Dyshidrotic dermatitis in Child
Dyshidrotic dermatitis is rare in younger children. When arising in the pediatric population, it is generally seen after the age of 10. The condition often presents episodically, more commonly in warm weather.
Dyshidrotic eczema has been associated with atopic dermatitis, contact irritants and allergens, dermatophyte and bacterial infections, hyperhidrosis, hot weather, diet, and emotional stress. Administration of intravenous immunoglobulin (IVIG) has been associated with severe dyshidrotic dermatitis. There have also been a few reports of dyshidrotic dermatitis in adults treated with secukinumab.
Some cases spontaneously resolve. Treatment is aimed at symptomatic relief and control of vesiculation.
L30.1 – Dyshidrosis [pompholyx]
201201000 – Podopompholyx
402222007 – Vesicular hand eczema
Differential Diagnosis & Pitfalls
- Allergic contact dermatitis – Distinguishing idiopathic dyshidrotic dermatitis from allergic contact dermatitis can be difficult, although contact dermatitis often involves the dorsum of the hand. An extensive history of environmental exposure should be gathered when a vesicular hand rash is present.
- Palmoplantar pustulosis
- Dermatophyte infection (eg, tinea pedis and/or manuum)
- Herpetic whitlow
- Pustular psoriasis
- Bullous impetigo
- Infantile acropustulosis
- Scabies is associated with superficial vesicles, pustules, and burrows; often has coexistent lesions on the wrists, waist, and axillae; and is diffusely pruritic.
- In immunocompromised patients, also consider crusted scabies.
- Epidermolysis bullosa simplex
- Hand-foot-and-mouth disease – Causes oval, palmoplantar vesicles as well as concomitant oral mucosal vesicles or erosions.
Drug Reaction Data