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    Dyshidrotic Eczema: Background

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    NEWS & PERSPECTIVE DRUGS & DISEASES CME &


    EDUCATION ACADEMY VIDEO NEW
    Drugs & Diseases > Dermatology

    Dyshidrotic Eczema
    Updated: Apr 28, 2017
    Author: Sadegh Amini, MD; Chief Editor: William D James, MD more...

    Background
    Dyshidrotic eczema is a type of eczema (dermatitis) of unknown cause that is
    characterized by a pruritic vesicular eruption on the fingers, palms, and soles. The
    condition affects teenagers and adults and may be acute, recurrent, or chronic. A
    more appropriate term for this vesicular eruption is pompholyx, which means
    bubble. The clinical course of dyshidrotic eczema can range from self-limited to
    chronic, severe, or debilitating. The condition's unresponsiveness to treatment can
    be frustrating for the patient and physician (see the images below).

    Tense vesicles and bullae on


    the palm. Courtesy of Norman Minars, MD, University of Miami, Department of
    Dermatology & Cutaneous Surgery.
    View Media Gallery
    Multiple tense vesicles on the
    palm.
    View Media Gallery
    Some believe the terms pompholyx and dyshidrosis are obsolete and favor a new
    term, such as "acute and recurrent vesicular hand dermatitis." The etiology of
    dyshidrotic eczema is unresolved and is believed to be multifactorial. Dyshidrotic
    eczema is considered to be a reaction pattern caused by various endogenous
    conditions and exogenous factors.
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