Treatments for Hand eczema
Treatments for Hand eczema:
Treatment is aimed primarily at identifying and avoiding triggering factors. Identification and avoidance of triggering factors is the most effective treatment but sometimes the allergen can't be identified or is not completely avoidable so other measures need to be utilized: protective measures such as gloves prevent direct contact with irritating substance and also protects against weather extremes, moisturising the skin stops it from drying out and corticosteroid creams can reduce inflammation (various strengths may be used depending on the severity of the condition). Antibiotics may be needed if an infection develops.
Treatments for Hand eczema
The list of treatments mentioned in various sources
for Hand eczema
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Identification and avoidance of causative agents
- If agent unavoidable (eg necessary for occupation), use barriers such as gloves to avoid contact
- Emollient creams - e.g. Sorbeline for dry skin
- Wet dressings of zinc oxide and coal tar
- Topical glucocorticoids (steroid creams)
- Antibiotic creams for infected areas
- Oral glucocorticoids if severe or widespread over other parts of body
- UV or PUVA therapy
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The following are some of the latest treatments for Hand eczema:
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Hand and Foot Rashes:
Treatment
(In a Page: Signs and Symptoms)
-
Pompholyx, psoriasis, and most noninfectious hand eczemas are treated with topical high potency steroid ointments (e.g., temovate, diprolene) for short periods
-
Irritant eczema: Bland heavy emollients (e.g., petroleum jelly, mineral oil, various cream formulations with a dimethicone base) will rehydrate the skin to prevent recurrence of irritant or other types of dermatitis; avoid wet-work, irritants, and harsh soaps
-
Tinea manum and pedis
–Topical antifungal preparations or a short course of oral fluconazole or terbinafine (2 weeks)
–If onychomycosis is present (confirmed by nail clipping and PAS stain or culture), treat with oral antifungals for 6–12 weeks to prevent recurrence
Topical or systemic phototherapy with PUVA can significantly improve palmoplantar eczemas that are refractory to topical monotherapy
Systemic methotrexate and cyclosporine are also used to treat severe dyshidrotic disease or psoriasis
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Hand & Foot Rashes:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Directed toward the causative condition
-
Skin disorders: Topical steroids, wet dressings, and antibiotics for secondary infections; psoriasis requires UV light and topical applications of tar products
-
Viral infections: Generally self-limited and do not require supportive treatment; acyclovir may have a role in treating HFMD
-
Kawasaki disease: Treat with IVIG, high-dose aspirin
-
Bacterial infections require antibiotics (RMSF, Lyme disease, syphilis, streptococcal infections, TSS, rat-bite fever)
-
Fungal infections require topical antifungal treatment
-
Parasitic infections: Topical permethrin or lindane for scabies
–Pyrimethamine and sulfadiazine for congenital
toxoplasmosis (regardless of symptoms)
-
Acrodermatitis enteropathica: Lifelong oral zinc supplements
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Atopic dermatitis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Measures to ease this chronic disorder include meticulous skin care, environmental control of offending allergens, and drug therapy. Because dry skin aggravates itching, frequent application of nonirritating topical lubricants is important, especially after bathing or showering. Minimizing exposure to allergens and irritants, such as wools and harsh detergents, also helps control symptoms.
Drug therapy involves corticosteroids and antipruritics. Active dermatitis responds well to topical corticosteroids, which should be applied immediately after bathing for optimal penetration. Oral antihistamines are commonly used to help control itching. A bedtime dose may reduce involuntary scratching during sleep. If secondary infection develops, antibiotics are necessary. A newer treatment is the use of topical immunomodulators; these agents are steroid-free and have demonstrated an 80% success rate in studies.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dermatitis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Effective treatment for atopic lesions consists of eliminating allergens and avoiding irritants, extreme temperature and humidity changes, and other precipitating factors; local and systemic measures relieve itching and inflammation. Antihistamines relieve itching and induce more restful sleep. Topical application of a corticosteroid ointment, especially after bathing, often alleviates inflammation. Between steroid doses, application of a moisturizing cream can help retain moisture. Systemic corticosteroid therapy should be used only during extreme exacerbations. Topical tacrolimus and pimecrolimus (an immunosuppressant known as a topical immunomodulator) are new agents used in patients older than age 2 who are intolerant of or unresponsive to conventional therapy. Weak tar preparations and ultraviolet B light therapy are used to increase the thickness of the stratum corneum. Antibiotics are appropriate if a bacterial agent has been cultured.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Atopicdermatitis:
Treatment
(Handbook of Diseases)
Measures to ease this chronic disorder include meticulous skin care, environmental control of offending allergens, and drug therapy.
CLINICAL TIP: Because dry skin aggravates itching, frequent application of nonirritating topical lubricants is important, especially after bathing or showering. Minimizing exposure to allergens and irritants, such as wools and harsh detergents, also helps control symptoms.
Drug therapy includes a corticosteroid and an antipruritic. Active dermatitis responds well to a topical corticosteroid, such as fluocinolone acetonide and flurandrenolide; however, the drug should be applied immediately after bathing for optimal penetration. An oral antihistamine, especially a phenothiazine derivative such as methdilazine and trimeprazine, can help control itching. A bedtime dose of an antihistamine may reduce involuntary scratching during sleep. If a secondary infection develops, an antibiotic is necessary.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Dermatitis:
Treatment
(Handbook of Diseases)
Effective treatment of atopic lesions consists of eliminating allergens and avoiding irritants (strong soaps, cleansers, and other chemicals), extreme temperature changes, and other precipitating factors. Local and systemic measures relieve itching and inflammation.
Clinical tip Prevention of excessive dryness of the skin is critical to successful therapy.
Topical application of a cortico-steroid ointment, especially after bathing, usually alleviates inflammation. Between steroid doses, application of a moisturizing cream can help retain moisture. Systemic corticosteroid therapy should be used only during extreme exacerbations.
Weak tar preparations and ultraviolet B light therapy are used to increase the thickness of the stratum corneum. Antibiotics are appropriate for crusted and weeping lesions.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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