and Managing Rich Hand: Causes, Treatments, and Prevention Tips - Dermatology

Share to:

Rich hand..?


I have a condition known as "dishydrotic eczema," and I've been applying a topical ointment called "Four Benefits Cream." The symptoms have improved, but I experienced a similar situation last year, where I used the same ointment, got better, and then relapsed in the winter.
It has not fully resolved since then, and my hands have developed deep cracks.
I don't perform household chores, so why do I still have this condition? A pharmacist later informed me that topical ointments only address the symptoms and not the root cause, and advised me to increase my intake of fats.
Is dishydrotic eczema caused by a lack of fats? Should I continue applying the ointment until it is completely healed, or is it sufficient to apply it until the symptoms are alleviated?

Yihuo, 10~19 year old female. Ask Date: 2005/05/14

Dr. Huang Ruiyun reply Dermatology


The principle for managing hand eczema includes minimizing exposure to water, cleaning agents, organic solvents, and friction, while frequently applying hand cream (or ointment).
Hand cream is not a medication; it contains rich oils and can be applied ten to twenty times a day without concern.
However, Four Benefits Cream is a medication and should not be overly relied upon.
Once symptoms improve, the medication should be discontinued, and hand cream should continue to be used.

Reply Date: 2005/05/14

More Info


Rich hand, or "富貴手," is a common term used to describe a condition characterized by dry, cracked, and sometimes painful skin on the hands. This condition can be particularly troublesome, especially during colder months when the skin tends to lose moisture more rapidly. Understanding the causes, treatments, and prevention strategies for rich hand is essential for effective management.


Causes of Rich Hand
Rich hand is primarily caused by a combination of environmental factors and skin care habits. Frequent hand washing, exposure to harsh chemicals, and low humidity can strip the skin of its natural oils, leading to dryness and cracking. Additionally, certain underlying conditions, such as eczema or psoriasis, can exacerbate the symptoms. It is also important to note that individuals with a predisposition to dry skin may find that their symptoms worsen during winter months when the air is drier.


Treatment Options
1. Moisturizers: The cornerstone of managing rich hand is consistent and effective moisturization. Products like Four Benefits Cream (四益乳膏) can provide temporary relief by creating a barrier that locks in moisture. However, it is crucial to apply these creams regularly, especially after washing hands. Look for ointments or creams that contain ingredients like glycerin, urea, or petrolatum, which are known for their hydrating properties.

2. Avoid Irritants: Minimize exposure to irritants such as soaps, detergents, and cleaning agents. When necessary, use gloves to protect your hands. Opt for mild, fragrance-free soaps and avoid hot water, which can further dry out the skin.

3. Dietary Considerations: As suggested by the pharmacist, incorporating more healthy fats into your diet can be beneficial. Foods rich in omega-3 fatty acids, such as fish, flaxseeds, and walnuts, can help improve skin hydration from the inside out. Staying well-hydrated by drinking plenty of water is also essential.

4. Hydration Techniques: Consider using a humidifier in your home, especially during winter months, to maintain moisture in the air. This can help prevent the skin from becoming excessively dry.

5. Medical Treatments: If over-the-counter treatments are not effective, consult a dermatologist. Prescription creams containing corticosteroids or other medicated ointments may be necessary to reduce inflammation and promote healing.


Prevention Strategies
To prevent the recurrence of rich hand, especially during colder months, consider the following strategies:
- Regular Moisturization: Make it a habit to apply moisturizer multiple times a day, particularly after washing your hands or when you feel dryness. Keeping a small tube of hand cream with you can serve as a reminder.

- Gentle Hand Care: Avoid excessive washing and use lukewarm water instead of hot water. Pat your hands dry instead of rubbing them with a towel.

- Protective Gear: When engaging in activities that may expose your hands to irritants, such as cleaning or gardening, always wear gloves.

- Routine Check-ups: If you notice persistent symptoms or if your condition worsens, seek medical advice. A healthcare professional can provide tailored recommendations and rule out any underlying skin conditions.


Conclusion
Rich hand is a manageable condition, but it requires a proactive approach to treatment and prevention. While topical treatments like Four Benefits Cream can alleviate symptoms, they should be part of a broader strategy that includes dietary changes, protective measures, and regular moisturizing. By understanding the causes and implementing effective management techniques, you can significantly improve your hand health and reduce the likelihood of recurrence. If symptoms persist, do not hesitate to consult a dermatologist for further evaluation and treatment options.

Similar Q&A

Managing Peripheral Nerve Issues: Tips for Self-Improvement and Care

Hello, Doctor. I would like to ask: My mother has been experiencing hand numbness and reduced sensation due to years of overwork. I'm not sure which specialist she should see for treatment. What are some self-improvement methods she can try? Also, is there a hereditary aspec...


Dr. Gao Chunde reply Neurology
Overuse of the hands commonly leads to carpal tunnel syndrome. As long as the hospital has a neurology department, nerve conduction studies can be performed. After the tests, it can be determined whether the hand numbness is solely due to carpal tunnel syndrome or if it is caused...

[Read More] Managing Peripheral Nerve Issues: Tips for Self-Improvement and Care


Dealing with Hand Numbness: When to See a Doctor and Treatment Options

Waking up every day with numbness in your hands for several consecutive days, and experiencing numbness while working, is concerning. To improve this condition, it is advisable to consult a healthcare professional. Bloodletting is not a commonly recommended treatment for this iss...


Dr. Chen Taicheng reply Family Medicine
There are many causes of hand numbness, including cervical degeneration, nerve compression (which corresponds to different areas of numbness in the hand), as well as conditions such as carpal tunnel syndrome, De Quervain's tenosynovitis, degenerative arthritis of the hand, a...

[Read More] Dealing with Hand Numbness: When to See a Doctor and Treatment Options


Understanding Carpal Tunnel Syndrome: Treatment and Daily Care Tips

Hello Doctor: I would like to ask you about my mother (57 years old). She recently underwent a nerve conduction study at Cheng Kung University Hospital and was diagnosed with carpal tunnel syndrome. What further treatment options are available? What actions or dietary considerati...


Dr. Gao Chunde reply Neurology
If the condition is not severe, you can first look for the causes of median nerve compression in the wrist and correct them, such as overuse, improper use, localized swelling and inflammation, or injuries near the wrist. You can perform wrist stretching exercises (which involve p...

[Read More] Understanding Carpal Tunnel Syndrome: Treatment and Daily Care Tips


Managing Computer-Related Hand and Neck Issues: A Rehabilitation Guide

I've been using the computer a lot, and my index finger tends to extend involuntarily. Yesterday, I visited a rehabilitation specialist and described this symptom along with some issues related to my wrist. He arranged for me to undergo rehabilitation, which includes three c...


Dr. Ye Boshou reply Neurology
If your index finger is involuntarily straightening and it is simply due to excessive computer use and muscle fatigue, then rest and heat therapy should suffice. Neck rehabilitation is not necessary. Rest and heat therapy should resolve your issue.

[Read More] Managing Computer-Related Hand and Neck Issues: A Rehabilitation Guide


Related FAQ

Hands

(Dermatology)

Cracked Hands

(Dermatology)

Hyperpigmentation

(Dermatology)

Dermabrasion

(Dermatology)

Paronychia

(Dermatology)

Folliculitis

(Dermatology)

Dandruff

(Dermatology)

Isotretinoin

(Dermatology)

Bromhidrosis

(Dermatology)

Foreskin

(Dermatology)