Eczema on the hands: symptoms and treatment

Eczema is a common skin disease of a neuro-allergic nature that is characterized by recurrent inflammation of the papillary layer of the dermis and is manifested by a skin rash. For the eczematous rash, polymorphism, persistent current and localization in the open areas of the body-face, hands, feet, are characteristic. Eczema on the hands is found in 25% of people with skin problems, because this part of the body is not protected by clothing and is often exposed to aggressive environmental factors: from the use of an allergenic cream and finishing with chemical reagents.

Causes of the disease

The causes of the copy are not clear on the hands, because this disease is referred to the group of polyethological (or multifactorial), that is, many factors can lead to its development. Most doctors are of the opinion that the mechanism of the development of the disease is directly related to the disorders of the nervous system. However, scientists believe that its appearance can be provoked by a number of the following reasons:

  • contact with chemical dyes and flavors that are a part of daily used household chemicals (according to statistics, eczema on the fingers often occurs after prolonged interaction with an aggressive dishwashing detergent, powder or allergenic cream)
  • long-term use of certain groups of pharmaceuticals (NSAIDs, for example)
  • infectious skin diseases;
  • disruption in the endocrine system
  • genetic predisposition.
  • bee pollen, mold, poplar fluff;
  • Dryness and sweating of hands.

Symptoms of the disease

Depending on the external manifestations of eczema, the hands can be wet and dry, and for reasons that cause it, it is idiopathic (true), microbial, professional.

Symptoms of eczema are directly related to its appearance, although the general signs of the disease include strong redness of the skin of the hands, itching, the intensity of which each determines independently, the appearance of tight edema of soft tissues and an increase in the temperature of the skin of the hands.

  1. True (idiopathic) eczema of the hands is characterized by a rapid onset. Eruptions have erythematous, papular or bubble nature (it can be seen in the photo that they are characterized by symmetry). The disease begins with the formation of small bubbles, which subsequently merge, open up, form point erosions, light yellow crusts and lead to the development of lichenification (a sharp thickening of the skin and strengthening the pattern). All this is accompanied by a strong edema of the affected tissues, and subsequently by desquamation.
  2. The microbial form of the disease develops against a background of purulent inflammation of the skin in places of burns or abrasions. The process begins with a one-sided lesion and detachment of the stratum corneum of the epidermis, followed by the formation of exudate, which eventually shrinks into thin linear or annular crusts — dry eczema is formed (most of the time it affects not the whole hand, but only the fingers).
  3. Professional eczema in the hands of the clinical manifestations resembles the true, that is, it is characterized by a rapid onset and papulo-vesicle rashes, which look like small bubbles in the photo. At the initial stage, it can be cured by folk remedies, but if the cause of the illness is not eliminated, it will go into a chronic form, the course of which will deteriorate with each subsequent exacerbation.

An eczematous rash usually opens on day 3-4, and the ulcers that remain after it, heal within a month and are accompanied by pain. It is important to remember that at the moment when the vesicles are opened, the risk of entering an accompanying infection increases, which will significantly complicate the treatment of eczema on the hands and lead to a prolonged course of the disease. During periods of exacerbation, the skin on the affected area becomes red and moist to the touch (it is very important at such times to observe the diet and protect the nervous system from shocks), and during the remission it becomes dry and inelastic. Dry eczema is accompanied by peeling of the skin and the appearance of bleeding cracks (in the photo they look like small cuts), which are very itchy (it is recommended to lubricate the wounds and peeling with baby cream).

Diagnostic Methods

Before treating eczema in your hands, you need to visit a dermatologist who can determine the cause of the disease. Most doctors diagnose on the basis of an external examination of the skin of the conversation with the patient, but in rare cases an additional examination is required — a general blood test, a smear to determine the infectious agent. In the event that an expert suspects having another disease with a similar course (scabies, psoriasis), he can prescribe a skin biopsy. It should be said that the treatment of folk medicine or the use of antihistamine creams without first consulting a doctor should not begin, since they can cause the development of complications. The only thing that a patient can do with a suspicion of an eczematous rash is to go on a diet, removing «harmful» foods from your diet.

How to treat?

About what to treat eczema in the hands of a patient tells a specialist who needs to visit even if later treatment will be carried out folk remedies. Therapy should be comprehensive using the means for both external (creams, ointment) and for internal use (tablets, injections), with the obligatory observance of the diet and the carrying out of physiotherapy procedures.

Treatment with medicines

Medicamentous treatment of eczema on the hands includes the use of antihistamine oral medications (Tavegil, Suprastin, Eden), antibacterial drugs (in case of microbial skin lesions), immunomodulators (vitamin complexes) and drugs for external use. At the first signs of the disease, the patient is assigned a glucocorticoid ointment from eczema on the hands, which removes inflammation, itching and prevents further damage to the skin (after elimination of the inflammatory process, the use of the ointment is canceled). In the future, the patient is prescribed the use of antihistamine cream — to eliminate edema and itching, and the course of physiotherapy procedures (ozonotherapy, paraffin applications, ultraviolet irradiation and so on). The cream acts as a barrier between the skin and the pathogenic microflora, so that the doctors are well suited to its choice (cream pimecrolimus and zinc pyrithione are especially popular).

Treatment with folk remedies

It is difficult to cure eczema with folk remedies, therefore their use is prescribed in addition to drug therapy. Especially popular among the recipes of traditional medicine are hot compresses from cabbage cooked in milk, oral intake of broth from the root of burdock and the use of a cream based on fish oil and nuts cooked at home. Treatment with folk remedies will be effective only at the very beginning of the disease, with a severe course of treatment, eczema can only be medicated.


Diet is one of the main factors in the successful treatment of the disease. Patients with eczema on their hands are recommended to make their daily diet from hypoallergenic products and give preference to low-fat protein and milk foods and vegetables. Diet with eczema strictly excludes the use of smoked, citrus and sweet foods, because their reception significantly increases the itching. Instead of tea and coffee, doctors recommend drinking medicinal infusions prepared according to traditional medicine.

Despite the fact that eczema is a chronic relapsing disease, the prognosis of its treatment is favorable. Diet, preventive use of traditional medicine, lack of contact with allergens, timely treatment of infectious skin diseases and the proper choice of skin care cream reduces the risk of recurrence to a maximum.