Dyshidrosis of the skin – causes, symptoms, treatment

dyshidrosis - 3Dyshidrosis of the skin is a disease that manifests itself in the formation of certain specific bubbles with liquid on the skin, located under the upper layer of the skin.

Such formations, most often, appear between the fingers or on the palms of the patient.

The disease mainly manifests itself due to prolonged stress and disturbances in the functioning of the body (immune and nervous system, gastrointestinal tract).

In the treatment of dyshidrosis, a positive result can be obtained only during complex therapy and due to the correct prescription of drugs.

The clinical picture of the disease

The disease begins to manifest itself in dense bubbles, which contain a clear liquid. Often, dyshidrosis of the palms, fingers, feet is manifested. These formations can be very impressive in size, comparable to a pea.

Such rashes, in people of different ages, in almost all cases cause severe itching. In addition, another symptom is the coarsening of these areas of the body, the skin on the palms changes, becomes more rigid and thickens.

This development of pathology lasts about 10-14 days, after which the bubbles begin to merge together, which entails the formation of very serious and painful ulcers and cracks. These ulcers can burst or be injured, causing severe pain to a person.

The resulting wounds soon dry up. Other symptoms begin to appear, such as: peeling of the skin, dried blisters begin to flake off. If the affected area is damaged, for example, with scabies, the bubbles burst, edema and inflammation are formed, the contents of the bubble will change color and may begin to fester.

There are cases when, during the development of the disease, there are no symptoms at all, like bubbles, their place is taken by ring-shaped lamellar peeling on the skin. It is a lamellar form of the disease that manifests itself during warm and dry seasons. The defeat of the feet with this form of the disease does not occur, the formations appear in the area of ​​the hands.

Usually, the disease is chronic, with periods of exacerbations, however, it can hide inside a person for many months. A complication of an infectious type can be a problem, but most often such periods are easy to survive without serious problems.

Causes of

From time to time, relapses of the disease occur, and after long months of quiet life, the symptoms return again in response to any external irritating factors. Any toxin can act as such triggers, even those used in a domestic environment, such as cosmetics or dishwashing detergent.

There are the following factors that contribute to the development of the disease, which do not depend on external stimuli, but their presence increases the chance of developing dyshidrosis in each individual case:

  • chronic depression
  • disorders in the endocrine system
  • existing dyshidrosis in close relatives
  • work with toxic substances
  • pathological disorders of the gastrointestinal tract
  • the presence of other allergic diseases


To date, the exact reasons for the appearance of dyshidrosis of the fingers, hands or feet have not been established, therefore, the main factor before starting therapy is to conduct a clear differential diagnosis to 100% exclude other existing causes with similar symptoms.

Only after a full examination and exclusion of other possible diseases with a similar clinical picture, the doctor prescribes treatment according to an individual treatment regimen, which is mainly of a systematic supportive nature. Such therapy, first of all, is aimed at improving the quality of human life.

The treatment regimen is complex in nature and includes a number of certain measures, for example, the use of stabilizing or immunomodulating agents.

Complete diagnosis and treatment regimen is only the first of two main approaches to the disease, there is also the principle of treatment with alternative medicine.

Treatment of the disease

With dyshidrosis of the hands, treatment involves the appointment of some desensitizing therapeutic, tranquilizing and sedative drugs. With a positive result for the infection, antibacterial and antifungal agents.

In the treatment of serious complications of the disease, corticosteroid drugs for external use, medium and high activity, have become very popular. But, it should be noted, it is very important that the dosage form, duration and frequency of therapy with this spectrum of drugs are prescribed only by a highly qualified specialist dermatologist.

Long and improper use of incompetent drugs such as corticosteroid ointments or creams can cause serious harm to human skin.

In the chronic stage of the disease, attention should be paid to emollients. These substances are water-soluble and have moisturizing properties.

They also relieve itching, help restore damaged skin and strengthen its protective functions, limit the growth of bacteria, and nourish dry skin well. The structure of the emollients is very light, very easy to apply and absorbs quickly.

Physiotherapy procedures are also very effective:

  • ozone therapy
  • ultraphonophoresis of drugs
  • diadynamic currents
  • laser therapy
  • endonasal electrophoresis

Patients are advised to carefully observe personal skin hygiene and eat a special diet. It is necessary to consume dairy and plant products with a small amount of citrus fruits, it is not recommended to consume easy-to-digest carbohydrates, alcoholic beverages are prohibited (or taken in minimal quantities), salty, spicy and bitter foods are also prohibited, it is also better to forget about canned food and marinades.

A disease such as dyshidrosis requires complex treatment. It is important to follow all the doctor’s instructions, whether it is diet, general or local treatment, it is even necessary to follow the regime for, established according to the individual treatment regimen. It is strictly forbidden to neglect the established rules, especially in case of complications of the disease or its frequent exacerbations.

The patient needs to get enough sleep, this has a very positive effect on the nervous system and helps to improve the recovery process, which is much more active during sleep. It is advisable to avoid any unpleasant situations, overexertion, overwork and especially stress.

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General treatment

This type of treatment consists of a number of procedures, combined in a complex, aimed at positive regulation of the patient’s general condition:

The first step is to prescribe sedatives to improve the state of the nervous system, preferably of plant origin.

Further, intestinal sorbents are prescribed, such as activated carbon, polyphepan, enteros-gel.

If necessary, it is recommended to consult with a gastroenterologist or endocrinologist, as a result of which the patient can be prescribed drugs that normalize metabolism.

Local treatment

To treat the affected skin areas, you must use various components:

  • zinc ointment
  • fucorcin
  • resorcinol solution
  • baths with soda or a decoction of oak bark
  • antibiotic hand ointment if there is a sign of infection
  • zinc naphthalan paste

In addition, there is a huge range of remedies for the treatment of the disease, selected individually by the attending physician. Physiotherapy treatments are also at the discretion of the physician.

Treatment in children

If we consider dyshidrosis of the hands, treatment in children is not something very laborious, the main thing is to correctly follow all the doctor’s instructions. More often, children under the age of 3 years are exposed to the disease, after which the dyshidrosis can recede and appear after 20 years. First of all, complex treatment and examination by a pediatric dermatologist, allergist and other specialists is necessary. Basically, in the treatment of dyshidrosis in children, the main emphasis is on eliminating the root cause of the disease, for this various drugs can be prescribed.


All products consumed must be hypoallergenic, that is, it is necessary to minimize, and it is better to completely remove from the diet such foods as: eggs, citrus fruits, strawberries, chocolate, nuts, exotic fruits. It is necessary to reduce the amount of carbohydrates consumed in food: sweet, flour, semolina.

It is necessary to give preference to vegetable and dairy products, if a person loves pasta, then it is necessary to buy exclusively from durum wheat. Only lean meat is allowed: poultry, veal. The diet must be filled with fiber, it helps to cleanse the body, helps to remove toxins and toxins, which, of course, has a positive effect on the state of the epithelium.

preventive measures

In order for the dyshidrosis never to disturb, you must follow a few very simple and very important tips:

  • observe personal hygiene
  • temper the immune system
  • worry less
  • give up synthetic clothing
  • for various diseases, moderately use potent drugs prescribed by a specialist

You should also give up bad habits such as smoking and alcohol. These recommendations will help you maintain good health, and even improve it.

Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.