Dyshidrotic Eczema: What?

Just what is Dyshidrotic Eczema?

Dyshidrotic eczema can be a painful, itchy, unsightly skin condition that has many options to help relieve the symptoms.

dyshidrotic eczema

Dyshidrotic eczema often presents as blisters on the hands or feet.

Dyshidrotic Eczema is an uncommon skin condition that is also known as pompholyx. This condition causes small, fluid filled blisters that develop on the palms, sides of the fingers or toes, and the bottoms of feet. The symptoms can last up to three weeks and are recurring, sometimes before the previous blisters have healed.

Dyshidrotic Eczema is more common in women than in men and is thought to be associated with atopic dermatitis, as well as allergic conditions such as hay fever. Also, this type of skin condition can be seasonal in people with nasal allergies.

This skin condition is thought to be more likely to develop if the person is under stress, have allergies, works with their hands in water most of the time or works in an environment where their hands and/or feet are exposed to chromium, cobalt, and nickel.


  • small, fluid filled blisters, sometimes in clusters taking the appearance of tapioca
  • severe itching of affected areas
  • dry, scaly patches where blisters have dried up
  • sometimes painful cracking and itching of affected areas

Your doctor can diagnose the condition with a visual exam. Sometimes a skin biopsy may be needed to determine if the condition is dyshidrotic eczema or if it is another condition, such as a fungal infection of the area.


There are many treatments of dyshidrotic eczema. Depending on the severity, your doctor may give you a prescription or may recommend other treatment. Treatments include creams, ointments, or oral steroids. In more severe cases, or when other treatments don’t work, your doctor may recommend phototherapy, a therapy that combines uv light and medication.

There are also many home remedies for less severe cases of dyshidrotic eczema. You can apply cool, wet compresses to the affected area. This may reduce itching and the urge to scratch. You can also take antihistamines to reduce allergic reactions. Also, soaking the affected area in with hazel can ward off infections and soothe the itch.

Keep these helpful tips in mind and you can start to see relief in your dyshidrotic eczema.

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Children with Eczema

Children With Eczema

Eczema sufferers can be found everywhere. Even children suffer with eczema.

Eczema can appear in all different kinds of people. It can affect the wealthy just as easily as it can affect the poor. Eczema knows no race, creed, social or economic restrictions. Everyone is susceptible to this disease. No one’s exempt; not even children.

According to a recent survey of the nations leading dermatologists, one out of ten children will suffer from eczema. It appears, usually before the age of five, but can show up in infants. If you see rashes on your child, consult a pediatrician and a dermatologist as soon as possible to confirm the diagnosis.

Eczema appears in babies and children up to five years old as normally red, inflamed rashes with bumps on the cheeks and forehead. It may also show up on the knees or elbows. The eczema may develop into fluid-filled blisters that sometimes burst which can be very painful for kids.

In children older than five, eczema can develop on wrists, elbows, knees and ankles typically as round red scaly patches.

Eczema is not dangerous or contagious, so your child does not need to be isolated from other children or adults. Your child can still go to school or camp and do all of the things a child should do. You can help avoid an eczema flare up by following these prevention tips:

  • All of your child’s clothes should be made of 100% cotton. Cotton will help the skin breathe and cool down. It also reduces the scratchy feeling that other fabrics have.
  • Use a mild, fragrance free soap with lukewarm to warm water in our child’s bath. This type of soap is gentler on skin. Use a soft cotton cloth to apply the soap and always be extra gentle, never scrub the skin roughly.
  • Regular moisturizing of your child’s skin can also help. Using creams or ointments as advised or prescribed by your pediatrician may help maintain the skin’s moisture and reduce skin irritation.
  • Help your child understand that scratching and rubbing the affected areas may make the eczema outbreak worse and could start a painful flare-up.
  • Be sure to keep your child’s fingernails trimmed neat and clean.
  • Keep your home environment as clean and dust-free as possible. You may also want to restrict pets from certain areas at home.

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Nummular Eczema

Nummular Eczema is an offshoot of regular eczema, it starts with very itchy patches or rashes on the skin, which develop into circular shaped patches of dermatitis. It typically appears following a skin injury like a burn or an insect bite. As it progresses the unique coin shaped (nummular) lesions appear, the may be one or several oval patches that can last for anywhere from several weeks to months. Men suffer from nummular eczema more often than women. In men it is not unusual for the first outbreak to occur between the ages of 55 and 65. Women seem to be most suseptable between 15 and 25 years old. For many eczema sufferers this is a chronic condition.

Signs of Nummular Eczema

Nummular Eczema may appear as a single patch or as several patches. These patches may have the following tendencies:

  • Initially, a group of blisters or small reddish spots appears, then grows into the hallmark reddened coin  shaped patch that may be the size of a dime or as much as 4 inches across.
  • At first the patch or patches may seep fluid, later they form a crusty surface. Older patches will be scaly.  If the crust is yellowish, it is usually a sign of a staph infection.
  • The patch or patches will be well defined and red, brown or pink in color.
  • They usually appear on the legs, but may show up on the arms, hands, feet or torso.
  • Sometimes the center of the lesion is clear with a “ring” around the clear skin (looks similar to a ringworm infection). The area of clear skin can be quite dry and easy to irritate.
  • Patches are known to itch or burn and the intensity can range from extreme to almost unnoticable. It is  common for this itching to be more intense at night.

Once Nummular eczema clears it can leave the affected area darker or lighter that the surrounding unaffected skin. When these lesions occur in the lower leg (below the kneecap) the discoloration may be permanent.

Nummular eczema is also known as Discoid eczema, Nummular dermatitis and Nummular eczmeatous dermatitis.

Fortunately, Nummular eczema is not hereditary and is not caused by food allergies. Best of all it is very rarely seen in children under 15.

Here are some tips I’ve put together to help you prevent another outbreak yourself!

  • Clothing:
    One basic way to help prevent nummular eczema (and regular atopic eczema too) is to be very particular about what type of clothing you have next to your skin. The wrong clothing, like wool and other scratchy fabrics can irritate your skin which can really make your eczema flare up. If possible always wear clothing that is very soft and 100% cotton, avoid anything else that is even slightly itchy. Pay close attention to the fit of your clothing too. If it is too tight or clingy, it can be just as bad as wearing wool or other scratchy kinds of fabrics.
  • Detergents:
    Perfumes, scent agents and even the detergent itself can all have some pretty nasty effects on regular skin, so Eczema sufferers have to be extra aware regarding the products used on their skin and clothes. Sometimes a certain piece of clothing will just start driving you crazy with the itching and soreness one day, seemingly out of the blue. More often than not the real culprit is a new detergent or fabric softener ingredient in the “new and improved formula” of your favorite product. This happened to me so many times I’ve switched all natural cleaning products that don’t have any fragrance added. I do this with all my clothing and also for my toiletries and pretty much everything which might get on my skin.
  • Bathing:
    Some people think that by increasing the number of baths or showers they take they can prevent Nummular Eczema or maybe even send it into regression. This is sort of a two edged sword. While bathing more often can sometimes reduce symptoms, since it will help remove bacteria and microbes on your skin that can eventually cause the discomfort and itching that leads to you an outbreak… BUT bathing more often can also dry out your skin, which will certainly make your eczema worse. As a compromise I suggest you moisturize…
  • Moisturizing:
    Sure, it can be helpful to bathe twice a day, but the only way to ensure it helps and doesn’t make things worse is to moisturize IMMEDIATELY after your bath. Pat yourself lightly with a very soft 100% cotton towel, leaving your skin slightly damp. Then apply moisturizer to your still damp skin. Hopefully, this will help you lock more moisture inside your skin.
  • Diet:
    Scientists have found definite links between a highly acidic diet and bad Eczema, so it may be worth the effort of reducing the acidic content in your meals and snacks. If you aren’t a dietician and you don’t want (or can’t afford) to visit a dietician for advice this could be a bit of a problem. Fortunately, there is another solution… take kelp supplements! Kelp is alkaline in nature and if you remember high school chemistry, the alkali in the kelp will help neutralize the acid in the food you eat.

All if the various forms of Eczema can make your life miserable. Nummular eczema is one of the most severe and hardest to treat forms of Eczema. Hopefully these tips will help you find some relief.

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You owe it to yourself to check it out and give yourself a chance to live without Nummular Eczema forever.