Hand dermatitis/eczema: Current management strategy

Abstract

Ever since its inception a couple of centuries ago, hand dermatitis/eczema has been in the reckoning. Idiosyncrasies continued to loom large thereafter, till it acquired its appropriate position. Dermatitis/eczema are synonymous, often used to indicate a polymorphic pattern of the inflammation of the skin, characterized by pruritus, erythema and vesiculation. A spectrum delineated into acute sub-acute and chronic dermatitis of the hands. Pompholyx, recurrent focal palmer peeling, ring, wear and tear and fingertip eczema, apron, discoid eczema, chronic acral dermatitis, gut and patchy papulosquamous eczema are its clinical variants. Occupational dermatitis/eczema may be contributory. Etiological definitions are clinched by detailed history of exogenous and endogenous factors. However, scientific confirmation of the entity is through patch testing by using available antigens.

The Quality of Life and Depressive Mood among Korean Patients with Hand Eczema

“…However, male patients in the non-manual group had significantly higher HECSI scores than male patients in the manual group. The reason of this result seemed that hand eczema is affected by not only exogenous, but also endogenous factors, such as immunologic factors or metabolic defects15. The vesicular type was the most common morphological subtype with hyperkeratotic and fissured the second and third most common.…”

Clinical epidemiology of hand eczema in patients accessing dermatological reference centres: results from Italy

“…According to their occupation, patients in employment were subgrouped into categories of work. The system of Sehgal et al . was used to help perform this classification.…”

“…According to their occupation, patients in employment were subgrouped into categories of work. The system of Sehgal et al 22 was used to help perform this classification. The clinical data consisted of a diagnosis of hand eczema; duration of disease from the appearance of symptoms; the duration of disease from diagnosis; disease chronicity, severity and refractoriness to standard therapy; and presence of concomitant atopic diseases (asthma, allergic rhinitis and/or atopic dermatitis).…”

An ethnographic study into the psychological impact and adaptive mechanisms of living with hand eczema

“…In addition to their cosmetic value, hands are crucial in body language communication. When the hand skin becomes diseased, there is not only a loss of productivity (as part of occupational duties or domestic work), but also psychosocial consequences that can lead to a reduced quality of life (QoL) …”

“…Hand eczema (HE) is a chronic inflammatory dermatosis with a relapsing course and poor prognosis . HE is common, and there is a role for both endogenous and exogenous factors in its development . HE is associated with a high social and economic impact for both affected individuals and society as a whole …”