What Is Pompholyx?
Pompholyx, also known as dyshidrotic eczema, is a chronic skin condition characterized by small, intensely itchy blisters that develop on the hands and feet.
Key Symptoms
- Small, fluid-filled blisters (vesicles)
- Intense itching and burning sensation
- Redness and inflammation
- Scaling and peeling skin
- Deep-set blisters on palms and soles
- Painful cracks in the skin
Common Triggers
- Stress
- Allergic reactions
- Exposure to metals (especially nickel)
- Hot and humid weather
- Excessive hand washing
- Contact with irritants
Diagnosis
Diagnosis is typically based on:
- Physical examination
- Medical history review
- Patch testing (in some cases)
- Skin biopsy (rarely needed)
Treatment Options
Immediate Relief
- Cold compresses
- Over-the-counter antihistamines
- Moisturizing creams
Medical Treatments
-
Topical Treatments
- Corticosteroid creams
- Tacrolimus or pimecrolimus
- Moisturizing ointments
-
Oral Medications
- Oral steroids (severe cases)
- Immunosuppressants
- Anti-inflammatory drugs
Prevention Strategies
- Avoid known triggers
- Protect hands with gloves
- Use gentle soaps
- Keep skin moisturized
- Manage stress levels
- Avoid excessive hand washing
When to Seek Medical Help
Consult a healthcare provider if:
- Blisters become painful
- Signs of infection appear
- Symptoms interfere with daily activities
- Traditional treatments aren't effective
Long-term Management
- Regular moisturizing routine
- Trigger avoidance
- Stress management
- Regular medical follow-up
Complications
- Secondary bacterial infections
- Chronic skin thickening
- Nail changes
- Impact on quality of life