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. When it affects the hands it’s called cheiropompholyx and pedopompholyx when it affects the feet. It is also known as pompholyx, keratolysis exfoliativa, or vesicular eczema of the hands and/or feet. The term pompholyx (Greek "bubble") is generally reserved for the cases of deep-seated itching blisters. Generally associated with, but not caused by, excessive sweating (hyperhydrosis). The cause of this pattern of eczema is not fully understood but in some cases there is a history of allergic contact dermatitis especially to nickel. Very often no specific allergen is found despite extensive patch testing. This form of eczema is aggravated by stress. Oral antihistamines help to alleviate the intense itch. Frequently applied calamine lotion helps to cool the affected skin. The condition is characterized by the sudden onset (1-3 days) of deep-seated, clear blisters. In the later stages, scaling, thickening, and painful fissuring typically occur. Secondary bacterial infection is very often a complication with dyshidrotic eczema. In many patients, the condition worsens during the summer months. Hand eczema occurs most frequently in persons who frequently have their hands immersed in water, such as food preparers, nurses, or florists. The warm, moist conditions in shoes provide an ideal situation in which foot dermatitis may also flourish. These eruptions often become chronic and can be severe. Chronic hand-and-foot eczema is similar to other forms of dermatitis in appearance. Dyshidrotic dermatitis (pompholyx) is a form of hand eczema more common in women which starts on the sides of the fingers as itchy little bumps and then develops into a rash. The condition can also affect only the feet. Some patients have involvement of both the hands and feet. Hand eczema is the general term used to describe a variety of skin irritations that your hands can develop. You may have itchy, scaly patches of skin that flake constantly. Or your hands may become red, cracked and painful. In some cases, the rash worsens into weepy bumps. These problems can happen to anyone at any time of life, but they are more likely:
If you had similar skin problems, hay fever or other allergies as a child. (Doctors call this set of symptoms "atopy.") If your hands get wet a lot, whether at home, work or play. If your job exposes your hands to irritating chemicals.
Dishpan hands are actually a form of hand eczema. It occurs because constant wetting and drying breaks down the skin's protective outer barrier. If you already have hand eczema or are recovering from an episode, you need to avoid getting water on your hands so often. Perfumes and preservatives in soaps and irritants in household cleansers can make things worse. Unfortunately, there is no quick and easy solution to hand eczema. Clearing up an episode of the condition can take several months, and you'll need to continue babying your hands for as long as a year even though they appear eczema-free. The exact cause is not known. Dyshidrotic eczema often appears during times of stress. People who have dyshidrotic eczema are genetically predisposed to it. Some consider it is caused by abnormal sweating. The condition may be mild with only a little peeling, or very severe with big blisters and cracks which prevent work. The first (acute) stage shows tiny blisters (vesicles) deep in the skin, associated with itching and a burning feeling. The later and more chronic stage shows more peeling, cracking, or crusting. Some patients will have mostly one stage, and some patients will have mostly the other. Some times both stages occur at the same time. Secondary infection with staphylococcal bacteria is not infrequent. The result is pain, redness, swelling and crusting or pustules. As in other forms of hand eczema, pompholyx is aggravated by contact with irritants such as water, detergents and solvents. Contact with them must be avoided as much as possible and protective gloves worn. Some people with pompholyx are found to be allergic to nickel, a common metal. Nickel allergy can be detected by patch testing. These patients must try not to touch nickel items. Pompholyx often runs a chronic course, but may go away for long periods. It often reappears after a period of nervous tension, worry or stress. Unfortunately pompholyx does not have any quick sure cure. Possible triggers:
deodorant soaps and strong detergents. extremely stressful situations. rubber or latex gloves next to the skin. If you must wear gloves, be sure to wear a cotton liner under them.
Clearing up your hand eczema depends largely on how you change your day-to-day habits. These changes may be difficult, and that's why we've gathered together this collection of tips for living with hand eczema to make the process easier for you:
After using the toilet, wash your hands with lukewarm water and a perfume-free cleanser such as Cetaphil® ‘Moisturizing Gentle Cleansing Bar for Dry Sensitive Skin”.
Sometimes oral antihistamine pills (Benadryl) can help relieve the itching. When you do wash your hands, blot them dry gently and immediately apply a moisturizer. Jojoba oil (100% natural) is very good to use. Avoid the waterless or antibacterial cleansers on the market; they contain alcohol, solvents and other ingredients that may make your problem worse. Keep several pairs of cotton gloves around the house to protect your hands while doing dry chores. Even folding laundry can irritate tender skin. Wash the gloves if they get dirty. If your fingertips aren't affected by hand eczema, cut the glove tips off to stay cooler in hot weather. For wet work, put on your cotton gloves and then cover them with unlined, powder-free vinyl or neoprene gloves. (Latex in rubber gloves can cause allergies.) Afterward, wash reusable gloves inside and out and let them air dry thoroughly. Toss the cotton gloves in the washer. Wear gloves when peeling potatoes and when working with meat, onions, peppers or acidic fruit, like citrus and tomatoes. We recommend disposable vinyl gloves. When you finish preparing these foods, just throw the gloves away. If a reusable vinyl glove gets a hole, throw it away. Wearing a glove with a hole in it is worse than wearing no glove at all. If water gets in your glove, take it off immediately. It's best to never wear a waterproof glove more than 15 or 20 minutes at a time. If you must wear your waterproof gloves for longer than that, apply a moisturizer to your hands beforehand. Ask someone else to shampoo your hair for you. Or wash your hair wearing your waterproof/cotton liner glove combination. Use rubber bands on your forearms to keep water out. Rings can trap irritants underneath them. Remove them when doing housework and before washing and drying your hands. Also, clean your rings regularly by soaking them overnight in 1 tablespoon of ammonia in a pint of water. Rinse and dry the rings before wearing. Use the washing machine and the dishwasher, not your hands, to do laundry and dishes. If you must wash dishes by hand, do it under running water. Use a long-handled scrubber to minimize hand damage from hot water. For outdoor work, wear unlined leather or thick fabric gloves to protect your hands. Leather gloves also will protect your hands in dry, windy or cool weather. Avoid wool because it may be prickly and irritating.
If your job is causing your hand eczema, your doctor will help you determine what irritating chemicals or work practices are contributing to your condition. In addition to modifying those risks, many of the same hand-protective strategies you use at home also can help you at work. Here are some ideas:
Have heavy-duty vinyl or neoprene gloves and cotton gloves available to use when doing wet work. Wash the cotton gloves regularly, as well as the vinyl gloves if they aren't disposable. Wear leather or clean, heavy-duty fabric gloves for dry work. Avoid using industrial hand cleansers or waterless or antibacterial cleansers that contain irritating ingredients. Keep your work clothes, protective clothing, tools and work surfaces clean. Irritant residues on them can aggravate your problem. Treat all minor wounds on your hands and bandage them, to avoid giving irritants and allergens an easy route into your skin. Carry your hand moisturizer and/or prescription medication with you to work, and use them to prevent problems.
Ironically, the more water there is in a lotion or other moisturizer, the more likely it is to worsen your hand eczema. So-called "cream" moisturizers contain more water than oil. When the water evaporates they have a net drying effect on the skin. (They are called cream moisturizers because they are white in color.) So the very best moisturizer for hand eczema is a greasy one. It has very few ingredients, holds the skin's natural moisture in and provides a protective barrier to keep irritants out. Ingredients to Avoid:
methyldibromoglutaronitrile/phenoxyethanol methylchloroisothiazolinone/methylisothiazolinone botanicals (can cause allergic reactions, even if they are natural) lanolin propylene glycol fragrances Formaldehyde (Formalin, Formol, Methanal, Veracur, etc.) formaldehyde releasers, inc 2-bromo-2-nitropropane-1,3-diol (Bronopol) diazolidinyl urea (Germaben II or Germal II) imidazolidinyl urea retinol or vitamin A citric or fruit acids
Eventually you'll learn to be a skilled reader of labels for lotions, shampoos and other cosmetics. If your doctor has told you you're sensitive or allergic to a specific substance, of course avoid products that contain it. But there are a wide variety of other ingredients, usually preservatives, which can cause skin irritation or allergy. It's best to avoid them if you already have hand eczema. Once you have an episode of hand eczema, your risk of having another one increases greatly. For some people, hand eczema becomes chronic. This lack of an easy fix from conventional medicine has made some hand eczema patients www.earnrupees4you.com
desperate to look for alternative treatments. How well these "natural" therapies work, though, remains unclear. Treatment varies with the stage of the disease.
Cool or compresses using weak solutions of Condy's crystals (potassium permanganate), aluminum acetate, or vinegar in water, are applied for 15 minutes four times a day. This will dry up blisters. Compresses are not suitable for dry eczema. Emollient hand creams, eg. Dimethicone barrier cream, should be applied liberally and frequently to keep the skin soft. Topical steroid. The condition clears dramatically but may recur just as severely after the medication is stopped. Long term treatment with steroids is not advisable because of undesirable side effects. Antibiotics for secondary infection. Sometimes cortisone preparations are prescribed by tablet or injection for severe cases. The condition clears dramatically but may recur just as severely after the medication is stopped. Long term treatment with these systemic steroids are rarely advisable because of undesirable side effects. PUVA therapy can be useful in selected cases. This is a special kind of ultraviolet (UV) treatment. Several times weekly the affected areas are soaked in a special solution (psoralen), before exposure to long wave UV light. Treatment is usually continued for several months. Usually the measures described result in satisfactory control. Sooner or later the eruption subsides and disappears. Other medications used occasionally for pompholyx include; methotrexate, dapsone, azathioprine, botulinum toxin (to prevent sweating)
A tiny percentage of individuals with the condition note flares in their condition after ingesting metal salts, specifically chromium, cobalt, and nickel. Diets that eliminate these metal salts may help in some cases. It is vital for people with eczema to maintain a good skincare program. Research has shown that fewer steroids are needed by those people who moisturize their eczema most frequently. The general principle involves bathing instead of showering as much as possible. When the eczema is flaring up, two baths a day might be advisable. People with eczema should avoid regular soap and instead use a substitute, usually a cream that moisturizes as well as cleans. Frequent baths reduce the numbers of bacteria on the skin, and remove the dead skin and crust. Baths are also useful for reducing the level of itching and improving the natural moisture in the skin.
1. Step 1 Talk to a doctor - The first step is to consult a doctor or dermatologist about your eczema. Before trying anything below, discuss it with your doctor and get their approval. Your doctor may also be able to prescribe stronger medications than you could get over the counter, which may be more effective in treating eczema. 2. Step 2 Keep it moisturized - Use moisturizer to keep your eczema from getting dry. Eczema that is dry is more likely to itch, resulting in scratching which makes the problem worse. Some popular brands include Eucerin, Aquaphor, Neutrogena, St. Ives and Vaseline. Hand eczema has a tendency to spread, so be sure to apply the moisturizer to areas that border your eczema as well, even if they look healthy. The best time to apply moisturizer to eczema is right after showering or bathing. 3. Step 3 Use hydrocortisone to reduce the itch - If your doctor doesn't prescribe anything, you can use an over the counter hydrocortisone cream to control itching. Some of these creams also include moisturizing components as well. 4. Step 4 Avoid contact with Irritants - Eczema usually gets worse when it comes into contact with certain irritants. Because your hands are exposed to many of these, it is important to avoid contact with the following common irritants: Soap Shampoo oils cream detergent
and Shaving Laundry
Even foods that seem relatively harmless (green peppers) or associated with skin care (avocado) can cause eczema to flare up. The best way to avoid contact is to use plastic gloves when showering, shaving or preparing food. The best kind are the disposable plastic gloves (not latex) that food service workers use. Use a rubber band to seal them around your wrist so that soap or shampoo don't leak in and discard the gloves after using them. If you do come into contact with any irritants, rinse the area with water immediately and reapply moisturizer or hydrocortisone cream. www.earnrupees4you.com
5. Step 5 Avoid Scratching While Sleeping - It is very common to scratch open eczema while you sleep, making it worse. To prevent this, wear soft cotton gloves when going to sleep. If you don't have this, substitute a clean cotton sock. If you also apply moisturizer before going to sleep, the glove will prevent it from getting on anything else. 6. Step 6 Be Consistant - The war against eczema is not won overnight. If you stick to a strict discipline of using moisturizer and avoiding contact with irritants you should see slow improvement in your condition. Natural Treatment of Pompholyx Eczema eHow Contributing Writer Eczema is a pattern of skin outbreaks that can be very painful. Pompholyx eczema is a form of the condition that appears on the hands and fingers. This condition alters how the repair mechanism of the skin functions. Those who suffer from eczema regenerate skin at a faster rate, which may be caused by an abnormal immune function. There are many natural treatments, both external and internal, that can help manage this condition.
Outbreaks 1. Outbreaks of eczema can be very painful and uncomfortable. Sometimes, the skin becomes dry and flaky while other times it gets inflamed, moist, oozing and crusty. Chronic eczema usually causes changes in skin color and it becomes thick and scaly. Severe itching accompanies all forms. During an outbreak, skin becomes much more susceptible to infection. Causes 2. There are many possible causes for eczema. Atopic dermatitis is usually the most common cause for Pompholyx eczema as well as eczema on other parts of the body. Atopic dermatitis is a persistent skin condition linked with allergy. 70% of people with this condition also suffer from asthma, hay fever, or hives. External Herbal Treatments 3. There are many herbal treatments applied externally that can alleviate outbreaks. Aloe gel and Avena oats are soothing and relieve inflamed skin. Calendula and witch hazel creams, preferably in a choline base, reduce inflammation and www.earnrupees4you.com
redness. Chamomile, chickweed and licorice creams prevent itching and hardening of the skin. Copaiba oil offers fast relief from inflammation and is an antibacterial. Marshmallow root cream and Sangre de Drago oil form a protective layer on the skin and deter infection. A tumeric poultice applied twice daily kills pain and accelerates healing. Internal Herbal Treatments 4. Burdock tincture regulates the immune system. Oregon grape root detoxifies the system and lessens inflammation. Quercetin functions as an antihistamine and stops inflammation; take 250 mg three times daily. Sasparilla is an antiinflammatory; take 300 mg three times daily. Recommendations 5. Fish oil supplements reduce inflammation. Add brown rice and millet to your diet and try to eliminate soy, eggs ,dairy, wheat and peanuts. Keep the house humidified. Take fewer showers and baths because this depletes natural skin oils. Manage stress as best as you can because it triggers the immune system to release chemicals that are damaging to the skin. Avoid creams and moisturizers intended for use on normal skin. They may aggravate the condition and do not work the same way on infected skin. How to Use Natural Eczema Treatments Whole Foods Diet If you suffer from eczema, you should know that there are holistic, natural eczema treatments that can help you gain relief from painful eczema symptoms. A holistic approach to natural eczema treatments involves the use of an anti-inflammatory whole foods diet, in combination with dietary supplements and proper control of environmental triggers. Continue reading to learn more about how natural eczema treatments can help you relieve eczema symptoms. Difficulty: Moderate Instructions 1. Step 1 Make sure you control your environment for potential irritants that can trigger or exacerbate your eczema. Even the best natural eczema treatments won't work as effectively if environmental allergens and triggers are exacerbating the problem. Consider using a HEPA filter to eliminate allergens in the air. Make sure floors are regularly swept and vacuumed, and bedding washed to eliminate dust mites and pet dander. Since skin spends many hours in contact with bedding each night, it is worthwhile to invest in hypoallergenic bedding as well. Finally, make sure www.earnrupees4you.com
that your cleaning and personal care products use natural, non-irritating ingredients. 2. Step 2 Adopt a whole foods diet that emphasizes anti-inflammatory foods. Of the various natural eczema treatments, a whole foods diet is the one that establishes a foundation for your body to effectively heal itself. A whole foods diet should include plenty of fresh fruits and non-starchy vegetables; especially cruciferous vegetables like broccoli and cabbage. Nuts, seeds, beans, and other legumes, as well as lean poultry, fish, and seafood provide quality protein. Salmon is especially helpful due to its healthful omega 3 fat content, as are flax seeds. If dairy is an allergic trigger for you, substitute soy or rice milks, and be sure to incorporate natural whole grains into your diet. Focus on fresh, whole, homeprepared foods. 3. Step 3 Avoid foods that cause inflammation. Foods high in saturated animal fats may exacerbate allergic and inflammatory skin conditions due to their arachadonic acid content. Avoid or consume the following in moderation: high fat foods, sugar, red meat, dairy, eggs, artificial sweeteners, colors, additives, and fillers. There is some evidence that plants in the nightshade family, including tomatoes and potatoes, may trigger inflammatory conditions in some people. 4. Step 4 Take a good general vitamin and mineral supplement, and add targeted nutrients to your arsenal of natural eczema treatments. Omega 3 fats in fish oil contain DHA and EPA, which have strong anti-inflammatory and immune boosting properties, and are also known for their role in cardiovascular health. Consider taking a fish oil supplement with added vitamin E. Make sure not to exceed the recommended allowances for either of these nutrients. Fish oil in typical doses is safe, but taken in exaggeratedly high amounts it can actually thin the blood too much. Vitamin E also has anti-inflammatory properties, and is often added to fish oil supplements to counteract potential depletion of blood levels of vitamin E that may occur with long-term fish oil supplementation. High quality fish oil is pure and tasteless, and can be found in capsule form, or even in the form of fruit flavored soft gels. 5. Step 5 Consider using eczema clothing as part of your overall eczema control strategy. The best eczema clothing is made of 100% organic cotton. For severe eczema, there is specialized eczema clothing made from organic cotton fibers that have been bonded with silver. This silver has antibacterial properties that reduce www.earnrupees4you.com
itching and the risk of secondary bacterial infection. Cotton-silver eczema clothing has been shown to be environmentally safe, and will not wash out over time after repeated washings. How to Make a Natural Eczema Bath Treatment
Eczema is difficult to deal with, even though there are many treatment options available. This bath soak takes advantage of the affects that salt water has on eczema skin, then uses essential oils to help aid in the treatment of eczema. This eczema treatment is gentle enough to be used on any skin type, and is safe for children as well.
Difficulty: Easy Instructions Things You'll Need:
1 Cup of Sea Salt 1/4 Teaspoon of Carrot Seed Oil 1/4 Teaspoon of Calendula Oil 4 Teaspoons of Almond Oil 1 Tablespoon of Vodka
1. Step 1 Pour the carrot seed oil, calendula oil, almond oil and vodka into a small mixing bowl. Stir them together thoroughly then put to the side. 2. Step 2 Start running the water for the bath, using water that is at room temperature or just slightly warmer. While the water is running, pour the sea salt under the running water. 3. Step 3 Once the sea salt has fully dissolved, step into the tub and soak for 10 minutes. 4. Step 4 After 10 minutes, pour in 3/4's of the mixture and use your arms and legs to spread the mixture throughout the water. www.earnrupees4you.com
5. Step 5 Gently massage the rest of the mixture directly onto the skin affected with eczema. Soak for another 15 minutes. How to Make a Natural Eczema Itch Relief Treatment This gentle itch relief treatment helps to cure itching caused by eczema. This eczema itch relief treatment also helps to soothe the area affected be eczema, and help to speed up the healing process of eczema. Difficulty: Easy Instructions Things You'll Need:
1 Cup of Cold Water 2 Drops of Lemon Oil 2 Drops of Chamomile Oil 2 Drops of Geranium Oil
1. Step 1 Pour the cold water into a large mixing bowl. 2. Step 2 Drop in the lemon oil, chamomile oil and geranium oil, then gently whisk the mixture together. 3. Step 3 Put some strips of cotton or flannel into the mixture, or put in a small soft towel or cloth. 4. Step 4 Allow the material to soak up the mixture, then wring out the excess liquid and apply over the area or areas affected by eczema. 5. Step 5 Leave the treatment on for about 10 minutes, then put it back into the mixture to soak up more liquid, wring out the excess liquid, then re apply. Continue this for about 40 minutes total. www.earnrupees4you.com
6. Step 6 You can use this treatment throughout the day as need for the itching of eczema, or you can just use it in the morning and evening to help soothe eczema throughout the day and prevent itching caused by eczema. How to Make Your Own Eczema Treatment
This natural Eczema treatment helps to treat Eczema and is gentle enough to be used on any skin type. Eczema affects millions of people in the US alone. This gentle and natural treatment helps to treat eczema, and also helps to stop itching caused by eczema. I do not suggest using this treatment during pregnancy.
Difficulty: Easy Instructions Things You'll Need:
1 Tablespoon of Calendula Oil 1 Tablespoon of Safflower Oil 1/4 Teaspoon of Carrot Seed Oil 1/4 Teaspoon of Rose Hip Oil 1/4 Teaspoon of Vitamin E Oil 12 Drops of Lavender Oil 5 Drops of Bergamot Oil 5 Drops of Chamomile Oil
1. Step 1 Pour the calendula oil and safflower oil into a small mixing bowl, then gently whisk the oils together. 2. Step 2 Continue to whisk the mixture gently, while you pouring in the carrot seed oil, rose hip oil and Vitamin E oil. 3. Step 3 Once all the oils are thoroughly combined, continue to whisk gently and add in the lavender essential oil, bergamot essential oil and chamomile essential oil. www.earnrupees4you.com
4. Step 4 Pour the mixture into a small glass jar or cosmetics jar, then cover the mixture and put into a cool dark area. Be sure to store it there between uses, direct sunlight can weaken the oils in the eczema treatment. 5. Step 5 To use, shake the mixture gently then apply a thin layer over the skin affected by eczema. 6. Step 6 Apply this eczema treatment in the morning and night to eczema, and use throughout the day if needed.
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