Managing Dyshidrotic Eczema: Thickened Skin and Safe Exfoliation Tips

Q: Managing Dyshidrotic Eczema: Thickened Skin and Safe Exfoliation Tips

Hello： For a detailed introduction to dyshidrotic eczema, you can refer to the article by Med's Good Friend at https：//www.medpartner.club/pompholyx-cause-care-treatment/. <br>The cause of dyshidrotic eczema is not due to bacterial or fungal infections. <br>It is acceptable to ex

Dyshidrotic eczema causes thickening of the skin on the feet?

Recently, I visited a clinic and a large hospital due to itching on the side of my foot, and both diagnosed it as dyshidrotic eczema.
The affected area has thicker skin, making it difficult for the medication to be absorbed.
The doctor recommended applying a thick layer of ointment and covering it with plastic wrap, but I find the plastic wrap uncomfortable.
I would like to know if it is safe to exfoliate the thickened skin caused by dyshidrotic eczema, and whether this process could lead to an infection in my foot.
Thank you!

Hsien, 20~29 year old female. Ask Date: 2023/12/20

Dr. Li Yufen reply Dermatology

Hello: For a detailed introduction to dyshidrotic eczema, you can refer to the article by Med's Good Friend at https://www.medpartner.club/pompholyx-cause-care-treatment/.
The cause of dyshidrotic eczema is not due to bacterial or fungal infections.
It is acceptable to exfoliate the thickened areas of the skin on the feet, and there is no concern about infection.
Thank you!

Reply Date: 2023/12/20

More Info

Dyshidrotic eczema, also known as pompholyx, is a type of eczema that primarily affects the hands and feet, characterized by small, itchy blisters. It can lead to thickened skin, especially in areas where the blisters have occurred repeatedly. The condition can be exacerbated by factors such as stress, sweating, and exposure to irritants. Managing dyshidrotic eczema effectively requires a combination of treatment strategies, including topical medications, lifestyle modifications, and proper skin care.

In your case, the thickened skin on the sides of your feet is likely a result of the repeated episodes of dyshidrotic eczema. The thickening occurs as the skin attempts to protect itself from irritation and damage caused by the blisters. While it is important to address the thickened skin, caution must be exercised when considering exfoliation.

Exfoliating thickened skin can be beneficial in promoting the absorption of topical treatments and improving the overall appearance of the skin. However, it is crucial to approach this process carefully to avoid causing further irritation or infection. Here are some tips for safe exfoliation and management of dyshidrotic eczema:
1. Gentle Exfoliation: Use a gentle exfoliating scrub or a soft pumice stone to remove dead skin cells. Avoid aggressive scrubbing, as this can lead to micro-tears in the skin, increasing the risk of infection.

2. Moisturization: After exfoliating, apply a thick moisturizer or emollient to the affected areas. This helps to lock in moisture and prevent the skin from becoming dry and cracked. Look for products that contain ingredients like urea, glycerin, or ceramides, which are effective in hydrating thickened skin.

3. Avoid Irritants: Be mindful of any products that may irritate your skin. This includes harsh soaps, detergents, and other chemicals. Opt for fragrance-free and hypoallergenic products to minimize the risk of flare-ups.

4. Use of Occlusive Dressings: While your doctor suggested using plastic wrap over the medicated ointment, if this causes discomfort, consider using a breathable dressing instead. This can help keep the medication in contact with the skin without causing discomfort.

5. Consult Your Dermatologist: Before starting any new treatment or exfoliation regimen, it is advisable to consult with your dermatologist. They can provide personalized recommendations based on the severity of your condition and the thickness of your skin.

6. Monitor for Signs of Infection: Be vigilant for any signs of infection, such as increased redness, swelling, warmth, or discharge from the area. If you notice any of these symptoms, seek medical attention promptly.

7. Stress Management: Since stress can trigger or worsen dyshidrotic eczema, consider incorporating stress-reducing techniques into your routine, such as mindfulness, yoga, or regular exercise.

8. Avoid Excessive Sweating: Since dyshidrotic eczema can be triggered by sweating, try to keep your feet cool and dry. Wearing moisture-wicking socks and breathable footwear can help reduce sweating.

In summary, while it is possible to exfoliate thickened skin associated with dyshidrotic eczema, it should be done gently and with care to avoid irritation or infection. Maintaining a consistent skincare routine that includes moisturizing and protecting the skin is essential for managing this condition effectively. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further guidance.

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