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Pompholyx - Symptoms & Treatment


Pompholyx is also known as dyshidrotic eczema or vesicular eczema of the hands and/or feet. Pompholyx is a common type of eczema affecting the hands (cheiropompholyx), and sometimes the feet (pedopompholyx). Dyshidrotic dermatitis ( pompholyx ) is a form of hand eczema more common in women which starts on the sides of the fingers as itchy little bumps and then develops into a rash. The condition can also affect only the feet. Some patients have involvement of both the hands and feet. The word dyshidrotic is used because it is felt that this condition is related to sweat glands, but this association has not been proven. The name pompholyx comes from the Greek word for bubble , which accurately describes this disorder.

Symptoms of Pompholyx

Pompholyx can occur in any type of breed secondary to other skin disorders, but the inherited primary form is seen almost exclusively in the dachshund. The name pompholyx comes from the Greek word for bubble , which accurately describes this disorder The vesicles tend to erupt on the sides of the fingers and palms, and often on the dorsal aspect of the distal fingers, where the skin is anatomically similar to that of the palms (absence of hair follicles). tiny blisters (vesicles) deep in the skin, which look like sago grains or frog-spawn, associated with itching and a burning feeling. The types include:

  1. Pompholyx can occur in any type of breed secondary to other skin disorders, but the inherited primary form is seen almost exclusively in the dachshund. The name pompholyx comes from the Greek word for bubble , which accurately describes this disorder The vesicles tend to erupt on the sides of the fingers and palms, and often on the dorsal aspect of the distal fingers, where the skin is anatomically similar to that of the palms (absence of hair follicles). tiny blisters (vesicles) deep in the skin, which look like sago grains or frog-spawn, associated with itching and a burning feeling. The types include:
  2. Atopic dermatitis - itchy dry red rash on the skin, inherited, and linked to allergies.
  3. Seborrhoeic dermatitis - a common, harmless, scaling rash that sometimes itches. Dandruff (also called pityriasis capitis) is seborrhoeic dermatitis of the scalp. Seborrhoeic dermatitis may also occur on the eyebrows, eyelid edges, ears, the skin near the nose and skin-folds of the armpits and groin. Appears to be inherited, and not linked to any allergy.
  4. Nummular dermatitis or discoid eczema - chronic round red spots that crust and scale; accompanies dry skin in winter; often associated with emotional stress; usually found in people over the age of 35. Often initiated by an insect bite or skin injury. Not associated with any allergy, and does not appear to be inherited.
  5. Lichen simplex chronicus - an itchy patch usually the result of rubbing or scratching caused by an insect bite or a habit.
  6. Pompholyx (see description at start of this paper).
  7. Napkin dermatitis - ie nappy rash, from contact with faeces and urine.
  8. Varicose or statis eczema - over lower legs; associated with poor venous return; skin turns brown.

Causes of Pompholyx

Many people with atopic dermatitis also have dyshidrotic dermatitis, which may mean that dyshidrotic dermatitis is just a form of atopic dermatitis on the hands and feet. The main causes are show in below lists

  • People who have dyshidrotic dermatitis are genetically predisposed to it.
  • Dyshidrotic dermatitis often appears during times of stress.
  • Small fluid filled blisters called vesicles appear on the hands and feet. They are most common along the edges of the fingers, toes, palms and soles.
  • Pompholyx infection with staphylococcal bacteria is not infrequent. That result is pain, redness, swelling and crusting or pustules.
  • Emotional stress can make dyshidrotic dermatitis worse, but does not cause it.
  • The vesicles produce intense itching. Scratching leads to skin changes with thickening. Scratching may also lead to secondary infections.
  • The later and more chronic stage shows more peeling, cracking, or crusting.

Treatment of Pompholyx

The traetment of Pompholyx are discribe in below :

  • One of the most effective natural treatments is a product called Epitrex which can eliminate flare-ups.
  • Skin protection is an important part of treatment.
  • Protect your hands from direct contact with soaps, detergents, scouring powders, and similar irritating chemicals by wearing waterproof, cotton lined, gloves.
  • Wear waterproof gloves while peeling and squeezing lemons, oranges, or grapefruit, peeling potatoes, and handling tomatoes.
  • Wear heavy duty gloves when doing heavy work and gardening. Also wear cotton gloves when doing dry housework.
  • If you have a dishwasher, use it regularly. If not, let a member of the family do the dishes. Do your laundry by machine, not by hand.
  • Avoid direct contact with turpentine, paint thinner and paints. Also polishes for furniture, metal, floors, and shoes. When using them, wear heavy duty gloves because they contain irritating solvents.
  • When washing your hands, use lukewarm water and a small amount of mild soap such as Dove or Basis. Rinse the soap off carefully and dry gently. All soaps are irritating. No soap is "gentle to your skin." Soap free cleansers are less irritating than soap and are recommended for this condition.
  • Rings often worsen dermatitis by trapping irritating materials beneath them. Remove your rings when doing housework and before washing your hands.
  • When outdoors, in cold or windy weather, wear unlined leather gloves to protect your hands from drying and chapping.
  • Use only the prescribed medicines (usually cortisone ointments ) and lubricants such as Cutemol Emollient Cream . Do not use other lotions, creams, or medications--they may irritate your skin.
  • Protect your hands for at least four months after your dermatitis has healed. It takes a long time for skin to recover, and unless you're careful, the dermatitis will recur.
  • If you have a tendency to develop dyshidrotic dermatitis of the feet, you should wear socks which are at least 60% cotton. You should change your shoes everyday. Alternate 2-3 pairs of shoes, so the shoes will dry out completely before you use them again.
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