Hand hygiene has become more frequent for many, leading to an increase in chronic hand eczema. Our hands ordinarily take a lot of abuse. Repetitive wet-dry cycles from hand washing and/or irritating chemicals in hand sanitizer can compound these abuses, leading to irritant contact dermatitis. Other irritants and allergens that can lead to allergic contact dermatitis in the hands include perfumes, metals, rubber, or leather. Individuals with skin sensitivity are more likely to develop red, inflamed skin due to repeated exposure to these irritants. Considering this, at Advanced Dermatology of the Midlands we expect that more and more of us will start to suffer from hand eczema (hand dermatitis).
Hand Eczema (Hand Dermatitis) Development
Hand Eczema (Hand Dermatitis) is a common rash that develops in the hands, consisting of red, itchy spots. Dyshidrotic eczema is a common type of eczema found on the feet and hands. The best dermatologists know that the most common cause for this rash is irritation. Numerous factors may irritate the skin of the hands, leading up to eczema, including allergic reactions. Friction, dryness, and various chemicals are some of the most common irritants. Hand sanitizers are generally formulated to minimize irritation. However, the primary active ingredient in most sanitizers (ethyl alcohol) still has irritating properties.
Initially, we see dry red patches with fine cracks or blisters. As hand eczema becomes more persistent, the skin can take on a thickened, leathery quality with continued redness, scaling, and itching. Hand irritation can become more severe, causing painful fissures on the fingertips. Check out these links for more information on fingertip splitting and brittle nails. Consider wearing protective gloves while using contact allergens such as cleaning chemicals or fertilizers/pesticides to prevent dry skin and atopic hand dermatitis.
Eczema Moisturizer Treatment
Most cases of hand eczema can be treated with some simple measures. When possible, minimizing irritation can lessen the rash and symptoms. If doing activities around the house that normally require washing the hands afterwards, consider wearing disposable gloves such as nitrile gloves. Certainly, due to Coronavirus most of us need to be washing or sanitizing our hands more frequently. So, what else can be done?
Moisturizer is the key to maintaining healthy hands and preventing hand eczema. A myriad of different products are out there for you to choose from for your go-to product. We advocate experimenting to find which moisturizer you like best. The top-tier products that we recommend for the hands are:
- CeraVe Cream
- Vanicream
- Eucerin
- Aquaphor
Apply your moisturizer regularly, especially after washing your hands. Even if you are too busy during the daytime or cannot apply your moisturizer for other reasons, try keeping it at your bedside and applying it to your hands just as you are getting into bed at night.
Hand Eczema (Hand Dermatitis) Medical Treatment
For persistent dermatitis treatment, medicated products can help turn the tide and settle down inflamed hands. Hydrocortisone 1% is an over-the-counter topical steroid that may help in some mild cases. Stronger prescription treatments may be necessary for stubborn cases, but long-term use should be monitored to avoid skin barrier damage. The skin undergoes significant stress from frequent washing and exposure to chemical irritants. Seeking professional care ensures an effective treatment plan tailored to individual needs.
Our healthcare professionals also prescribe many stronger applied steroids for more stubborn cases of hand eczema. Keep in mind that any steroid can thin the skin, so we generally advise patients to avoid using these medicines more than 10 days a month.
Advanced Dermatology of the Midlands | Best Dermatologist Omaha & Council Bluffs, IA | Board Certified Dermatologists
Maintaining healthy hands is essential, especially for those experiencing hand eczema. When symptoms persist despite at-home care, seeking professional treatment can make a significant difference. All our dermatology providers have extensive experience treating hand eczema, even some of the worst cases which require even more in-depth management. At Advanced Dermatology of the Midlands, we have telemedicine/teledermatology visits available for those who want to be seen remotely for their skin condition via video conferencing. Check out this page on our website for more information https://www.midlandsderm.com/teledermatology/.
If we may be of any further assistance, please contact us to schedule a consultation. in any of our clinics in Omaha, Council Bluffs or the surrounding communities.
