Dyshidrosis of the hands - treatment at home with ointments and diet

How does hand dyshidrosis manifest?

The widespread assertion that the disease is caused by clogged sweat glands is deeply erroneous. The fact is that there is no one, specific cause of dyshidrosis. The appearance of this disease is always influenced by a complex of various factors.

Dyshidrosis is always a signal of dysfunction of body systems; it can be caused by a variety of reasons:

the occurrence of allergic reactions (including to medications);
nervous breakdowns and exhaustion;
improper functioning of the gastrointestinal tract;
disruptions in the endocrine system;
fungal infections of the skin, so-called mycosis;
reduced immunity.

In general, when the first signs of dyshidrosis appear, a comprehensive examination of all body systems should be carried out. And the first specialized specialists who need to be visited immediately will be:

allergist-immunologist;
dermatovenerologist.

It is these specialists who will prescribe tests that will help identify the internal causes of this unpleasant phenomenon.

Of course, all body systems are involved in the symptoms characteristic of dyshidrosis, but especially the endocrine and nervous ones, since the disease manifests itself seasonally - in the autumn-spring period.

To avoid exacerbation of all symptoms associated with the disease, the patient must minimize factors - “provocateurs”, such as:

contacts with chemicals without protective equipment;
food allergens in the diet;
severe nervous breakdowns and stress,
general fatigue of the body;
excessive passion for cosmetics;
abuse of sweets, smoked meats, spicy foods;
bad habits: smoking, drinking alcohol.

Who is at risk? Dyshidrosis most often occurs in patients of the young and middle age group - up to forty years old; all of them noted increased sweating before the onset of the disease.

This disease is dangerous for both men and women equally. The disease occurs either chronically, regularly exacerbating, or acutely.

Causes and provoking factors

Dyshidrosis of the palms is a polyetiological problem - scientists have not been able to identify any specific cause that leads to the development of the disease. However, they were able to identify a number of the most likely factors provoking the appearance of crowberry. These include the following:

Weakness of the body's defenses.
Failures of metabolic processes, uridrosis (excretion of uric acid along with sweat), digestive problems.
Psycho-emotional changes, chronic fatigue.
Violation of neuroregulatory mechanisms, dystonia.
Hyperhidrosis (excessive sweating).
Foci of bacterial or mycotic activity.
Autoimmune lesions.
Tendency to allergic manifestations.
Pathologies of endocrine structures.
Frequent alcoholic libations.
A course of treatment with certain medications.

In clinical practice, there are often cases when there is not a single cause, but a whole complex of them. To fully cure dyshidrosis, it is necessary to identify and eliminate each of its components.

Main symptoms

The first signs of the disease are a slight burning sensation, tingling sensation and a desire to scratch the palms, the skin on which changes its normal temperature, becoming much warmer, and the skin swells.

After a short time, small, match-shaped tubercles—vesicles—that are dense to the touch form in the deep layers of the dermis. A clear liquid is visible inside them.

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Classification

Depending on the symptoms and etiology of development, several forms of the disease are distinguished.

True dyshidrosis affects the eccrine sweat glands. Due to excessive sweating, the excretory ducts of the glands are clogged against the background of loosening of the stratum corneum of the epidermis. As a result, small blisters with a thick crust and serous transparent liquid appear on the skin. The affected area is the skin of the hands. The acute period lasts no more than 2 weeks. New bubbles do not form after the old ones open.

There are several forms of dyshidrosis: true, symptomatic, dry lamellar.

Symptomatic dyshidrosis occurs due to external influences, without the participation of sweat glands. Signs of the disease are observed with fungal infections, toxicoderma or dyshidrotic eczema. The latter is considered the most dangerous form of dyshidrosis. A distinctive feature is the constant appearance of new bubbles and an increase in their volume. Against the background of skin lesions, a secondary infection often occurs and inflammation begins. Possible intoxication syndrome: headache, fever, general malaise. Sometimes there is an increase in lymph nodes.

Residents of regions with hot tropical climates may develop dry lamellar dyshidrosis. Instead of the characteristic pinpoint rash, peeling appears on the skin. The lesions have poorly defined boundaries of various shapes: from circles to elongated arcs. There is no itching or pain. Sometimes the disease is localized on the face and other parts of the body.

Course of the disease

Every day, the tubercles change their appearance: merging into a common mass, opening spontaneously, they provoke the occurrence of unpleasant painful sensations.
The skin of the palms peels off, cracks, becomes rough, and erosions form.

At the same time, the patient’s well-being worsens, since these phenomena are very painful. When they open, the tubercles can become infected and fester. A concomitant symptom is enlarged lymph nodes in the armpits.

As the disease progresses, symptoms can become severe:

general deterioration of health, depression;
dizziness, migraine;
lack of appetite;
the occurrence of lymphangitis;
high body temperature.

These signs are characteristic of an advanced case - when the disease has progressed to the eczematous stage, which is very dangerous for the patient’s health.

Throughout the entire cycle of dyshidrosis, careful observation by a specialist, regular examinations, treatment procedures and relevant tests are necessary. The attending physician will help monitor what stage the disease is at and prevent the occurrence of associated complications.

Prevention

It is also possible to prevent relapses of the disease using physiotherapy methods. Experts prescribe many procedures to strengthen the immune system and prevent dyshidrosis.

Electrosleep: due to the influence of the electric field, the excitation of the nervous system decreases, the patient calms down. Apply daily or every other day. Course – 15 procedures.
Hypoxic therapy: eliminates hypoxia of damaged tissues, normalizes blood condition. Duration – up to 15 procedures.
UHF therapy: involves the impact of an electromagnetic field on the foci of the disease. The method is contraindicated in case of violations on the part of the NS.
Low-level laser therapy: Moderate power beams are directed at the affected area to achieve sedation. Duration – 10 daily procedures.
Cryotherapy: applying cold to damaged areas of the skin to relieve symptoms of the disease and prevent relapses.
Electrophoresis with antihistamines: relieves itching and inflammation. Conducted daily in a course of 8–10 sessions.

Therapy and prevention of acute attacks of the disease involves following a diet. Carefully review your diet and eliminate foods that may trigger an immune response. When the first symptoms of dyshidrosis appear, consult a doctor.

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Treatment using ointments

This disease of the hands, at each stage, is subjected to various therapeutic interventions.
The disease is treated, including with medication, using external ointments. The use of ointments is recommended in the following cases:

Dry form of leakage.
Peeling.
Dyshidrosis joins existing skin infections.

Which drug will be used in each specific case is decided and prescribed only by the attending physician.

It is prohibited to use ointments if you have diseases such as:

skin cancer;
damage to the dermal layer of various types;
syphilitic skin lesions;
smallpox;
tuberculosis;
pregnancy and lactation;
intolerance to one or more components of the drug;
the patient's age is less than two years.

If dyshidrosis changes symptoms, the list of recommended medications changes accordingly.

Basically, experts recommend using the following medications:

zinc, sulfur, tar ointment;
hormonal drugs;
tetracycline group of drugs.

How to combine these means and when to use them is decided by a specialist.

Side effects are also possible when using therapy using ointments:

the appearance of pigmented areas on the skin;
redness and irritation;
blisters;
severe itching;
swelling;
atrophic phenomena.

If one or more of these manifestations occur in a patient, the ointment used should be immediately discontinued and consult a doctor.

Clinical picture

Dyshidrosis begins with the appearance of dense blisters (as in the photo), filled with a clear watery liquid, which are localized in the area of the hands, covering the palms and soles.
The resulting bubbles can reach the size of an average pea. Blistering rashes in children and older patients usually cause unbearable itching. Symptoms are complemented by hardening of the hands, and the skin covering the palms becomes thick and tough. Symptoms of dyshidrosis in the form of blisters can cover the feet and palms for about one and a half to two weeks, then they begin to gradually merge, open up and form very painful ulcers and cracks.

After which the wounds begin to gradually dry out. Symptoms of peeling skin and flaking of dried blisters appear. If the patient begins to scratch the affected area, the vesicles are damaged, symptoms of swelling and tissue inflammation appear, and the internal contents of the vesicles become cloudy and begin to fester.

Sometimes, as the disease develops, symptoms such as blisters are absent altogether, and instead of them, ring-shaped, lamellar peelings appear on the skin. This is a dry lamellar form of dyshidrosis, usually occurring in dry and warm seasons.

This form usually does not affect the feet, preferring to be localized in the area of the hands. The disease is usually chronic, periodically exacerbating, and may remain silent for several months.

The pathology may have complications of an infectious nature, but usually periods of exacerbations occur easily and without loss of ability to work.

Source: asclepii.ru

The most famous drugs in therapy

The options for ointments used in the treatment of the disease are very diverse, however, the choice of drug should be approached responsibly: dyshidrosis can occur in different ways and a medicine suitable for one form of the disease will be contraindicated for another.

The most commonly used means in this case:

Levomekolev ointment: suppresses inflammation in the skin, contains a strong antibiotic that creates a powerful barrier to infection.
Tetracycline: recommended for use in case of secondary infection, in the presence of deep wounds, severe itching.
Amyclone: an antifungal drug used for mycoses of the dermis.
Zinc: suppresses the activity of pathogenic bacteria in skin cells, has a drying, disinfecting effect.

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Dyshidrosis in children: features of diagnosis and treatment

The symptoms of the disease in a sick child will be the same, but the likelihood of possible complications in this case is much higher. After all, children, while playing, are capable of harming themselves.

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By playing in the sand or in the ground, not following the rules of hygiene, or eating a lot of sweets and “harmful” foods, a child can contaminate the cracks in the palms and provoke the emergence of a source of infection.

During the period of exacerbation, adults should carefully monitor for severe scratching and infection in the wounds.

In pediatric therapy, medications with a sedative and antihistamine effect on the body are used. Hormone-free drugs that absorb toxins are also widely used by doctors.

If the baby is sick, the nursing woman will be prescribed a strict diet. Formula-fed babies will have their complementary feedings reduced. Regular bowel movements are an important process and should be done systematically. It is also necessary to remove suspected allergens from the child.

Treatment of dyshidrosis on the hands at home

Folk remedies show high effectiveness in treating the disease.
There are many recipes on how to help yourself at home. Here are just a few of them:

Mix two tablespoons of chopped white cabbage and one raw potato, mashed to a puree. Apply to the area of skin where there is inflammation, secure with a bandage. Keep for up to 20 minutes. This method will help effectively eliminate ulcers.
Combine crushed currant branches (black) with butter, heat the mixture for several minutes using a water bath. Lubricate the skin with the resulting mass daily, 3 times a day.
Blackberry leaves - 50 grams - pour a glass of boiling water, leave for 12 hours. Treat the affected areas with the resulting tincture at least 2 times a day.
Dry oak bark – 5 tablespoons – boil for 20 minutes in 1 liter of water. Add when taking baths. This remedy helps eliminate inflammation and rashes.
Make baths with herbs (chamomile, string, celandine) for the hands, for 20-40 minutes, before bed. Plants are good both in combination and when used separately, coping well with swelling and itching of the skin. Course of application: from two weeks to a month.
A mixture of lemon juice with egg white, glycerin and 2 tablespoons of cologne can perfectly dry out inflammation.
Homemade ointment made from cream (50 ml), birch tar (100 ml), 3-4 egg yolks, effectively removes scabs.
Sea buckthorn oil, when used daily, will very quickly help cope with the main manifestations of the disease.

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The above methods of traditional medicine will help get rid of unpleasant symptoms and eliminate the cause of the disease.

However, it must be remembered that natural components can cause severe allergies and aggravate the course of the disease. Therefore, they can be used only after detailed consultation with the attending physician.

General recommendations

Treatment of this disease consists of the following most significant measures:

in order to reduce the level of anxiety and susceptibility to stress, in most cases, sedatives are prescribed (we are talking about herbal remedies);
drugs - sorbents are used to maximum rid the body of the negative effects of toxins (the most common among drugs of this type are enteros - gel, as well as activated carbon);
in some situations, if a consultation was held with an endocrinologist or gastroenterologist, and ultimately they managed to find the so-called root cause of this disease, drugs are prescribed that help improve metabolic processes in the body.

Local treatment of hand dyshidrosis comes down to treating the affected areas of the skin with a variety of specialized solutions. The most popular are: baths with baking soda, baths based on the use of oak bark decoction, and resorcinol solution.

It is also advisable to use zinc ointment as an auxiliary option (the period of treatment with its help should be determined exclusively by the attending physician, taking into account the nature of the lesion).

However, it should be noted that excessive interest in it can contribute to excessive dryness of the skin and aggravate the situation even further, as well as antibiotic ointment (if there is a suspicion of infection).

If you have dyshidrosis, you should not scratch the skin to avoid injury and infection with a bacteriological or fungal infection. This is especially true for children.
I'll have to stop reading newspapers. Newspaper printing uses substances (for example, nickel) that can cause dyshidrosis.
For hygiene, use hypoallergenic baby soap and shampoos with natural ingredients.
Talk to your doctor about taking anti-anxiety medications. If the cause of the disease is of a nervous nature, they will help.
There is no need to rush. Positive dynamics may not be observed soon, be patient and methodically follow all the doctor’s instructions.

A timely visit to a doctor, following the recommendations received, diet and complex therapy will help you quickly get rid of the disease and return your skin to a healthy appearance.

Dyshidrosis has a number of negative manifestations, such as cosmetic defects, itching and burning of the skin. But you can fight it. Folk remedies and alternative medicine methods can be used as additional treatment.

All this helps to forget about the unpleasant disease forever, and compliance with preventive measures helps to avoid relapses in the future.

Source: womaninstinct.ru

Necessary diet

Following a strict diet is an important point in the complex treatment of hand dyshidrosis.

The basic rules of this approach to nutrition imply a complete refusal to eat suspected allergens, such as:

tomatoes;
chocolate candies;
citrus;
spicy, smoked, salty dishes;
fried food;
milk;
carbonated drinks;
fruit from supermarkets;
instant coffee;
food "garbage".

On the contrary, you need to include in your diet:

a variety of cereals, with the exception of (dairy) cereals;
dairy products;
vegetables;
green apples;
soups;
steamed, boiled, baked dishes;
soups;
lean fish and meat;
bran.

Proper nutrition is very important in the fight against disease. A patient who does not follow a diet will not be able to completely cure dyshidrosis; treatment without this condition will be unsuccessful.

A natural, balanced diet consisting of fresh, high-quality products helps cleanse the body of toxins and normalizes the condition of all systems of its internal organs.

Etiology

The etiology of this disease, alas, has not yet been clarified, and therefore the treatment of dyshidrosis is more empirical and symptomatic in nature than pathogenetic. With dyshidrosis, many bubbles form inside the epidermis. Their appearance is accompanied by itching, which causes significant discomfort to the patient.

Due to the clinical picture, similar to other eczemas of an allergic nature, this disease is also called “dyshidrotic eczema”.

Many clinicians tend to classify this disease as a group of allergies provoked by an unknown antigen. Many doctors consider hand dyshidrosis as a psychosomatic disease.

Opponents of this theory believe that the reason for the development of dyshidrosis is emotional trauma, the patient’s pent-up experiences, and chronic stress.

A significant place in the pathogenesis of dyshidrosis is also given to problems with the endocrine system and the gastrointestinal tract.

Source: healthage.ru