Symptoms of Dyshidrotic Eczema
Symptoms vary, but the main sign is tiny, itchy blisters on the palms, fingers, or soles:
- Itchy Blisters: Start as small bumps, may merge. Itchiness can be intense and constant.
- Burning Sensation: A burning or tingling may come before visible blisters.
- Peeling and Cracking: As blisters heal, the skin can get dry, flaky, and crack.
- Pain: If infected, blisters may ooze pus, get inflamed, and hurt.
- Tapioca – like Appearance: The blisters look like tapioca pudding, giving a bumpy texture.
Blisters usually heal in 2 – 4 weeks, but the skin may stay dry. Dark – skinned people may get dark spots.
Diagnosing Dyshidrotic Eczema
If your skin has been inflamed or itchy for over a week, or you have recurring blisters, see a doctor or dermatologist. The diagnosis may involve:
- Physical Examination: The doctor checks the affected areas.
- Patient History: Questions about your activities, exposure to metals or new products.
- Allergy Testing: To find if allergens like nickel or cobalt trigger your eczema.
- Skin Sample: Sometimes, a small sample is taken to check for infections.
Early diagnosis helps manage symptoms and prevent complications.
Home Remedies for Mild Flare – Ups
For mild cases, these home remedies can help:
- Cool Compresses: Apply 2 – 4 times a day for 15 minutes to reduce itching and inflammation.
- Moisturize: Use a thick, fragrance – free moisturizer after a bath or compress.
- Corticosteroid Creams: Over – the – counter ones can reduce inflammation.
- Anti – itch Medications: Creams or oral antihistamines relieve itching.
- Stress Management: Meditation, deep breathing, or yoga can reduce stress.
Avoid irritants like harsh soaps.
Dietary Changes to Manage Eczema
Nickel and cobalt, common triggers, are in many foods. If your doctor suspects an allergy, they may suggest diet changes. But since these foods are nutritious, consult a healthcare provider first.
- Nickel – containing Foods: Cereals, soy products, legumes, chocolate, dried fruit.
- Cobalt – containing Foods: Dairy, meat, poultry (rich in vitamin B12).
A point – based diet plan may be needed, but get professional advice.
Medical Treatment for Severe Dyshidrotic Eczema
If home remedies don’t work, or flare – ups are severe or frequent, medical treatments may be needed:
- Prescription Steroid Creams: Stronger than over – the – counter, reduce inflammation fast.
- Topical Medications: Like pimecrolimus cream or tacrolimus ointment to suppress the immune response.
- Systemic Medications: Oral or injectable to suppress the immune system if topicals fail.
- Light Therapy: Controlled UV light exposure to reduce symptoms.
- Stress Management Techniques: Therapy or biofeedback to manage stress – related flare – ups.
Doctors may combine treatments in severe cases.