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Definition

Pompholyx is a common type of eczema. It mostly affects the hands and sometimes the feet. This is cause an itching in the body, and burning sensation. In extreme cases, peeling, cracking and crusting of the skin can occur. The rash was characterized by intense pruritus followed by the formation of small water blisters and increased perspiration that resolved with peeling of the skin. The skin may also become harden. Pompholyx can affect individuals of all races. It is most common in individuals between the ages of 20 to 40. It occurs slightly more frequently in females than in males.

Causes

The cause of dyshidrotic eczema is not known.
The common causes and risk factors of Pompholyx include the following:

  • Pompholyx can be a similar skin disorder called atopic dermatitis and other allergic conditions, such as asthma and hay fever.
  • It mappen due to hot or cold temperatures.
  • Doctors also believe that it happen due to cigarette smoking.
  • Exposure to metal salts, such as chromium, cobalt and nickel usually through cement or mechanical workmay also a causes of this illness.
  • Seasonal changes may be causes too.

Symptoms

The majority of cases involve the palms and sides of the fingers, but the soles of the feet can also be involved. The rash looks like crops of clear, deep-seated, tapioca-like vesicles and is very itchy.
Following are the symptoms of Pompholyx:

  • Itchy vesicles on the sides of the fingers and palms of the hands
  • appearing of tiny blisters deep in the skin
  • chronic stage shows more peeling, cracking, or crusting, and often bleeding
  • peeling, cracking, or crusting
  • Infection with herpes simplex may cause a severe blistering rash.

Treatment

One practitioner tells us that her patients' eczema has cleared after they used Propolis cream and aloe vera soap together. The cream should be applied twice a day after washing. But don't expect instant cures - it can take several weeks before any improvement is seen.

You should soak your feet for 15 to 20 minutes at a time, in a solution of vinegar and water. Make sure to completely dry them when you are done. The vinegar will draw the fluid out of the rash and help to dry the rash. You can do the same for your hands or use a cold compress soaked in vinegar and water. Only do this for a short time up to 4 times a day. Always dry your skin afterwards.

Wear waterproof gloves while peeling and squeezing lemons, oranges, or grapefruit, peeling potatoes, and handling tomatoes.

When washing your hands, use lukewarm water and a small amount of mild soap such as Dove or Basis. Rinse the soap off carefully and dry gently. All soaps are irritating. No soap is "gentle to your skin."  Soap free cleansers are less irritating than soap and are recommended for this condition.

In severe cases oral prednisolone can be used in short courses. In the most severe and recalcitrant cases other immunosuppressants like Azathioprine, Methotrexate and even Cyclosporine have been used.

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