Dyshidrotic dermatitis in Adult
Dyshidrotic eczema has been associated with contact irritants and allergens, atopic dermatitis, dermatophyte and bacterial infections, hyperhidrosis, hot weather, high dietary intake of nickel or cobalt, and emotional stress. There is much evidence that intravenous immunoglobulin (IVIG) can cause severe dyshidrotic dermatitis.
Some cases spontaneously resolve. Treatment is aimed at symptomatic relief and control of vesiculation.
L30.1 – Dyshidrosis
402567004 – Dyshidrotic dermatitis
- 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
- In immunocompromised patients, also consider crusted scabies.
- Epidermolysis bullosa simplex
- Porphyria cutanea tarda
- Hand-foot-and-mouth disease
- An unusual acral form of bullous pemphigoid resembles dyshidrotic eczema.