Causes And Risk Factors Of Dyshidrotic Eczema
As with other forms of eczema, we do not understand what causes it or why it affects some more than others, but there do appear to be genetics involved, as it is more common in some families, says Lio. Frequent hand-washing, sweaty hands and feet, and contact with irritants or chemicals are all the most common . We see it in many healthcare workers, as you can imagine.
According to the AAD, dyshidrotic eczema is more likely to occur if you:
- Have sweaty or moist hands
Finger Or Thumb Sucking
The old adage about small children putting anything and everything in their mouths is true including fingers.
Too much finger or thumb sucking, can lead to skin cracking or peeling. If this comforting habit is becoming a problem for you or your child, its a good idea to have a chat with your pediatrician or try some of these helpful tips.
Peeling fingertips can also indicate an underlying medical condition, such as:
Eczema Handwashing And The New Coronavirus : Protecting Yourself And Your Skin
Proper handwashing is one of the best ways to prevent spreading viruses, like the new coronavirus and the flu. But when you have a skin condition like eczema , washing your hands often can lead to dry and cracked skin, itchiness, pain and possibly infection. So how can people with eczema protect their skin while protecting themselves from the coronavirus?
The Asthma and Allergy Foundation of America asked Dr. Jonathan Silverberg, a member of our Medical Scientific Council, what people with eczema and other skin conditions need to know about handwashing and COVID-19.
The World Health Organization and Centers for Disease Control and Prevention are recommending frequent handwashing to protect from the flu and COVID-19. But this can cause flare-ups for people with eczema. What do you recommend people with eczema do to prevent eczema flares on their hands while practicing good hygiene?
My personal and professional experience has been that handwashing is generally better than hand sanitizer, especially when you apply moisturizer right after. Applying moisturizer after each handwashing can offset much of the drying effects of handwashing. I typically recommend my patients carry a pocket tube of moisturizer that would allow them to apply it anywhere.
Are there certain types of soaps people with eczema should avoid? Should they avoid hand sanitizer too?
What are the steps people with eczema should take to properly moisturize after washing their hands?
Don’t Miss: Best Way To Get Rid Of Baby Eczema
Medical Causes Allergic Reaction
And not just any allergic reaction, I am talking about a condition called allergic contact dermatitis.
Allergic contact dermatitis is a condition where the red, itchy bumps and skin peeling appears as a result of direct contact between your skin and an allergen.
What is the allergen that can cause this allergic reaction? There are a lot of allergens we come in contact daily. Some of which are:
- House cleaning products
- Skin care products etc.
Now, I dont know about you, and what does skin peeling on your palms look like, but mine does not resemble an allergic reaction. There is no redness, not a lot of itching its just a constant erosion of the top layer of the skin of my palms.
Related Conditions And Causes Of Dyshidrotic Eczema
As mentioned, atopic dermatitis or contact dermatitis, especially when related to a nickel allergy, can increase your risk of having dyshidrotic eczema, according to the AAD.
Differentiating between the conditions can be a challenge, and sometimes they are related anyway, says Kindred. Atopic dermatitis prefers skin folds, such as the insides of the elbows and the knees. Contact dermatitis is usually within the location that the skin was in contact with the trigger. The confusing part is that both atopic dermatitis and contact dermatitis may be associated with dyshidrotic eczema, confusing the picture.
Learn more about these conditions from the NEA:
- Atopic dermatitis Also simply known as eczema, atopic dermatitis is chronic and is the most common type of eczema.
- Contact dermatitis This happens when physical contact with an irritating substance or allergen triggers an irritation or inflammation reaction of the skin.
Also Check: Can You Pop Eczema Bumps
Peeling Skin On Palms Of Hands Heres My Story
If you know me and took the time to browse around the website, you probably noticed I like to talk about the topic and problems I personally went through. I feel that this is the way to go as this allows me to understand your frustration better and to identify with your condition on a more personal level.
And peeling skin on palms of hands is one of those topics thats too close to home
In this article Im going to look back on my with peeling skin on the palms of my hands talk about the possible causes, different treatment options Ive tried and how well theyve worked for me.
Care For Your Skin In The Bath Or Shower
Bathe only with a mild unscented soap, such as Dove, Basis, or Olay. Use a small amount of soap. Keep the water temperature cool or warm, not hot. Soaking in the tub for a short time can be good for your skin. Doing so allows your skins outer layer to absorb water and become less dry. Soak for 15 to 20 minutes. Then use a soft towel to pat your skin dry without rubbing. Immediately after drying, apply a moisturizer to your skin. This helps seal in the moisture.
Recommended Reading: Does Hydrocortisone Cream Help Eczema
Tips For Reducing Outbreaks
Here are a few ways to prevent eczema flare-ups and manage symptoms:
- Apply cool compresses to your skin, or take a colloidal oatmeal or baking soda bath to relieve the itch.
- Moisturize your skin daily with a rich, oil-based cream or ointment to form a protective barrier against the elements. Apply the cream right after you get out of the shower or bath to seal in moisture.
- After you bathe, gently blot your skin with a soft towel. Never rub.
- Avoid scratching. You could cause an infection.
- Use fragrance-free detergents, cleansers, makeup, and other skin care products.
- Wear gloves and protective clothing whenever you handle chemicals.
- Wear loose-fitting clothes made from soft fibers, like cotton.
You should also avoid any known triggers.
Treatment For Hand Eczema
Severe hand eczema on the palms of an adult male
The best treatment for hand eczema is avoiding what caused it.
Knowing which substances trigger your hand eczema and protecting your hands at home and at work, can help guard your skin against further irritation. The most important thing to remember is to be consistent a daily routine for care and control is the best defense.
If you believe that a substance at home or at work is causing your hand eczema, your doctor can do a patch test to see which allergens or irritants may be the problem. Your doctor can also help pinpoint behaviors or practices that may be contributing to your hand eczema and help you find ways to modify or avoid them.
Read Also: Eczema On Heel Of Foot
What Causes Peeling Skin
Many conditions, disorders or diseases can cause the skin to peel during the healing phase of the injury. Immediately after exposure to any of the following or if you suspect any of the listed disorders you should be evaluated by a physician. Examples of skin injuries may include:
Healing from direct damage to skin
- Thermal burns when skin damage may occur after exposure to a hot liquid or surface, or contact with fire
- Chemical burns when skin damage may occur after a chemical comes into direct contact with the skin. Household cleaners and beauty products or chemicals used in the workplace may cause burns.
- Skin irritation due to abrasion or friction from shoes or clothing
- Sunburnis the most common type of burn. It is caused by prolonged exposure to UV radiation from the sun or artificial sources .
Cosmetic procedures or treatments
- Acne treatments containing retinol/retinoids or benzoyl peroxide
- Chemical peels or use of face creams containing retinol, typically those used to treat scarring or wrinkles
Medical conditions or treatment side effects
Many viral or bacterial infections may cause the skin to peel. The examples below are always serious and require treatment:
- Scarlet fever is caused by an infection of streptococcus bacteria
- Staphylococcal scalded skin syndrome is an infectious disease caused by certain strains of staphylococcus aureus bacteria
- Toxic shock syndromemay be caused by staphylococcal or streptococcal infections
S To Help Prevent Sepsis If You Have An Infection
The AAD concurs that symptoms range from mild to debilitating. A severe flare on your feet can make walking difficult. Having many blisters on your hands can make it difficult to work and perform everyday tasks like shampooing your hair and washing dishes, according to the organization.
Constant scratching also tears the skin, increasing the risk of skin infection. According to the AAD, a staph infection may result. Signs of a staph infection include the development of pus in blisters, pain, swelling, and crusting. Usually skin staph infections are mild, but if they are left untreated and the bacteria enter your bloodstream or other organs, life-threatening complications such as could result, according to Penn Medicine.
Recommended Reading: How To Help Eczema Flare Ups
Can Dyshidrosis Be Prevented
Dyshidrosis is a chronic, or lifelong, medical condition. While it may not be possible to prevent dyshidrosis, you can take action to reduce your likelihood of further flare-ups.
Prevention methods include a good skin care routine and medications such as antihistamines to manage symptoms. Further therapies, like phototherapy, can help as needed.
Trigger : Exposure To Water
Constantly wetting and drying your hands can break down skins protective barrier, especially when you have sensitive skin that is prone to dryness. Even after hands are dried, theres some water left that evaporates. When it does, it reduces skins natural oils, said Dr. Alissa OBrien, a dermatologist at Waters Edge Dermatology. If the water is piping hot, its even more irritating and drying.
How to dodge it: For dishwashing and other wet tasks, wear vinyl gloves with a cotton lining . Latex gloves can cause allergic reactions, so its best to avoid them. When you wash your hands, use a mild, low-lathering soap free of fragrances, preservatives, and dyes, and use lukewarm water, not hot. After washing and gently drying your hands, apply moisturizer, preferably an ointment. Aquaphor Healing Ointment is probably one of the best, said Dr. OBrien. Other ointment brands she recommends include Vaseline, Cetaphil, CeraVe, Eucerin, and Aveeno. If you find ointments too greasy to use during the day, use a cream moisturizer instead and an ointment at night, under a pair of cotton gloves.
Don’t Miss: Newborn Has Eczema On Face
Favorite App For Managing Dyshidrotic Eczema
When youre in the middle of a flare-up, its easy to forget how it developed. Eczema Tracker allows you to keep track of triggers and symptoms, and get useful advice for managing the condition. Take a photo of your skin on good days and flare-up days, so you can better gauge the state of your skin today. Local reports on weather and humidity can help you to anticipate future symptoms, and the app analyzes your data to help you find trends that tend to lead to flare-ups.
Additional reporting by Anne L. Fritz.
Diet And Peeling Of The Palms Of Your Hands
Changing my diet to try and address the skin peeling on my hands is not something I was ever recommended, but I stumbled upon it by accident.
A few months ago, I was diagnosed with candida. Im not going to talk about candida in this article, but what you should know is that treating it requires implementing a crazy diet. At one point, I did not consume any sugars , products which had white flower, dairy products, and alcohol.
It was a scary diet, and I lost quite a bit of weight sticking to it. But, during this time I noticed one interesting side effect it had on me my palms started to clear up. I wanted to test it and see if it was really down to the diet, so I stopped using hand cream altogether. For two weeks straight I did not put ANYTHING on my palms And they were getting better!
Unfortunately, the diet is so restrictive , its tough sticking to it. From time to time I would slip and eat a candy bar a cookie a sandwich and slowly, but surely, the skin on my palms started to peel again.
I wanted to go back to the diet, but I would always slip Plus, Im not sure eating that way for longer periods is even healthy. Over the course of only 2 months, I lost more than 20 pounds . So I had to choose between trying to heal the skin on my palms and my overall health. I went for the latter but, I havent given up on the idea of dieting, Id like to give it another go.
Let Me Know Your Thoughts:
You May Like: How To Treat My Dogs Eczema
Leaves You With Smoother Healthy
Anyone with eczema knows that the appearance of dry, red skin can be frustrating to deal with. Thankfully, exfoliating your skin really can help to not only soothe and alleviate the symptoms of the condition, but can also leave you with smoother, healthy-looking skin that you can feel confident about.
Favorite Organizations For Essential Dyshidrotic Eczema Information
The NEA is a great first stop, being the most prominent U.S.-based nonprofit devoted to education, research, patient support, and advocacy relating to the various forms of skin disease that fall under the eczema umbrella, including dyshidrotic eczema. Check out their dyshidrotic eczema page before you peruse their fact sheets, glossary of skin-care terms, and webinars. We also recommend Lios video on hand hygiene for people with hand eczema in the COVID-19 era.
This well-regarded library of information all about the skin is affiliated with the New Zealand Dermatological Society. The jargon is aimed at professionals, but theres plenty of information for laypeople to use as well. Take a look at their page on vesicular hand dermatitis , or try out their DermDiag tool for narrowing down possible causes for your symptoms .
One of the foremost networks of medical institutions in the United States has an extensive library of information on health conditions, including this page about a common trigger for dyshidrotic eczema: nickel sensitivity.
You May Like: Can You Catch Eczema From Someone Else
When To See A Dermatologist
If you have extremely dry, painful hands and using moisturizer throughout the day fails to bring relief, you may have hand eczema. Without treatment and preventive measures, hand eczema tends to worsen.
Seeing a dermatologist can relieve hand eczema before it worsens.
* This patients story appeared in the Journal of the American Academy of Dermatology. For this article, the patient was given a fictitious name.
ImagesImage 1: Image used with permission of the American Academy of Dermatologys National Library of Dermatologic Teaching Slides.
Image 2: Image used with permission of the Journal of the American Academy of Dermatology.
How Is Peeling Skin Diagnosed
Your physician or other healthcare professional will conduct a physical examination. He or she will ask questions about:
- Your medical history, including any illnesses and medical treatments, and the medications or dietary supplements you take
- How long your skin has been peeling, how extensive the peeling is and whether it occurs in a specific area or all over the body
- If you have been exposed to any new substances, foods or potential allergens
Other tests may be required if the doctor suspects that you have an infection or another underlying condition.
Also Check: Can Stress Make Eczema Flare Up
What If Home Treatment Isnt Enough For Dyshidrosis
Sometimes doctors recommend prescription-strength creams, like clobetasol. These treatments can reduce pain and itching.
In more severe cases, skin care routines and medications like antihistamines are not enough to control symptoms. If other treatments do not work, your doctor may recommend further treatment options, including:
- Systemwide corticosteroids: Sometimes, topical corticosteroids are not enough to relieve symptoms. Your doctor may prescribe an oral or injectable corticosteroid, such as prednisone .
- System wide non-steroidal immune suppression: Long term use of oral steroids is not recommended. Medications such as methotrexate or mycophenolate mofetil may be used in treating chronic disease.
- Exposing your skin to UV light may improve symptoms. You may receive phototherapy treatments at your doctors office or at a hospital.
Reasons Your Skin Is Peelingand How To Deal
Of all the possible weird skin symptoms you could experience, skin peeling might be one of the most disconcertingand uncomfortable. So whats actually causing that peeling? And what kind of skin-peeling treatments are out there?
When the top layer of your skin flakes off or peels off, thats usually a result of some type of inflammation underneath the skin or something that the skin has come into contact with, Isha Tiernan, M.D., a dermatologist at Tufts Medical Center, tells SELF. More specifically, topical allergies or sensitivities, as well as chronic conditions like eczema or psoriasis, are common causes of peeling skin.
That said, peeling skin can be one of several alarming symptoms of infections or life-threatening illnessesalthough these instances are much rarer.
In other words, theres a wide range of conditions that can potentially cause skin peeling on your face and body. Effectively managing your peeling skin is just a matter of figuring out which ones to blame. Heres what you need to know about some of the most common causes of peeling and flaking skin, from how to identify them to how to treat them.
Don’t Miss: Is Eczema A Sign Of Pregnancy