How to Effectively Treat Dyshidrotic Eczema
Disease description:
A 23-year-old student has recently experienced itching and redness on the skin. Upon examination, numerous transparent vesicles were observed on the body. After visiting the hospital for evaluation, the physician diagnosed the condition as dyshidrotic eczema (pompholyx). The patient would like to know effective treatment options for dyshidrotic eczema.
Doctor's answer (1)
Dr. Liu Wan
Dyshidrotic eczema, also known as pompholyx, is a vesicular dermatosis affecting the palms and soles. It is commonly considered an endogenous, eczematous skin reaction. Initial vesicular lesions are primarily managed with drying and antipruritic measures; for example, calamine lotion (1%) may be applied. Once desquamation begins, topical corticosteroid preparations—such as corticosteroid creams or ointments—or topical ketoconazole–urea ointment may be used. For patients experiencing recurrent local desquamation, dryness, and pain, topical salicylic acid ointment (2%–5%) may be prescribed. In cases of severe pruritus, oral antihistamines may be considered. Patients should avoid contact with water and detergents whenever possible; after each hand wash, moisturizer should be applied multiple times.
