Dyshidrotic Dermatitis

Question 1

Dyshidrotic Dermatitis.
Clinical Feature.
Appearance. Sites. Sympt

Answer 1

• “tapioca pudding” papulovesicular dermatitis of hands and feet that coalesce into plaques, followed by
painful fissuring
• acute stage often very pruritic
• sites: palms and soles ± dorsal surfaces of hands and feet

Question 2

Dyshidrotic Dermatitis.

Complications

Answer 2

• secondary infections common

* lesions heal with desquamation and may lead to chronic lichenification

Question 3

Dyshidrotic Dermatitis

Pathophysiology

Answer 3

• unknown
• NOT caused by hyperhidrosis (excessive sweating)
• emotional stress may precipitate flares

Question 4

Dyshidrotic Dermatitis.

Management. Topical

Answer 4

• topical: high potency corticosteroid with plastic cling wrap occlusion to increase penetration

Question 5

Dyshidrotic Dermatitis. Intrralesional

Answer 5

triamcinolone injection

Question 6

Dyshidrotic Dermatitis. . Systemic

Answer 6

prednisone in severe cases
alitretinoin (Toctino) for all types of chronic hand dermatitis, including dyshidrotic dermatitis
antibiotics for secondary S. aureus infection