Don't Let Your Hand Eczema Stop You From Doing What You Love


Hand Eczema is also known as Hand Dermatitis. It describes any type of eczema that affects your hands. It describes any type of eczema that affects your hands.

The three main types of eczema that can affect your hands are


Symptoms

The symptoms of hand eczema can be irritating and painful.

The main symptoms are


When the skin gets infected, you can also have

You can get hand eczema on any part of your hand. Though it is more common on parts that bend. Including down the sides and the knuckles. This is because, eczematous skin is less flexible and supple. So each time you use your hands the skin can break more. This is when cracks appear, and the skin can get more irritated, and itchy.


Causes Of Hand Eczema

Hand eczema tends to be triggered by an irritant or an allergen. You can read more about some of the more common triggers of eczema.

It can also be because someone is more prone to eczema. They could either have a history of atopic dermatitis, or the other atopic diseases, asthma and hay fever.

It can also occur in someone who works in an irritating environment. Or is in regular contact with a substance that is an irritant or allergen. This type of eczema is also known as Occupational Eczema. It can happen in any occupation, but some jobs are more of a risk than others.

Water is also one of the main culprits. If in your job or your daily life you have regular contact with water, you are also at risk. Ironically, water can dry out your skin. Whenever you have had your hands in water, it is important to look after them.


Treatment

When your hand eczema is mild you can treat it very simply.

  • The most simple thing you can do is to moisturise. There are so many things that can dry the skin out. Including water, wind, air conditioning and central heating. Some things you can avoid. Others are harder to avoid. The best way to combat the effects that they can have on your eczema is to moisturise your skin. It helps to build a protective layer on your skin. This can reduce any skin damage they may cause. Moisturiser also helps to improve the dryness of the skin. This helps to make the skin more supple, preventing cracks to appear.

  • When your eczema becomes inflamed and sore, you can use a topical corticosteroid. You can use one to reduce the redness and itchiness. When your symptoms have improved you can just use a moisturiser.

When symptoms are severe and don’t respond to the first stages of treatment, then your doctor may look at other options.

Eczema can be a little harder to treat when an infection occurs. When the skin cracks, bacteria can enter the skin, causing a Staph aureus infection.

  • Your doctor may prescribe you either an oral antibiotic, or a combination cream, containing a steroid and an antibiotic.
  • Patch testing is another option. It may help to determine which allergies and irritants make your eczema worse. This will help you to avoid them, or protect yourself against them.
  • Phototherapy may also be suggested. Your doctor may recommend you for it if your eczema is chronic and unresponsive to other treatment. There are special units that are used to treat the hands.
  • Another treatment that may be tried is Toctino. It contains alitretinoin. It is used to treat severe hand eczema by reducing skin inflammation. This in turn can help reduce itchiness.


Self Management

There are some things you can do to help prevent your hand eczema getting worse

  • Wear latex free gloves when in contact with a potential irritant. For example, when chopping onions
  • Carry a tub of your moisturiser round with you. You can apply it regularly throughout the day
  • Avoid wet work as much as you can. After washing your hands, pat them gently with a soft towel, then apply moisturiser
  • Limit your hand jewellery. Rings trap soap, dirt and other irritants under them


My Personal Story

I have had an issue with hand eczema since I was about 16 years old. I had always had eczema on other areas of my body, but it wasn’t until I was 16 that it became severe on my hands.

It started when I began a job as a kitchen assistant. I had always wanted to be a cook, as it was a great job for me. Well it was for a few weeks, but the heat and the pot washing triggered my symptoms.

My hands became red and sore, and extremely itchy. At one point my hands were covered in blue plasters. Needless to say, I had to leave that job.

For the next 14 years I had hand eczema in varying severities. Sometimes it was very manageable. Other times it was hard to live with.

It was at it's worse when it became infected. The first time, I didn’t know it was infected until I went to the doctors. It had spread from my hands, all the way up to my elbows. It was very painful.

My doctor gave me some oral antibiotics, as it was so widespread. Combining these with topical corticosteroids and moisturisers cleared it up very well.

I still have small outbreaks on my hands. Normally in the winter. My skin dries and cracks with the weather and central heating. I always use a moisturiser. Whatever time of year.

When I get a small outbreak I use a topical corticosteroid. I find that after using one for a couple of days helps to clear up the worse of the inflammation.

If the symptoms don’t improve I then know that there is a high chance that it is infected. If I see wetness on my skin, I know it is time to visit my doctor.

Most of the time I have dry skin on my hands. That’s why I moisturise constantly throughout the day. I also do as much as I can myself to look after my skin, and to manage my eczema.




There is a type of eczema that affects the hands. It is known as Dyshidrotic Eczema, or Pompholyx Eczema. You can read more about it here, if you want to find out if you might have this type.


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