Dyshidrotic Eczema: Treatment Options for Blisters on Hands

Dyshidrotic eczema on the fingers?

Recently, I have started to develop blisters on my hands again.
They are very transparent and appear on the palms and sides of my fingers.
Can I apply antifungal cream to my hands, doctor?

Xiao Mi, 30~39 year old female. Ask Date: 2016/07/16

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2016/07/16

More Info

Dyshidrotic eczema, also known as pompholyx, is a skin condition characterized by the appearance of small, itchy blisters on the palms of the hands and the sides of the fingers. These blisters can be quite uncomfortable and may cause significant distress due to their appearance and the associated itching. The exact cause of dyshidrotic eczema is not fully understood, but it is often linked to factors such as stress, allergies, and exposure to certain metals or irritants.

When it comes to treatment options for dyshidrotic eczema, there are several approaches that can be considered. Topical treatments are commonly used to manage the symptoms and promote healing. Corticosteroid creams or ointments are often prescribed to reduce inflammation and itching. In more severe cases, a doctor may recommend stronger topical steroids or even systemic medications to control the condition.

Regarding your question about using antifungal creams, such as "欲克黴" (which translates to an antifungal medication), it is important to note that dyshidrotic eczema is not a fungal infection. Therefore, antifungal treatments are generally not effective for this condition. Instead, it is crucial to focus on treatments that specifically target eczema and its symptoms.

In addition to topical treatments, other management strategies may include:
1. Moisturizers: Regularly applying a good moisturizer can help keep the skin hydrated and reduce the frequency of flare-ups. Look for products that are fragrance-free and designed for sensitive skin.

2. Avoiding Triggers: Identifying and avoiding potential triggers is essential. This may include reducing stress, avoiding certain soaps or detergents, and being cautious with exposure to metals like nickel.

3. Wet Dressings: For severe cases, wet dressings can be applied to the affected areas to help soothe the skin and promote healing.

4. Oral Medications: In some cases, oral corticosteroids or antihistamines may be prescribed to help manage severe itching and inflammation.

5. Phototherapy: For chronic cases that do not respond to topical treatments, phototherapy (light therapy) may be an option.

6. Lifestyle Modifications: Keeping the hands dry and avoiding excessive moisture can help prevent flare-ups. Wearing gloves when doing dishes or using cleaning products can also protect the skin.

If you are experiencing recurrent blisters on your hands, it is advisable to consult a dermatologist for a proper diagnosis and tailored treatment plan. They can help determine whether your condition is indeed dyshidrotic eczema or if there may be another underlying issue contributing to your symptoms.

In summary, while antifungal creams are not appropriate for treating dyshidrotic eczema, there are various effective treatment options available. A combination of topical corticosteroids, moisturizers, and lifestyle modifications can help manage the condition and reduce the frequency and severity of flare-ups. Always consult with a healthcare professional before starting any new treatment to ensure it is suitable for your specific situation.

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