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Dyshidrotic dermatitis in Child
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Dyshidrotic dermatitis in Child

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Contributors: William Schaffenburg MD, Susan Burgin MD, Craig N. Burkhart MD, Dean Morrell MD, Nancy Esterly MD
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Synopsis

Dyshidrotic dermatitis (dyshidrotic eczema, pompholyx) is generally defined as a recurrent vesicular eruption limited to the hands (most often the sides of the digits) and sometimes the feet. The lesions are extremely pruritic. The etiology is unknown; no causal relationship with sweating has been shown. There is no sex predilection.

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 contact irritants and allergens, atopic dermatitis, dermatophyte and bacterial infections, hyperhidrosis, hot weather, diet, 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.

Codes

ICD10CM:
L30.1 – Dyshidrosis

SNOMEDCT:
402567004 – Dyshidrotic dermatitis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 08/29/2016
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Dyshidrotic dermatitis in Child
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Dyshidrotic dermatitis : Dyshidrotic vesicle, Fingers, Palms and soles, Pruritus, Feet or toes
Clinical image of Dyshidrotic dermatitis
Cloudy vesicles, tiny brown crusts, and some scale on the palmar aspect of the fingers.
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