Pagrindinis > Skin diseases > Dishidrotic eczema

Dishidrotic eczema

Dishidrotic eczema - Dishidroze - Hand

Dishidrotic eczema (syn. dishidrotic dermatitis, dishidrotic dermatitis, pompholyx) is a chronic, non-contagious inflammation of the skin affecting the hands and feet. The disease is more common in women and in patients with atopic dermatitis or contact allergies.

Clinical signs:

    • characterised by an itchy rash with small subcutaneous vesicles
    • a burning sensation may be felt at the site of the rash
    • lesions on the skin of the hands, fingers, soles of the feet
    • superficial wounds, skin fraying during healing
    • the disease tends to recur
Dishidrotic eczema - Dishidroze - Hands
Dishidrotic eczema - Dishidrotic eczema - Fingers

Risk factors:

    • genetic predisposition
    • increased sweating of the hands and feet
    • humid environment, frequent contact with chemicals (e.g. hand washing, washing dishes or floors)
    • sensitisation or allergy to environmental factors, most commonly nickel
    • reaction to medicines
    • emotional stress


Diagnosis is based on characteristic clinical signs. If there is a suspicion that the rashes may be provoked by environmental substances or allergies, an allergen patch test is carried out and a doctor consultation with an allergist/clinical immunologist may be recommended.

If the diagnosis is in doubt, a biopsy of a skin graft may be performed.


    • Avoidance of factors that provoke rashes is recommended (humid environment, allergic substances if found)
    • your doctor will assess the extent of the disease and choose topical preparations or a combination of oral medicines.
    • phototherapy treatments may be prescribed


Prophylaxis to prevent recurrence of rashes:


    • wearing cotton gloves and rubber gloves when working with wet hands
    • reducing profuse sweating (proper choice of footwear made of natural materials, cotton socks, antiperspirants, botulinum injections, etc.)
    • hand and foot creams to ensure good skin barrier properties
If you are unsure about your diagnosis and over-the-counter remedies from the pharmacy don’t help – seek help from a dermatologist!
The iDerma team will give you a consultation within 24 hours, explain your diagnosis and prescribe the necessary treatment remotely!
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Fabijoniškės g. 99, Vilnius
+370 671 33323


MB iDerma
Fabijoniškės g. 99, Vilnius
+370 670 70822