.
  4. Remove dust sources: excessive amount of upholstered furniture, soft toys, curtains, curtains, carpets. You must regularly remove dust from the TV screen or monitor.
  5. Down and feather pillows and blankets should be replaced with synthetic ones, which should be washed at least once a year.
  6. Thoroughly clean the wet areas (bathroom, toilet) to prevent the formation of mold.
  7. After washing, wet laundry is better to hang outside the living rooms, so as not to create conditions of high humidity.
  8. Restriction of use during the cleaning of the premises of household chemicals, as well as paints: detergents, washing powder, paints, enamels, varnishes.
  9. Cleaning must be done with rubber gloves.


  1. Wash: only with special hypoallergenic products. Be sure to thoroughly rinse.
  2. Smoking: a strict ban on smoking in the apartment.
  3. Flowering gardens, ragweed, etc .: hermetically close the windows, limiting walks in the air during the flowering period.
  4. Animals: if eczema has been diagnosed, then keeping pets is not recommended. The most common allergens of animals: wool, particles of animal saliva, feather, dry food for fish, dandruff.
  5. Clothing: exclude products from coarse wool, preferably wearing hygroscopic and soft cotton fabrics of light shades.
  6. Limit psychoemotional and physical activity, as they contribute to increased perspiration, which is not desirable for eczema.
  7. Elimination of stress factors.
  8. Normalize sleep and rest.
  9. Emotional calm.

Skin care

Since for eczema on the hands most often the skin is dry, it is necessary to use moisturizers prescribed by a doctor, which will restore its fat metabolism.

Bathing in a bath or shower is limited to 10 minutes at a water temperature of not more than 40 ° C. In this case, loofah is better not to use to avoid rubbing and scratching the skin. Soap it is desirable to replace cleansing lotions, foams or shower gels, which should be liquid, and also without color and smell.

External treatment

  1. Acute stage: lotions, to relieve skin inflammation, itching. After the cessation of soak, recommend a variety of water-alcohol, oil talkers, pastes.
  2. Inflammatory process verse: emollient, healing creams and ointments with absorbable and anti-inflammatory properties - containing ichthyol, naphthalan, zinc, fatty acids, hormones, antibacterial agents.


Any food allergen can provoke in some cases the development of eczema, and that which is highly undesirable for one is perfectly tolerated by another. For this reason, the diet should be chosen strictly individually, excluding those products that provoke an exacerbation of eczema in a particular patient.

The usual food intake for eczema is 4 to 6 times in small portions.

In order to identify the products that cause aggravation, it is necessary to keep a food diary for some time, where you can record not only everything that is eaten and drunk during the day, but also the reaction of the body over the next 2 days. After analyzing the relevant entries, “calculate” does not amount to the culpable product of labor. Such products should be excluded from the diet completely and not used even in combination with others, for example, in the preparation of salads or as one of the components of baked pastries. The duration of such a strict diet is about 1 year, after which the body usually “forgets” the allergen and does not respond with inflammation to its presence in food.

The most common allergens of animal products:

  • bird,
  • seafood,
  • caviar,
  • a fish,
  • eggs,
  • milk (including goat).

Herbal products containing allergens:

  1. Cereals: corn, barley, rye, wheat.
  2. Nuts
  3. Legumes: peas, soybeans, beans, lentils.
  4. Vegetables, fruits of red, yellow or orange color: citrus, melon, persimmon, apricot, peach, watermelon, carrot, beet, strawberry, strawberry, raspberry, currant, pomegranate, grape, tomato.
  5. Chocolate: sweets, cocoa.
  6. Other products: kiwi, garlic, avocado, radish, horseradish, mushrooms, eggplants, radish, chestnut, spices, ketchup, mayonnaise, smoked meats, caramel, pickles, pastry, honey, coffee, mustard, vinegar, cheese, kvass, etc. P.

When drafting a hypoallergenic diet, it must be remembered that there is a so-called cross-allergy, when consuming one product causes an allergic reaction when consuming others:

  • milk - beef - digestive enzymes,
  • pollen - fruit — berries.
  • Mold (for example, in cheese) - kefir - various cheeses - yeast baked goods - last year's fruit.

In this case, if an allergy has been identified, for example, to pollen, then it is necessary to exclude or sharply limit berries and fruits.

In case of eczema, one has to fully comply with all recommendations, since one episode of eczema can be associated with one allergen, then the subsequent exacerbation of the disease can be triggered by completely different allergens.


At the same time, no more than 5 drugs are prescribed to patients suffering from eczema on their hands. The following groups are especially carefully appointed:

  1. Immunostimulants . Interferon, immunoglobulins, adaptogens should be appointed exclusively for strict indications, and only short courses.
  2. Vaccines . Excluded in the period of exacerbation, and during remission is carried out only under the cover of antiallergic drugs and should be benign.

For the treatment of eczema is usually prescribed:

  1. Anti-mediator, which to some extent are competitors of histamine or serotonin - diazolin, questin, Erius, suprastin, tavegil, peritol, etc.). They block histamine receptors on cell membranes, reduce vascular permeability and have a good anti-inflammatory effect. Some of these products have a good sedative effect, however, with long-term use, addiction develops, and signs of allergies return. In order to prevent a similar effect, it is necessary to change the antiallergic drugs every 10 days. However, Erius, Telfast and some other similar means are not addictive, so they can be used for a long time.
  2. Calcium preparations, magnesia, sodium thiosulfate . These substances prevent the ingress of allergens into the bloodstream, reduce the overall sensitivity of the body to the effects of allergens.
  3. Sorbents, diuretics and heavy drinking . For the best removal of allergens, enterosorbents (activated carbon, enterosgel, uvisorb), diuretics, laxatives (furosemide, dufalac, sulphate magnesia), plentiful drink of water are prescribed. If necessary, they can prescribe plasma-substituting solutions (polydez, hemodez) or hemosorption, plasmapheresis.
  4. Hormonal drugs. Assign in the case of extensive skin lesions: prednisone, hydrocortisone, diprospan. These funds can be administered in the form of tablets, injections, as well as topically (creams, ointments, gels).
  5. Soothing agents. Appointed to relieve itching, burning sensation: valerian, motherwort, amitriptyline, aminazin and other drugs.
  6. Improving blood circulation. For this purpose, appointed trental, nicotinic acid.

In addition to these activities, sanation of carious teeth is carried out, treatment of chronic tonsillitis is prescribed, function of the intestine and liver is normalized, and in case of detection of helminths - antihelminthic or antiparasitic treatment.

One of the important components in the treatment of eczema is the normalization of the intestinal microflora and the elimination of dysbiosis. To do this, use biological products: Linex, yogurt, Lactobacterin, Bifidumbacterin. Normal intestinal flora is one of the important protection factors, which contributes to less penetration of allergens into the body through the intestines.


After the abatement of the acute process of physiotherapy procedures prescribe:

  • UV,
  • laser therapy
  • electrophoresis
  • mud therapy
  • therapeutic baths, etc.

If there are no contraindications, then small courses of therapeutic fasting are possible with the simultaneous use of antiallergic agents, sorbents.

Spa treatment

Patients with eczema are recommended dry sea climate (for example, the southern coast of Crimea) in the fall or spring.

| March 17, 2014 | | 4 663 | Skin diseases
Leave your feedback

Kimoya Pottinger: Hi, i have eczema and since i have been taken my multivitamins, and pills to boost the immune system my eczema does not trouble me as much anymore. So if you are allergic to anything, just make sure you are taking your vitamins. If u allergic to dairy, take in your vitamin c and your skin might clear up.

The Fortnite Kid: I have eczema like that but worst it looks almost the same I’ve had it since I was 2 I use Benadryl and Claritin I always itch in parts where I bend myself

Banana4lifeu: Yall i have eczema and i hate it. i cant go out with shorts or bathing suits without family making fun of me. all my fiends have pretty legs and arms when im here with my eczema back to toe.:\