06/05/2026
Hand eczema often results from a combination of both genetic (constitutional) factors and contact with irritants (contact irritant dermatitis). In addition some patients may have a contact allergic dermatitis (refer to the related chapter Eczema: contact allergic dermatitis).
Clinical findings
Dry and scaling (if features asymmetrical it is important to look for tinea - skin scrapings should be sent for mycology)
Wet and weeping (with or without vesicles / blisters)
Pompholyx (dyshidrotic eczema): a specific type of eczema that usually presents periodically with intensely itchy vesicles that predominate on the palms and sides of fingers. On occasions large blisters may develop. One of the differentials is an id reaction, most commonly associated with tinea pedis, as such it is recommended to check the feet - refer to the related chapter for more information
Hyperkeratotic eczema: thick areas of scale on the palms and soles. Can be very difficult to distinguish from psoriasis although the latter may be better demarcated. Dr Aijaj Ahmed Mansoori 8982831084 before treatment and after result