Neurodermatitis and Eczema Discussion
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Author Topic: Do you sometimes get blisters on your hands?  (Read 20138 times)
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« on: November 07, 2010, 07:34:57 PM »

Do you sometimes get blisters on your hands? Many doctors don't know what it is and just call it "eczema".

Do your hands look sometimes like this?

You likely have Dyshidrosis. Many doctors prescribe cortisone or protopic to treat it. I have not experienced any help from this.

Dyshidrosis (also known as "Acute vesiculobullous hand eczema," "Cheiropompholyx," "Dyshidrotic eczema," "Pompholyx," and "Podopompholyx") is a skin condition that is characterized by small blisters on the hands or feet. It is an acute, chronic, or recurrent dermatosis of the fingers, palms, and soles, characterized by a sudden onset of many deep-seated pruritic, clear vesicles; later, scaling, fissures and lichenification occur. Recurrence is common and for many can be chronic. Incidence/Prevalence is said to be 20/100,000 in the United States, however, many cases of eczema are diagnosed as garden-variety atopic eczema without further investigation, so it is possible this figure is misleading.


Small blisters with the following characteristics::

* Blisters are very small (3 mm or less in diameter). They appear on the tips and sides of the fingers, toes, palms, and soles.
* Blisters are opaque and deep-seated; they are either flush with the skin or slightly elevated and do not break easily. Eventually, small blisters come together and form large blisters.
* Blisters may itch, cause pain, or produce no symptoms at all. They worsen after contact with soap, water, or irritating substances.
* Scratching blisters breaks them, releasing the fluid inside, causing the skin to crust and eventually crack. This cracking is painful as well as unsightly and often takes weeks, or even months to heal. The skin is dry and scaly during this period.
* Fluid from the blisters is serum that accumulates between the irritated skin cells. It is not sweat as was previously thought.
* In some cases, as the blistering takes place in the palms or finger, lymph node swelling may accompany the outbreak. This is characterised by tingling feeling in the forearm and bumps present in the arm pits.
* Nails on affected fingers, or toes, may take on a pitted appearance.

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