Eczema on the hands. Causes and Treatment, photo, whether dry, allergic transmitted. Folk remedies, ointments from the pharmacy, diet, vitamins

Eczema - resistant recurrent disease, which manifests itself in various parts of the body. Quite often, it affects the skin, representing a characteristic inflammation in the form of small bubbles. The causes of the disease are different, and the treatment involves many aspects.

That provokes the development of eczema

Eczema on the hands, causes and treatment of which are described in many medical studies is polyetiological disease (those there is not a single reason for the appearance, but different).

The occurrence of this disease factors influence:

• genetic predisposition (disorders of immune regulation, malfunction of endocrine and nervous systems);
• external causes: occupational, environmental, consumer, and the like;
• excessive exercise;
• hypersensitivity to certain allergens;
• Genetic predisposition: the disease one of the parents the chance of developing eczema in the child is 40%, both - 50-60%.

If there is a genetic predisposition, it may exacerbate eczema:

• stress, overload in the psycho-emotional sphere;
• pathologies of the peripheral nervous system;
• eating disorders (trophism) leather;
• smoking;
• alcohol abuse;
• overweight.

Types of eczema on the hands

The disease is eczema - a complex has different types and locations. Known forms of the disease, which are found on the hands.

true eczema

This kind of manifested symptoms:

Location rash	Foci are arranged symmetrically
The character of eruptions	erythema (redness expressed); swelling; bubbles; accompanied by itching
What happens with rashes	Elements quickly opened; observed erosive areas soak that during desiccation covered by yellow and gray crusts
characteristic	The simultaneous presence of different elements (polymorphism): bubbles; erosions; uncovered bubbles; crusts
What happens in the chronic stage	infiltration (accumulation in the tissues of the cellular elements, liquids and so on) of the lesions; brown coloration of the skin; strong peeling; lichenification (sharp seal pigmentation disorders, increased drawing) of the skin; the emergence of new foci of inflammation
The nature of the flow	The long and stiff and has periods of exacerbation

microbial eczema

It appears on the background of increasing sensitivity to microbial influences (fungal, bacterial, and so etc.) in the presence of changes in the immune, digestive system, neuroendocrine violations.

In this disease there is a picture:

In what areas is developed	In areas of infected skin lesions: abrasions; burns; wound; trophic ulcers; fistulas; pyoderma
Location foci	Unbalanced
kind of defeats	foci have clear boundaries; marked inflammation; skin red or bluish; in the center of hearths - purulent crust; there are fragments from weeping; the presence of erosions; presence of infiltrates, bubbles, ulcers (sometimes)
itch	Intensive
Distribution of rash	Fast; foci lesions tend to grow on the periphery

Microbial eczema risk of developing complications (erysipelas, and other).

mycotic eczema

Eczema on the hands (the causes and treatment of disease specialists studied in detail) occurs and when exposed to fungal microorganisms on the skin. In the hands of mycotic eczema usually affects the hands and the interdigital space (as the disease develops in the feet and legs). Characteristically damage nail plates.

Mycotic eczema develops against the backdrop of a weakened immune system, deficiency of trace elements and vitamins.

Matters as genetic predisposition. Displayed increased sensitivity to fungal factor antibodies secreted in large quantities. The immune system begins to fight, sometimes damaging their own skin. Symptoms of the disease show a picture of allergy.

It takes place in the following sequence:

1. There are purulent blisters with clear boundaries.
2. Bubbles burst, leaving areas soak for a long time does not heal erosion. This is accompanied by itching.
3. The disease is spread by the penetration of the pathogen to the neighboring areas of the skin.
4. Moist pieces of dry, forming a crust (yellow or pink).
5. Horny skin die.

Disgidroticheskaya eczema

Disgidroticheskaya eczema - is a form of true eczema. In this disease, damage is localized to the lateral surfaces of the fingers. Sometimes foci appear on the palms and soles. Bubbles at disgidroticheskoy eczema fine and dense feel.

They are deep and appearance resemble grains of rice. Pretty rare to observe the formation of the multi-chamber bubbles. When they are opened in their place are yellow crust. The process is accompanied by severe itching.

The causes of such eczema may be:

• high temperature;
• humidity in the atmosphere;
• psycho-emotional stress.

occupational eczema

Its distinctive features:

• It appears from the impact of the production of allergens;
• Clinical signs such as that of the true eczema;
• It occurs mostly on exposed skin;
• Similar symptoms occur in other people working in this profession;
• On removing the contact with the allergen occurs condition improved, and when resuming - process escalates;
• show positive skin tests to allergens production.

Working conditions, especially professional activities largely affect the development of eczema of brushes.

Known profession, representatives of which are at risk for this disease:

• nurse;
• doctor;
• maid;
• waiter;
• hairdresser and others.

Common symptoms of eczema

Each type of eczema has its own idiosyncrasies, but they all share and common manifestations. It can be divided into early and late symptoms.

The first signs of eczema on the hands

When the disease begins, symptoms such:

1. Initially - diffuse redness, itching.
2. Then, on the background of redness - the appearance of small nodules or swollen edematous plaques.
3. Conversion of nodules in small bubbles.

late symptoms

After the first signs of eczema in her arms follow such phenomena:

1. Bubbles burst with the appearance of erosions in their place, from which it follows serous fluid. This so-called "serous wells." Stage is called weeping.
2. Thereafter, serous fluid dries to form crusts.
3. When the crusts fall off, there is a mild peeling of the skin.

For eczema lesions characteristic of polymorphism elements: one portion of the skin there are different stages of a pathological process. For chronic course characterized by a sharp picture of skin tightening, a color change to brown, marked flaking.

Diagnostics

Eczema on the hands is diagnosed after a thorough study of the possible causes of the disease, based on which will be appointed and therapeutic measures.

Eczema diagnosis is made by a dermatologist on the basis of:

• patient complaints;
• anamnesis;
• clinical disease.

If the diagnosis is difficult, it resorted to the appointment of histology (microscopic study of diseased tissue cells). Histology usually characteristic does not depend on the form of eczema. It may vary in accordance with the severity of the pathological process.

Treatment of eczema drugs

Eczema on the hands, which the causes and treatment are inextricably linked, cured, regardless of the etiology of the disease and its shape. It is important to determine what triggered the disease. If there is a background of internal diseases at the same time produce and its treatment.

It is necessary to separate the treatment of dry and weeping eczema. Dry eczema is not treated liquids, and weeping - ointments. First, you need to transfer the disease from weeping stage in the dry and then apply a broad spectrum of ointments. Drug treatment involves the use of systemic and external preparations.

The purpose of their appointment:

• loosen and remove the inflammation;
• elimination of itching;
• regeneration of the skin;
• elimination of neuroendocrine disorders.

Chelators and drugs to reduce toxicity

In cases of severe intoxication with eczema administered intravenously Hemodez drug that binds toxins in the blood and quickly removes them from the body. Also apply chelators - drugs that bind and retain a toxic elements, after which they are removed from the body.

The drug Laktofiltrum contains a prebiotic and sorbent has detoxication effect, inhibits the growth of pathogenic micro-organisms (due to the action of bifidobacteria and lactobacilli).

Chelators are also used:

• polisorb;
• enterosgel;
• Polyphepan;
• Enterodesum;
• Activated carbon.

hormone therapy

If the process of skin lesions spread widely, and therapy effectiveness is weak, resort to the use of corticosteroids-hormones:

• dexamethasone;
• prednisolone;
• betamethasone.

They can be used in tablet form, intramuscular, intravenous (including very effectively - drip).

Outwardly, these tools are used in the form of:

• ointments (prednisolone, Celestoderm, Ultrolan);
• creams (Akriderm, Betamethasone, Beloderm);
• lotions (Diprosalik, Belosalik);
• aerosols (Oksikort, Polkortolon).

In the presence of ulcers and purulent crusts prescribe complex tools, combine and steroids, and antibiotics (Belogent ointment Kortomitsetin, gioksizon). Effect after treatment with hormonal agents is high.

vitamin

In the treatment of weeping eczema vitamins are not used.

In the treatment of the dry form of the disease are recommended vitamins:

• group B;
• retinol acetate (vitamin A): improves the regenerative processes in the skin;
• ascorbic acid: strengthens the walls of capillaries, promotes collagen synthesis proteinaceous matter;
• folic acid.

antihistamines

Eczema treatment requires prescription antihistamines in almost all cases. Formulations generation I have pronounced sedative effect, so they are shown for oral administration for severe itching, in particular at night, to improve the patient's sleep.

These are the tools:

• suprastin;
• tavegil;
• fenkarol;
• diphenhydramine;
• pipolfen;
• Donormil;
• Diazolin and others.

If achieving hypnotic action is not required, use the II generation antiallergic agents:

• loratadine;
• acrivastine;
• ebastine;
• dimethindene;
• Cetirizine.

It is also used extensively hyposensitization (reducing sensitivity to the allergen) drugs: sodium thiosulfate and calcium preparations (calcium gluconate 10% Calcium chloride 10%). The last effective in eczema treatment, accompanied by profuse redness, swelling, weeping. They are usually administered parenterally (by injection).

immunomodulators

Desensitizing therapy must necessarily be accompanied by a stimulation of the body's defenses. This well help autohaemotherapy (administering to a patient's own blood injected), receiving infusions of ginseng, shilajit. If the disease is associated with reduced immunity, it is recommended the appointment of immunomodulators.

You can use them in different ways:

• candles (Kipferon);
• injection (Vitreous, splenin, gumizol);
• tablets (glycyram, polioksidony, Likopid);
• external means (Timogen cream).

Preparations microbial eczema

Microbial eczema is treated according to the same principles as other types of the disease, practiced by the local use of disinfectants:

• The drilling fluid;
• resorcinol;
• tannin;
• silver nitrate.

Use aniline dyes (for treating festering formations):

• Methylene Blue;
• fukortsin;
• brilliant green;
• Gentian violet.

Antibiotics are often prescribed precisely in this type of eczema, with pre-sowing on the microflora and sensitivity to microorganisms.

Apply antibacterial agents:

• cephalosporins of generations II and I;
• macrolides;
• fluoroquinolones;
• aminoglycosides;
• reinforced and anti-staphylococcal penicillins.

Also use the ointment with a part of hormones and antibiotics (Betaderm). Good effect gives Triakutan ointment which, in addition to the antibiotic and hormonal component comprises an antifungal drug.

sedatives

Sedatives are used in the treatment of eczema, for the normalization of the nervous system and the establishment of sleep, which is very important in the treatment of this disease.

Used sedatives are plant-based:

• valerian;
• peony;
• motherwort.

If these funds are not enough and there are severe disorders of the central nervous system, prescribed tranquilizers: Diazepam, Phenazepam and others.

Wet-drying dressings

When the pathologic process is a soak step, apply wet-drying dressings: gauze (from 6-10 layers) We need to moisten aqueous boric acid 2% (100 g of sterile water relies dissolve 2 g of dry powder of boric acid).

With bandages must drip drops. You need to apply it to the affected area and wait until it dries. Sometimes it is left on all night. As a rule, then weeping skin surface dries.

lotions

Lotions are widely used for the topical treatment of eczema in the process soak.

They are made with solutions:

• silver nitrate 0.25%;
• tannin;
• furatsilina 1: 5000;
• 2% boric acid (aqueous);
• chilled chamomile infusions, succession, sage.

Soaked in a solution of the pieces of gauze, absorbent cotton or a clean linen cloth must be applied to the affected skin and leave for 15 minutes. After the time necessary to change to a fresh lotion. Repeat this procedure should be a few times.

Therapeutic baths for the treatment of eczema on the hands

Treatment of eczema ointments effectively complement the use of trays. To do this, prepare a series of infusions of herbs, chamomile. The solution must be warm or hot. It is necessary to pour the medicine into a container and submerge to a sick hand. A session lasts as long as the infusion cools. Then dry with a wet hand relies sterile wipes.

Pastes and hormonal ointments

When weeping eczema skin near foci soak useful lubricated with zinc paste.

When the affected area dries up, it is recommended to cover the paste:

• boric naphthalan 2%;
• boron-tar 2%;
• dermatol-ichthyol 2%.

After lubrication is necessary to cover the pockets of thin gauze. Repeat this treatment should be 1-2 times a day.

When severe redness and swelling subside, appointed non-hormonal ointment:

• dermatolovaya;
• Naftalan;
• Tar.

Physiotherapy treatment of eczema

The physiotherapy treatment of this disease using:

• helium-neon laser on the lesions; previously applied to the skin to be 1% methylene blue solution;
• endonasal (exposure through the nasal passages) electrophoresis;
• Selective phototherapy;
• diadynamic currents;
• ultraviolet irradiation, general and local;
• UHF;
• acupuncture.

Recipes of traditional medicine for the treatment of eczema

Eczema on the hands, causes and treatment which are different, are rarely treatable folk remedies. Recipes can complement traditional therapy.

Here are a few schemes:

• necessary to take 1 tbsp. l. Viburnum seeds and pour them into 200 ml of water. Then the mixture should be placed in a water bath and keep for 15 minutes. After time relies filter means and the resulting boiled water to bring to original volume. Taking this medication prescribed into 0.5 cups until improvement or recovery;
• to accelerate the healing of lesions serves to take 30 grams of fresh burdock root and infuse them 1 day in 100 g sunflower oil. Then it is necessary to hold the composition at low heat for 15 minutes. The resulting mixture should be filter. Remedy recommended to use externally lubricate skin damage;
• Fresh blackberry leaves should be crushed. Gruel is recommended to apply to the wound, including suppurating;
• proposed to mix protein 1 egg (fresh), 1 tbsp. l. cream cow's milk (also fresh, no later than 8 hours) and 1 tbsp. l. Medical tar. The resulting mixture needed urgently to lubricate the affected areas of skin with eczema. This treatment should be applied to the recovery, constantly updating the ointment, as it should not be stored for a long time;
• weeping eczema when applied means: supposed to take 2 pieces of baby cream, 1 part of melted pork fat (allowed badger) and pine oil. The resulting mixture should be used to lubricate the skin lesions three times a day.

diet therapy

Diet therapy is very important in a complex of measures for the treatment of eczema. The diet should be hypoallergenic in period and the expanded picture of the disease within six months after decrease process. Recommended fasting days and short periods of starvation.

It is forbidden to eat:

• spicy food;
• savory;
• smoked products;
• Any canned foods;
• alcoholic beverages;
• chocolate products;
• citrus;
• coffee;
• honey;
• spices;
• green with a pronounced flavor.

Sweets can be taken in small quantities.

Skin care

In the period of the disease exacerbation need to protect your skin as much as possible from the influence of various external stimuli:

• It can not be in contact with water, so wash contraindicated. Allowed cleansing the skin with a swab impregnated with vegetable oil;
• prohibited to wash;
• you can not do the cleaning with the use of chemicals;
• contraindicated wear synthetic and woolen underwear;
• undershirt clothes and bedding need to be changed as often as possible.

With the gradual improvement of the patient's condition:

• allowed to take a warm bath, first without soap; contraindicated rough washcloth skin friction;
• the skin after a bath do not rub with a towel, and easy to get wet. The towel should be soft.

After recovery, not shown douche application with a view to hardening followed by trituration rough towel.

Spa treatment

Patients with eczema recommended balneo and mud treatments in spas cities:

• Matsesta;
• Pyatigorsk;
• Naftalan;
• Saki;
• Kemeri and others.

It is useful to stay in the resorts of the mountain, sea, warm air. Sanatorium treatment given to patients in remission. Staying at the resort should be long, from 3 weeks to achieve significant improvements.

It is recommended to go to a health resort not in the period of high solar activity, so as not to harm the weakened skin. Eczema on the skin of the hands prevents a person to live fully, because the brushes are involved in various affairs of the time. Therefore, we must have patience and go through the competent systemic therapy, taking into account the causes of the disease to full recovery.

Author: Larisa Krechetova

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