How to treat dyshidrotic eczema
Disease description:
Recently, I noticed many small red papules appearing on my hands. After examination, the doctor diagnosed it as dyshidrotic eczema (dyshidrosis). How should dyshidrotic eczema be treated?
Doctor's answer (1)
Dr. Wang Xiaoyan
The treatment for dyshidrotic eczema (pompholyx) should be determined based on the severity of the condition and individual patient factors. Generally, the following treatment measures may be used:
1. General treatment: Keep the affected area clean and dry, avoid friction and scratching to prevent skin lesions from breaking open and developing secondary infections.
2. Topical medication: Corticosteroid creams or ointments, calcineurin inhibitor ointments, such as mometasone furoate cream or tacrolimus ointment, may be used. Specific medications should be used under a doctor's guidance.
3. Oral medication: For severe itching, oral antihistamines such as loratadine may be taken. If secondary bacterial infection occurs, antibiotics may be added.
4. Physical therapy: Such as narrowband medium-wave ultraviolet (NB-UVB) and UVA1 phototherapy, which can promote healing of skin lesions.
5. Surgical treatment: For larger blisters, a medical visit is required for incision and drainage to remove the fluid. Do not attempt this yourself to avoid the risk of infection.
