Dyshidrotic eczema: causes and treatment of the disease

1. Symptoms of dyshidrosis
2. Types of disease
3. Complications of dyshidrosis
4. Causes of crowberry
5. Disease in children and pregnant women
6. Diagnostics
7. Treatment
8. Drugs for the treatment of dyshidrosis
9. Hardware procedures
10. Diet for crowberry
11. Duration of treatment and prevention of the disease

Dyshidrosis is a dermatological disease, otherwise called pompholyx or dropsy. The disease affects the sweat glands.

The main symptom is small blisters filled with fluid. They appear on the skin of the palms and legs and are accompanied by itching. After two or three days, dry crusts form in place of the blisters. As a rule, the disease manifests itself in the off-season.

Dyshidrosis in many cases is a type of allergy or occurs due to an imbalance in the functioning of the nervous system. This disease cannot be transmitted from the patient to other people.

Symptoms of dyshidrosis

The most important sign of dyshidrosis is damage to the skin of the feet and hands. If changes appear in other parts of the body, this means that the patient does not have water, but another dermatological disease.

The main signs of dyshidrosis:

• redness;
• swelling;
• bubbles filled with liquid;
• itching;
• peeling and sloughing of the affected skin.

When you touch the affected area, you may feel that the skin has become hotter.

La-Cri remedies for dyshidrotic eczema on the hands and feet

La-Cri cosmetics based on medicinal plant extracts are widely used to eliminate the symptoms of the disease. They do not cause allergies and can be used for daily care even for children's skin. The range includes cleansers that remove impurities and reduce the risk of infection, as well as emulsions and creams that nourish and strengthen dry and damaged skin, reduce redness and itching, and promote accelerated healing of damaged skin.

Types of disease

There are three types of dyshidrosis, which differ in manifestation and severity:

• True dyshidrosis. At the initial stage, the disease manifests itself as redness, swelling and swelling of the skin. Then bubbles appear on it, the dimensions of which are about a millimeter and do not change in the future. True crowberry affects the skin of the palms. The foci of the disease are located at the base of the fingers. After 7-10 days, the blisters begin to open, which is accompanied by severe itching and burning. If the patient scratches the affected areas of the skin, this can lead to inflammation caused by infection in the wound.
• Dyshidrotic eczema. This is the most severe type, which if left untreated becomes a chronic disease. With eczema, fluid-filled blisters form on the palms and legs and increase in size. After some time, the bubbles open and dry out. The disease develops rapidly and causes a deterioration in overall health. The patient develops a headache, fever, and enlarged lymph nodes. With dyshidrotic eczema in children, appetite decreases and the child becomes lethargic. The disease most often develops with a hereditary predisposition or after severe stress.
• Dry lamellar pompholyx. The peculiarity of the disease is the absence of bubbles. Instead, the skin begins to itch slightly and areas of peeling appear. When itching, the skin can peel off in thin sheets, hence the name of the disease. It is important to know that with dry lamellar dyshidrosis, the skin should not be scratched, as this leads to inflammation and aggravation of the symptoms of the disease.

The disease develops mainly in residents of countries with a humid tropical or very dry climate, and tourists who prefer exotic holidays.

Prevention

To prevent dyshidrosis in children, it is recommended to lead a healthy lifestyle. The child must take care of personal hygiene, nutrition, take walks more often and go out into the fresh air.

When bathing a child, pediatricians advise choosing hypoallergenic gels and shampoos; you should also give preference to baby laundry detergent. Parents need to monitor their children’s nutrition and prevent overeating.

It is important to keep the house clean: carry out wet cleaning, ventilate the room, get rid of dust.

Nutritional features for the prevention of dyshidrosis:

• reducing the amount of salt consumed;
• exclusion of sweets from the diet;
• the predominance of lean meat in the diet;
• consumption of lactic acid products;
• exclusion of citrus fruits from the diet.

And the most important thing is to consult a doctor for help in time. Otherwise, dyshidrosis in children can lead to complications and require a longer recovery time. By following these rules, you can quickly say goodbye to the symptoms of the disease or avoid its appearance altogether.

Author: Maria Ivanova, doctor, especially for Dermatologiya.pro

Causes of crowberry

Previously it was believed that the pathology develops when the ducts of the sweat glands become clogged, but at the moment this theory is completely refuted. Most often, the development of the disease is caused by a violation of the innervation of the sweat glands of the skin. This occurs due to a specific reaction of the nervous system to severe stress. In general, experts distinguish several common causes of pathology:

• hereditary predisposition;
• decreased immunity;
• endocrine disorders;
• dermatological diseases (fungi and infectious skin lesions, pyoderma);
• predisposition to allergies;
• diseases of the gastrointestinal tract;
• vegetative-vascular dystonia, other disorders of the nervous system;
• interaction with aggressive chemicals;
• psycho-emotional overload, mental fatigue;
• psychological trauma, severe stress;
• long-term use of antibiotics.

Disease in children and pregnant women

Not only adults, but also children are susceptible to the disease. In infancy, dropsy can occur due to breastfeeding if the child's mother does not eat properly. Breastfeeding women should not consume foods that may cause allergic reactions.

At an older age, dropsy in children occurs due to a hereditary predisposition or against the background of neuropsychic overload. The cause of the pathology can also be a disruption in the functioning of the immune system. During pregnancy, the risk of developing dyshidrosis increases, since in this condition the load on the female body increases. This leads to certain reactions from the nervous system. You should know that it is prohibited to use certain drugs to treat crow's feet in children and pregnant women, as they can cause unwanted side effects.

Traditional methods

At home, therapy with medicinal plants has a good effect. Before using this or that method, you should consult a dermatologist, as herbal preparations can also cause allergic reactions. The most commonly used plants are those that have disinfecting and tanning effects. Such as celandine, chamomile, sage, yarrow, calendula.

Take 10 tablespoons of dry herb per 1 liter of boiling water, bring to a boil and keep in a water bath for about half an hour. Then the resulting infusion is diluted in 5 liters of warm water and used as a bath for the hands or feet. The duration of the procedure is 10–20 minutes.

Oak bark has an excellent tanning effect, which can be used for lotions and baths. The decoction is prepared as follows: take 5 tablespoons of bark per 1 liter of boiling water, simmer over low heat for 20 minutes. Then the broth should be allowed to settle, then strain and use.

The best option for herbal medicine is determined by a dermatologist.

Olive and sea buckthorn oils are often used to relieve itching and irritation of the skin. Sea buckthorn oil also promotes rapid epithelization of damaged skin. You can make your own ointment from young blackcurrant branches. Take currant branches, chop them to crumbs and mix with a stick of butter. Then the resulting mixture is kept in a water bath for several minutes. After cooling, the ointment can be used. It is recommended to lubricate the affected skin three times a day.

Diagnostics

At the first signs of the disease, you should consult a dermatologist. The patient may also need to consult a gastroenterologist, allergist, or immunologist. The symptoms of the disease are similar to fungal infections and psoriasis, so a whole range of diagnostic procedures are prescribed. It includes:

• fungal analysis;
• allergy test;
• endoscopic examination;
• immunogram.

Thanks to differential diagnosis, the doctor will determine the exact nature of the disease and choose a treatment regimen.

Drugs for the treatment of dyshidrosis

Treatment of the disease includes medications for external use and oral administration. To reduce symptoms, affected areas of the skin are treated with antiseptics based on boric acid, chlorhexidine and other disinfecting compounds. To reduce swelling and redness, use zinc and salicylic ointment and other anti-inflammatory drugs.

Antihistamines are prescribed for oral administration, which relieve allergy symptoms. The patient is also prescribed sedatives, which reduce the sensitivity of the nervous system to psycho-emotional stress. To improve the functioning of the immune system, immunostimulants are used. In severe forms of the disease, glucocorticosteroids are indicated.

Discussion

Tetraderm cream

is a combination drug of the following composition: mometasone furoate 0.05%, gentamicin sulfate 0.1%, econazole nitrate 1%, dexpanthenol 5%.

The light creamy texture of the drug is achieved using a unique ratio of excipients included in the pharmaceutical base: 1 g of the drug contains liquid paraffin 120 mg, cetostearyl alcohol 70 mg, propylene glycol 50 mg, macrogol 6 cetostearyl ether 20 mg, macrogol 25 cetostearyl ether 20 mg , sodium dihydrogen phosphate dihydrate 2 mg, purified water to 1 g [17].

This drug, when applied to the skin, provides a pronounced anti-inflammatory, antimicrobial, antifungal effect, and also stimulates reparative processes in the skin [17].

Diet for crowberry

Patients with dyshidrosis caused by food allergies need to review their diet and exclude foods that increase the manifestations of an allergic reaction. Such products include:

• dishes high in salt, spices, herbs;
• honey;
• citrus fruits, berries, bananas, melon;
• nuts;
• Fish and seafood;
• chocolate, cocoa, coffee;
• alcoholic drinks;
• eggs;
• foods high in sugar, baked goods.

When treating dyshidrosis, it is worth focusing on fermented milk products, cereals, fresh and boiled vegetables. The diet of a patient with chronic dyshidrosis should contain enough foods high in iron and phosphorus.

Introduction. Dyshidrosis (pompholyx), although it is a separate nosological unit in ICD-10 (code L30.1), in most manuals it is considered not as an independent disease, but as a dyshidrotic variant of true eczema. However, it cannot be denied that the phenomena of dyshidrosis can occur without reference to the eczematous process or other pathological conditions, for example, fungal infections of the skin. But even in such cases, some researchers consider the use of this term incorrect, preferring to replace it with “hyperhidrosis,” highlighting its variety with a special localization and clinical picture. Observing in the period from 2009 to 2013 the phenomena of dyshidrotic lesions of the hands and feet in 116 patients, we note that dyshidrosis itself (pompholyx) occurs depending on the profile of the office (mycological, adolescent) in different proportions and amounts to a total of 41.4 in the study group %, among other diseases, the following were identified: dyshidrotic eczema, dyshidrotic form of mycosis of the feet and microbial (mycotic) eczema, palmoplantar pustular psoriasis, allergic contact dermatitis. Accordingly, the main method of diagnosis was the exclusion of infectious and the mentioned chronic inflammatory dermatoses, both clinically and anamnestically. The average portrait of a patient with dyshidrosis is a young man or teenager, without gender differences, but with neuroticism noticeable to a non-specialist (emotional lability, asthenia, irritability, exhaustion, depression, concomitant vegetative disorders). The same reasons are often characteristic of hyperhidrosis, but the characteristic clinical picture of the formation of blisters on the hands and feet allows us to differentiate these two conditions, treating hyperhidrosis itself as an anomaly with increased sweating without the formation of blistering rashes specific to dyshidrosis. The above allows us to classify dyshidrosis as skin vegetosis. Therefore, in the complex therapy of pompholyx, it is rational to introduce the drug Bellataminal, which has proven itself in the treatment of various vegetoses. In addition, its sedative and M-anticholinergic effects directly and indirectly reduce sweating, as an important factor in pathogenesis. Purpose of the study. To evaluate the effectiveness of including Bellataminal in the complex therapy of dyshidrosis. Methods. The study included 48 people with a diagnosis verified by exclusion method. The study group consisted of 36 patients. Patients were recommended to have a rational regime of work and rest and a hygienic regime. The basis of the treatment regimen was the use of Bellataminal (1 tablet 3 times a day), external agents that reduce sweating, corneoprotectors, when opening blisters - retouching erosions with Fukortsin solution (1 time a day), and other symptomatic drugs according to indications. Treatment was carried out until the elements of the disease were completely resolved. The control group included the remaining 12 patients who, for various reasons, refused treatment with Bellataminal. The evaluation criteria were: time to resolution of clinical symptoms, tolerability and adherence to the chosen therapy. Results. The duration of treatment in the study group was 12.1 days; in the control group 16.4 days; Tolerability of therapy in the control group was better, including due to the normalization of mood and sleep. Adherence to therapy in the study group was higher compared to the control group, including due to a shorter treatment period, since lengthening the therapy time makes the use of topical agents less compliant. Conclusion. The inclusion of Bellataminal in treatment regimens for dyshidrosis (pompholyx) is pathogenetically justified and increases the effectiveness of combination therapy, which makes it possible to recommend it for widespread use in this disease.