Occupational eczema on hands treatment. Eczema on the hands: causes and treatment, initial stage, photo. Traditional medicine recipes for the treatment of eczema

Eczema on the hands is a long-term inflammatory process of the upper layers of the skin, inflammation affects the epidermis and dermis (deep layers of the skin). The causes of occurrence are manifold. It often occurs in winter due to poor air humidity and almost never occurs in summer.

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Causes of appearance and treatment

The reasons why it appears have an immune or psychosomatic background. In rare cases, this is a reaction to some external irritation, then more often it is a relapse.

And the real reasons: problems with the endocrine system, digestion. But the most important thing is failures in the nervous system, problems in the regulation of nervous activity.

The disease can appear due to allergens: food, chemical, air, and also medicinal. The hereditary factor, the emotional state are important.

The reasons why eczema appears can be different:

consequences of allergies;
viruses - herpes;
fungal diseases;
many microbes;
seborrhea;
prolonged contact with things that damage the skin.

When treating it, it is necessary to eliminate the cause of the disease. It is necessary to protect the skin that is damaged from local irritants. It is advisable to eat food of a dairy and vegetable nature.

Special importance must be given drug treatment. Eczema is treated quite successfully with traditional medicine.

She is suitable for different stages diseases. However, the percentage of cure is more likely when using complex treatment along with usual medical prescriptions.

At the beginning of treatment, local remedies are used. For example, ointments. However, if this is ineffective, then complex therapy is prescribed.

What does this pathology look like?

The course of eczema can be divided into two types: acute and chronic. It can occur at any age, and its characteristics depend on the stage and severity of the inflammatory process.

There are such variants of eczema: microbial, true, professional. The real one is more common. And various pathological manifestations do not appear immediately.

Typical manifestations of eczema on the hands are:

red skin, accompanied by edema;
a large number of bubbles of different sizes, they contain serous fluid;
with repeated infection - pustules;
erosion releasing exudate;
wounds increase and pathological formations appear;
crusts are present;
there is itching, severe burning;
lesions become denser, deeper, cracks appear.

Several options for the location of eczema on the skin of the hands:

fingers;
brushes;
damage to the area between the fingers.

The most effective creams and ointments

In the treatment of eczema good result give ointments. Their choice is large, you will need one that will not only get rid of the manifestations, but will lead to a long remission.

The doctor must choose the drug.

After all, it determines the form, stage of the disease, takes into account individual characteristics sick.

There are two main groups: hormonal and non-hormonal ointments. The hormonal version contains steroid hormones of synthetic origin.

These ointments help control the inflammatory process, relieve external symptoms. For example, from itching. However, a significant drawback of hormonal ointments is the rapid adaptation of the body. And over time, the therapeutic effect disappears.

In addition, there big number contraindications. Therefore, they are prescribed for a short course of treatment.

Hormonal ointments are classified depending on the strength of their effect on the body. Weak drugs are often given to children or pregnant or lactating women.

They can be used on the neck and face. For the face, an ointment with a minimum of side effects should be used, these include Prednisolone ointment and Lokoid cream.

Ointments moderately affecting - group 2. They are used in the absence of results in the case of using low-impact means. For example, Cynacort. Ointments strong action prescribed for prolonged illness.

They are suitable for acute eczema, strong painful sensations. Among the popular drugs of this group are Advantan, Sinalar.

If the course of treatment did not give results, then the drugs of the last group are prescribed. These are ointments of the highest action. They penetrate as deeply as possible into the layers of the epidermis and give a powerful therapeutic effect.

The disadvantage of them is a significant number of side effects. Doctors prescribe this kind of hormonal ointments in exceptional cases carefully weigh the risks involved.

Non-hormonal drugs are used in situations where eczema is relatively calm. Usually these are the initial stages of the disease. Hormonal ointments are much more effective.

However, the plus hormonal drugs in their gentle effect on the skin, the absence a large number side effects. These ointments include salicylic ointment and zinc ointment. They reduce inflammation, help to overcome itchy skin.

Dry type of eczema - is it possible to forget about it forever

Using any one remedy, it is impossible to get rid of rashes on the hands. However, if all the doctor's prescriptions are observed, it is possible to partially get rid of the disease. It is important to apply both local treatment and systemic.

Local treatment necessarily includes the use of powder. For example, on a talc or starch basis.

If the wounds become wet, then it is necessary to use cooling compresses or made on the basis of disinfectants, because fluid in the wound constantly seeps out.

In the chronic form, hot baths, warming compresses are useful. The development of eczema is provoked by various diseases: gastritis, cholecystitis, colitis. They need medical treatment.

Otherwise, you can provoke chronic eczema. To get rid of it forever, you should first find out the reason for its appearance.

When in contact with chemical products, you should follow the safety rules:

use gloves when working with chemicals;
use a mask or respirator;
special clothing must always be worn;
if necessary, take antihistamines.
lubricate the affected skin with corticosteroid ointment.

Be sure to carry out vitamin therapy.

It is worth taking care of immunity, taking immunomodulators. If eczema is accompanied by weeping wounds, then we must not forget about the use of gloves.

Contact with water is highly undesirable. It is also important to pay attention to general state, eczema is always the effect of a combination of internal ills or external influences. It is not transmitted from another person.

Video

Proven Treatment Methods

Dry eczema is called dry dermatitis. This is due to dryness, cracking of the skin of the hands. Suffer from this disease regardless of gender and age. The disease lasts for a long time.

Exacerbation should be expected in winter, this is due to low humidity. In the hot season, dry eczema occurs rarely, without complications.

More often it occurs on the fingers. Although localization is also possible on other parts of the body.

Typical causes of dry eczema:

problems with the liver, gastrointestinal tract;
predisposition, inheritance by inheritance;
prolonged contact with chemicals;
low immunity;
metabolic disease;
prolonged emotional overstrain;
the presence of chronic foci of infection.

For local treatment, hormonal ointments with an anti-inflammatory effect are popular. They accelerate skin regeneration, promote rapid healing. However, with prolonged use, the epithelium becomes thinner, local immunity decreases.

The result is a bacterial and fungal infection. At allergic symptoms the use of antihistamines, sedatives is recommended.

A wonderful result shows the healing cream Advantan. It is used once a day. Apply to the affected area of the skin in one thin layer. The duration of treatment is 1-2 months. But it is possible to use other drugs.

For example, Lokoid and Elocom, they are applied in a thin layer, like the previous version. Produced in the form of ointments, creams. By applying them, you can long time forget about dry eczema.

Pimecrolimus cream, Tacrolimus ointment miraculously relieve inflammation. They relieve itching, excessive dryness of the skin of the hands. The duration of treatment depends on individual factors. Therefore, the course of treatment is determined by a dermatologist.

Immunosuppressors - medicines that suppress the immune system. They are rarely appointed. However, with a wave-like course of the disease, they are necessary. They contain hormones of general action.

Released in the form of tablets or injectable form. It is important to carefully follow all the recommendations of doctors so that there are no complications and concomitant diseases.

General rules for dry eczema:

minimize skin contact with chemical irritants - with detergents;
timely medical examination;
treatment of chronic infections;
dairy-vegetarian diet. Inclusion in the diet of whole grains, dairy products, fruits, vegetables;
homework is best done with protective gloves;
when working in the production of chemicals, in addition to gloves, use special creams;
thoroughly moisturizing hands;
limited contact with water.

Getting rid of the microbial variety

First you need to get rid of the problem that caused microbial eczema. Later it is worth applying antifungal drugs, antibiotics. Treatment by external methods consists in the use of various ointments, antiseptics.

Astringents and anti-inflammatory agents give a good result - they prevent inflammation from developing in the future.

The patient is prescribed vitamin complexes group B, antihistamines. Physiotherapy is often used.

The main emphasis in treatment should be made on strengthening the body - it is mandatory to take immunostimulating drugs, vitamins. Worth paying Special attention for personal hygiene.

You need to choose products that do not belong to the group of allergens. Eczema often occurs as a result of stress. Therefore, they should be excluded, as well as strong physical exertion.

From medicines accept antihistamines. For example, Fenkarol or Suprastin. Corticosteroids should be taken to reduce skin sensitivity in case of microbial hand eczema. Often prescribed sedatives. For example, the motherwort.

Can be cured with folk remedies

Perfectly help procedures using celandine. The juice should be squeezed out of it. Insist in a dark place in a bottle that does not let in sunlight.

Lubricate the affected areas with the resulting juice two to three times a day. They don't need to be overwrought. You need to wait until the juice dries on your hands naturally.

This is a painful procedure, a burning sensation is felt. However, the effect is fast and long-lasting.

Another option is a combination of string and celandine. These herbs are poured with boiling water. When the liquid remains a little hot, the skin is lubricated with it. And when it is worth dipping your palms into a warm infusion, support a little. The effect can be seen after several such procedures.

A variety of hand baths give a lasting effect. For example, the following option is popular. Use 5 liters of warm water. Dissolve half a tablespoon of creolin in it.

The result is a white saturated solution. You should wait until the solution cools down slightly. Then put your hands in it. Support hands for 10-15 minutes.

It is important not to dry them with a towel afterwards. The skin should dry naturally. The bath should be repeated 3 times a day. Within two weeks you will see noticeable results.

Popular and ordinary bath with the addition sea salt. Salt must be dissolved in hot water. As soon as the water becomes an acceptable temperature, you should lower your hands into it, hold it until it cools completely.

After the hand, gently soak with a towel, grease with baby cream or a product with an organic composition. Repeat this procedure every day before going to bed.

The disease can be treated with sea buckthorn. However, in this option, it is enough to add it to the diet in the maximum amount, like other foods with a high content of vitamin A.

Features of the therapeutic diet

Treatment of eczema on the hands with dietary adjustments - effective method has a therapeutic effect on the entire body. This disease requires a drastic change in diet.

Otherwise, you can't get rid of it. For example, the menu must necessarily consist of vegetable soups, cereals.

You can eat lean meat, fish. But salt and any spicy food should be minimized. You will need to follow a hypoallergenic diet. After all, often skin rashes- reaction to some product.

For this reason, you should refuse such food:

egg white;
milk (fat);
fatty fish;
Strawberry wild-strawberry;
grapes, pomegranates;
black currant;
coffee, chocolate;
pineapple, melon;
beet;
mustard.

This list is subject to change. Your daily diet should include plenty of fresh fruits and vegetables.

The balance of proteins, fats, carbohydrates is important. Add turnips, turnips to the food. They provide the body with vitamin C.

The duration of such a diet is at least a month. She may be effective prevention occurrence of eczema.

Prevention of occurrence

To avoid eczema, you should regularly strengthen the body. You need to stop smoking and drinking alcohol. Excessive exercise is undesirable.

Infections and skin diseases should be treated immediately. Contact with strong chemical irritants should be avoided, be sure to protect the skin using gloves.

In most cases, the disease is provoked by stress. Therefore, with emotional stress, sedatives and herbal teas are recommended.

The level of skin hydration is also important. It is important to use moisturizers. The problem with eczema is its duration. Treatment is always long.

And if a person has already had eczema, then most likely it can happen again. If you neglect the condition of the skin.

Eczema, as a transmissible disease, occurs in rare cases.

Eczema is a dermatological disease of the hands of allergic origin and chronic course, which occurs due to a reaction to internal / external pathologies of the state of the body. The skin is covered with blisters (it’s not for nothing that the name of the disease is translated from Greek as “boiling up”), when they burst, small cracks form, serous fluid is released. The site of the rash is edematous, covered with pustules, the patient experiences constant sensations itching and burning. Pathology is not contagious, but is a widespread disease: it occurs in 25% of patients who apply to a dermatologist for medical care. It is very important to consult a doctor in time, as a rule, after identifying the source of the problem, complex treatment is prescribed.

Also characteristic signs of this disease are its persistent course, recurring periods of exacerbation, remission, psychological discomfort due to the fact that the hands are open parts of the body. A person experiences constant stress, irritation.

It's important to know! Eczema is dangerous in its manifestation, course, complications. With the timely start of treatment, it is possible to maintain the aesthetic appeal of the hands.

Types and causes of dermatosis

Eczema that occurs in adults and children, in women during pregnancy or after childbirth, can occur in acute / chronic forms, in dry or weeping forms, localized either on the hands or on the fingers, interdigital spaces, and also on the legs.

It is customary to distinguish between several types of eczema caused by certain factors, including:

idiopathic . This type of eczema is caused by diseases gastrointestinal tract, endocrine pathologies, hereditary predisposition, prolonged stressful situations, other skin diseases, immunodeficiency states.
seborrheic. It manifests itself as a result of a pathological condition caused by the yeast-like fungus Malassezia Furfur, which affects the scalp and causes dandruff. This disease requires long-term treatment.
atopic. Otherwise, this type is called allergic, it occurs under the influence of animal hair, plant pollen, household chemicals and other irritants on the skin of the hands. And also under the influence of the tendency to allergic dermatitis, the presence of a genetic predisposition, for example, to bronchial asthma.
Microbial. Fungal microorganisms, pathogenic bacteria, as a result of their long exposure, cause this type of eczema.
Professional. This type of eczema occurs due to the constant contact of an employee with chemicals, dyes, construction and other substances that can adversely affect the skin of the hands.

It's important to know! Exists baby look eczema, expressed in a profuse rash on the hands and passing with age.

Clinical picture of eczema on the hands

The nature of the rash and certain symptoms will tell about the onset of the disease, noted in the following types:

Eczema dry. Cracks form on dry skin with inflamed areas, flaky and itchy. Such eczema can appear both on the hands and feet.
Weeping eczema. It occurs on the elbow and popliteal folds, in the chest area, under the scalp. Pathology is presented as a significant reddening of the skin, in the form of a blistering rash or a wet spot against the background of itchy and inflamed skin.

The symptomatology of eczema, which has an acute, subacute, chronic form of the course, according to the indicated types, can manifest itself as follows:

AT idiopathic - itching dermatosis with an acute form of eczema that occurs on the hands and has a bright swelling of the affected area, rashes of a large number of bubble formations that open and leave small erosive weeping areas. This state can last two months. The subacute form, which lasts almost half a year, is distinguished by a bluish-pink tint of the areas of inflammation, moderate itching, burning, swelling, and moisturizing of the affected skin. At the same time, it is subject to coarsening and infiltration. Chronic form marked by the predominant symptom of infiltration skin, their significant thickening, pronounced skin pattern. The rough, wrinkled surface rapidly “captures” intact skin areas, representing the process of erythroderma. In the chronic course of the disease, a bacterial infection often joins.
AT microbial form eczema is manifested by a monovalent character, an increase in the reaction of the skin to some type of allergen. The manifestation of the disease occurs with an asymmetric location of the affected foci, covering them with purulent crusts. When trying to remove the crusts, clear focal boundaries appear, surfaces affected by erosion, with wet “hollows”. The microbial species is characterized by debilitating itching, pustular formations, fistulas and non-healing trophic ulcers.
AT seborrheic form the disease has a pathological relationship with lipophilic yeast-like fungi Pitorosporum Ovale. The main signs are yellow-pink spots, flaky, hyperemic and having wet "hollows", painful cracks.
AT professional form eczema is marked by an allergic reaction to some external irritant. The disease has a monovalent reaction, proceeds moderately. Apply skin tests to identify allergens. In order to avoid the transition of the pathology to the chronic stage, it is necessary to apply therapy, having found the first signs similar to those that occur with contact dermatitis.
AT atopic form eczema is characterized by inflammation and swelling of the skin, the appearance of small papules containing serous fluid. After the bubbles are removed, weeping areas form. As the disease progresses, the skin becomes dry, covered with peeling scales, crusts. The patient experiences constant itching, cracked skin gives him pain.

Common symptoms of eczema can be summarized as follows:

Inflamed, hyperemic, edematous surface of the skin.
The presence of bubbles filled serous fluid leaving, after opening, weeping erosive areas, cracks, wounds that cause pain.
Intolerable itching.
Peeling of the skin.

The presence of these signs is a signal for an urgent appeal to a dermatologist.

Diagnostic measures for eczema

Visual inspection of skin lesions with eczema can be the main diagnostic method. The above symptoms give a clear picture of the disease, which shows both the initial and advanced stages. pathological process. Eczema is easy to identify, as it has a number of specific features well known to the dermatologist.

Clinical analyzes of urine and blood, as well as biochemical analysis blood helps a specialist to identify the presence of an infection in the body, but are not always prescribed. The original source of the disease is determined by taking a sample of skin scales

How to treat eczema on hands

There are no specific standards for treating eczema, but medicine can prevent signs of exacerbation. Quite a few important role play a diet and the use of folk remedies that eliminate itching, reduce the acute phases of the disease and accelerate the healing and restoration of the skin.

Prior to the appointment of therapeutic procedures, the patient must undergo full examination to determine the cause of the disease. A treatment course individually selected for each patient is carried out under the supervision of a physician. First, pathologies are determined: various allergens, neuroses, diseases of the liver, gastrointestinal tract, kidneys, the presence of neurotic signs. The doctor takes measures to eliminate the symptoms of allergies, edema with the help of Suprastin, Kestin, Tavigil and other antihistamines.

Magnesium sulphate, sodium thiosulfate, calcium, etc. contribute to a decrease in the body's sensitivity to allergens. Taking laxatives and diuretics helps to remove various allergens from the body. In this case, the patient should drink one and a half to two liters of pure or non-carbonated mineral water daily.

AT special occasions blood is purified by means of special equipment, and solutions containing plasma are administered intravenously. For eczema, it is recommended to use baths, lotions with solutions of 2% boric acid, lead water. Also used is dissolved silver nitrate, riavanol, furatsilin.

The therapeutic course should be comprehensive. A reasonable organization of the working regime and good rest will help to suppress neuroses. Refusal to contact with substances that provoke allergic reactions, compliance with special diet with the exception of spicy, salty, smoked foods, lemons, oranges and other citrus fruits, chocolate, alcohol, should become fundamental directions in the medical process.

The complex of measures includes the use of corticosteroids to eliminate the inflammatory reaction, sedatives, herbal infusions- to support the psycho-emotional state of the patient, vitamins - with a preventive purpose (during periods of remission).

It's important to know! Complete deep sleep duration of 7-8 hours can contribute to the fastest recovery from eczema.

Treatment of eczema with traditional medicine

"Grandma's" recipes have proven their worth and obvious benefit in the treatment of eczema in combination with drug therapy. But their use is also individual and approved by the attending physician.

We offer several recipes traditional medicine:

A highly effective remedy is freshly squeezed potato juice with the addition of a small spoonful of honey. Used as a compress for the whole night and lotions in daytime. This method helps to heal wounds quickly.
Cabbage leaves soaked for 3 minutes apple cider vinegar and mashed until the juice flows out, apply to the affected areas of the skin. This helps relieve pain and itching.
Eczema is also well treated with juices of carrots and garlic, gruel from fresh strawberries.
Potato starch is used to prepare baths for the purpose of a restorative effect. Add a solution to the bath (diluted cold water kilogram of starch). The total water temperature should not exceed forty degrees. The patient should take such baths every day for 20 minutes for 30 days.
Sea buckthorn oil is good for eczema of the hands, if they lubricate the affected skin.
Infusions of dandelion and burdock roots, elecampane, leaves are taken as drinks 3-5 times a day. Cooking recipes are written in detail on the packages. medicinal herbs sold in any pharmacy.

There are a lot of traditional medicine designed to deal with the symptoms of eczema. One has only to make an effort and choose the appropriate method, after consulting with a doctor.

It's important to know! Solar heat and light, useful during periods of remission, are absolutely contraindicated during exacerbations. Fire is unacceptable!

Prevention of eczema

Preventive measures that prevent the occurrence and development of eczema include a list necessary rules and concepts, following which will help prevent diseases in adults, children, pregnant women:

Stick to correct mode food, healthy lifestyle life.
Do not self-medicate various skin and other diseases, but visit a doctor, follow his recommendations during treatment.
Avoid eating foods and contact with substances containing allergens.
Observe personal hygiene, as this is a way to protect against secondary viral and bacterial infections that affect the skin.
Do not overheat, do not abuse water procedures(no more than ten minutes).
Do not wear wool, flannel, synthetic clothing fitting tightly to the body to avoid the occurrence of allergies.

It's important to know! Patients suffering from eczema should be on DU - dispensary registration - and visit a dermatologist according to an individually set schedule. In order to avoid recurrence of the disease, the patient, as a rule, is prescribed sanatorium-and-spa treatment.

Update: October 2018

Eczema belongs to a group of widespread skin diseases and is a chronic inflammation superficial layers of the skin of a neuro-allergic nature. Eczema is characterized by polymorphism of rashes, a tendency to weep and a very persistent course, therefore, with eczema on the hands, treatment should be comprehensive, individual,

The disease brings significant psychological discomfort to its owner, since the rashes are most often localized on open areas of the body (feet, hands and face). The disease proceeds cyclically, with periods of remission and exacerbation. The question of how to treat eczema on the hands is relevant, since many therapeutic areas have insufficient effectiveness, and the disease reminds itself again and again.

Why does eczema occur on the hands?

Some doctors still classify eczema as an idiopathic disease, i.e. with unknown etiology. Indeed, the true causes of the development of eczema have not yet been fully understood, but there are a number of factors that have been proven to play an important role in the occurrence of one or another type of eczema:

idiopathic eczema just is the type of eczema, the exact cause of which has not yet been established. There is an opinion that various internal and external factors, such as:

emotional and mental stress
traumatic situations
vegetative-vascular dystonia
thyroid disease
diabetes
diseases of the digestive system
hereditary factor

atopic eczema occurs in people with a significant tendency to allergic reactions (allergy to plant pollen, food, animal hair). Also at risk for this type of eczema are people with a hereditary predisposition to atopic diseases (for example, with bronchial asthma, asthmatic bronchitis, see).

Occupational eczema develops with prolonged negative effects on the skin of certain chemicals - chromium, nickel, formaldehyde, dyes, detergents. Occupational eczema initially manifests itself in a typical place of skin contact with a chemical irritant - on the hands, and then can spread to other areas of the skin.

microbial eczema affects areas of the skin with a long-term inflammatory process of microbial or fungal etiology.

There are also such types of eczema as seborrheic, which develops against the background of the fungus Malassezia furfur persisting on the scalp and varicose eczema which is localized on the skin lower extremities and develops due to poor blood supply against the background of varicose veins. As well as children's eczema, which is most often localized on the skin of the forehead, cheeks, chin. But these types of diseases very rarely occur on the hands.

The common causes of eczema on the hands are the influence of internal and external stimuli, coupled with a specific predisposition of the skin of a congenital or acquired nature, as well as features of the epidermis, expressed in the tendency to develop microbubble epidermitis, which is characterized by an increased susceptibility of the body to a number of irritants.

Some researchers have established the following provoking factors that affect the occurrence and progression of eczema:

micronutrient deficiency
lack of vitamin B6
worm infestations (see,)
deficiency of unsaturated fatty acids;
impaired functioning of the kidneys of an exchange nature
intestinal dysbacteriosis, inflammation of the gallbladder (see,)
immunodeficiency, both congenital and acquired

Symptoms of eczema on the hands

idiopathic eczema

characterized by a very palpable. Rashes are most often localized on open parts of the body, including on the hands - they can be erythematous, papular, vesicular and are characterized by symmetry. The acute process begins with small blisters, which merge and open during the chronicization of the process, forming point erosions. The chronic course of the disease leads to skin lichenification.

atopic eczema

For occupational eczema

exposed areas of the body at the site of contact with the irritant (neck, face, forearms, hands) are affected. The progression of eczema leads to the spread of lesions to other areas of the skin. The manifestations of the disease are typical and very similar to idiopathic eczema.

microbial eczema

the most common complication pustular disease skin and is localized around wounds, in places of burns, ulcers and fistulas. Initially, the process is limited - a unilateral lesion occurs with detachment of the horny part of the skin along the periphery and or exudate in the center, which then shrinks into crusts. Screenings of pustular elements appear near the main focus. With a long course of microbial eczema, symmetrical areas of the skin are typically affected. Itching is mild.

Treatment

How to treat eczema on hands? Chronic eczema of the hands and other parts of the body is characterized by a long course. Treatment is prescribed individually for each patient and takes into account the type of eczema, the severity of the inflammatory process and the individual characteristics of the patient (age, general condition, treatment results, etc.). The question of how to treat eczema on the hands can be answered in one word - comprehensively.

General drug therapy

Pathogenetic therapy is the main type of treatment, without which it is impossible to cure eczema on the hands. This type of therapy is aimed at leveling or weakening the negative impact external environment or altered functions of internal organs.

When eczema on the fingers is diagnosed, treatment often includes non-specific desensitizing therapy: autohemotherapy, blood transfusions, hirudotherapy, lactotherapy.

In severe eczema, hemosorption, enterosorption and plasmapheresis are performed.

Biostimulants are prescribed: course injections of extract or placenta, 1.0-1.5 ml each.

In case of severe neurotic disorders, the following is prescribed:

the doctor may prescribe sodium bromide orally at 5-15 ml 3 r / day
Bromocamphor also three r / day for 2 weeks
only on prescription tranquilizers in small doses - Nozepam, Phenozepam, Chlozepid no more than 10 days
sedatives herbal remedies— Novopassit, Persen, Valerian, Peony Tincture, Sedasen

Enterosorbents and drugs to reduce intoxication:

Among the energy sorbents, one can single out Polyphepan, Multisorb, Enterosgel, Atoxil,) also in a short course of no more than 10 days
Intravenous injections of sodium thiosulfate 10-20 infusions of 10 ml. or calcium chloride
For mycotic eczema, hexamethylenetetramine solution
Calcium gluconate intramuscularly 10-20 injections

hormone therapy

Persistent eczema of the fingers, between the fingers is treated with hormonal drugs, which are used only as directed by a doctor, in a short course, with the gradual withdrawal of the drug and only in cases of emergency. Corticosteroid use has serious side effects and a number of contraindications, may contribute to the development of infectious processes, exacerbation chronic diseases, because it reduces immunity (see).

Especially dangerous is their prolonged or frequent uncontrolled use. When eczema is localized only on the hands, fingers, it can be limited to using only local hormonal agents, but in the case of generalization of the inflammatory process, oral hormone therapy can also be prescribed, it lasts no more than 10-15 days in moderate, controlled doses:

corticotropin 40 units daily (800–1000 units per course)
prednisolone 20-40 mg daily
triamcinolone 10 mg daily
dexamethasone 2.5 tablets daily

vitamin therapy

Vitamin therapy is indicated for the treatment of any kind of eczema on the hands. However, given the latest research by scientists, preparations containing synthetic vitamins should be treated very carefully (see):

Vitamin E (oil solution)
Ascorbic and nicotinic acid
Vitamins of group B in injections
Folic acid

Antihistamines are indicated for any type of eczema on the hands:

In an acute process, parenteral administration of diphenhydramine, chloropyramine, promethazine is indicated.
At medium degree gravity 1 tablet orally 2 weeks 3 r / day
Then you can use drugs of the 2nd and 3rd generation, such as ebastine (Kestin 300 rubles. 10 pcs), cetirizine (Cetrin 150 rubles. Zirtek, Zodak, Parlazin), Loratadin (Clarisens, Claritin, Lomilan, Loragexal, Loratin), fexofenadine (Telfast , Feksadin) desloratadine (Erius, Lordestin, Desal) see full.
It is also possible to use Ketotifen, a mast cell membrane stabilizer.

Immunomodulators

Phagocytosis stimulants, these include Polyoxidonium, Likopid, Prodigiosan
Thymomimetics are Timogen, Timalin, Immunofan
According to the indications, it is possible to use - vitreous body, Humisol solution, Plasmol, placenta extract, they can be used to treat eczema on the hands and body only in a chronic process.

With dysbacteriosis, indigestion

When eczema is combined with pancreatitis, other diseases of the gastrointestinal tract, gastroduodenitis, bile salts are prescribed, enzyme preparations, pepsin is Pancreatin, Ermital, Creon, Festal, Solizim, Enzistal, Panzinorm forte, Micrasim, Pangrol, Gastenorm, Pepfiz, Biozim. If eczema on the hands is accompanied by a violation of the intestinal microflora (see), courses of probiotics are used, such as Lactobacterin, (see).

For microbial eczema

In the presence of purulent process at microbial eczema use antibacterial agents. For maximum effectiveness of the treatment, it is better to pre-sow the flora and determine the resistance and sensitivity of the eczema pathogen to specific antibiotics. Macrolides, 2nd generation cephalosporins, fluoroquinolones, and aminoglycosides are commonly used. When a fungal infection is attached, either local treatment with antimycotics - ointments, creams is indicated.

Local drug therapy

Various aqueous solutions, powders, suspensions, pastes and ointments are shown. Selecting a specific dosage form and method local treatment eczema on the hands is determined by the type of eczema and is based on the prevalence, localization and severity of inflammatory elements.

microbial eczema- in this form skin lesion on cortical formations, the following solutions are applied to pustules:

Dyes - "brilliant green", a solution of gentian violet, methyl violet
It is possible to use aerosols and creams of polcortolone, panthenol, levovinizol (see list)
In extreme cases, a short course of treatment in the form of lotions with solutions of ethacridine lactate, resorcinol

With limited forms of eczema, for example, of the hands, weak astringents and anti-itching compounds with an anti-inflammatory effect in the form of dressings or lotions are indicated:

Burow's liquid
lead water
resorcinol solution 1–2%
zinc or copper sulfate solution 0.1%
silver nitrate solution 0.25%
2–5% phenol solution
0.5–1.0% menthol solution
citric acid solution 1%
podophyllin ointment for eczema on the hands 0.1%
diphenhydramine paste 2-5%

In the case of an acute process, powders made of white clay, zinc oxide, and wheat starch have a good effect. After the acute phase subsides, indifferent pastes and ointments, zinc oil are prescribed.

If there is edema, weeping, erythematous lesions, the presence of erosion, in addition to resorcinol, use lotions from solutions of galascorbin, boric acid, tannin, from medicinal herbs - decoctions of St. John's wort, chamomile.

When the acute inflammatory process begins to subside, mixtures are used - Paste Lassara, zinc paste, they may add additional antipruritic, antiseptic agents, such as - naftalan paste, ichthyol, boron-zinc. In the case of chronic eczema on the hands in zinc ointment you can add the following ointments - boron-naphthalan, methyluracil, dermatol, which enhance the anti-inflammatory effect.

Also, according to indications, corticosteroid ointments for eczema on the hands are used, among which are Elokom, Skin-cap (it contains a powerful corticosteroid drug, which is not indicated in the instructions), Celestoderm, Advantan, Flucinar (see the full list of all hormonal ointments with their side effects in the article). With microbial eczema, it is better to use not pure hormonal ointments, but with the addition of antimycotics, antibiotics or antiseptics - Lorinden C, Celestoderm with garamycin, Trimistin, Travocort, Kremgen.

Physiotherapy procedures

Physiotherapeutic techniques contribute to the resolution of inflammatory elements and are an important component of treatment. Apply:

2-4-chamber baths
baths with mineral water
aerotherapy, electrosleep
diphenhydramine inhalations
general galvanization
diadynamic therapy
segmental exposure to ultrasound
ultraviolet irradiation
ultraphonophoresis of external medicines
, ozokeritotherapy
, ozone therapy
low frequency magnetic field
acupuncture
paraffin applications

diet therapy

It is recommended to give up spicy and salty foods, strong meat broths, egg white, fried meat, game, smoked meats, preservation, cheeses, sausages, spices, coffee, chocolate, spirits. The preparation of protein products (meat, fish) should be carried out in a dietary way. In general, a light milk-vegetarian diet is indicated.

Folk remedies for eczema

When there is eczema on the hands, folk remedies are very effective and are used as an addition to the main treatment or act as an alternative to such treatment if it is ineffective.

Baths with salt

Dry hand eczema is well treated with salt water. Salt (preferably sea salt) is added to hot water, approximately 2 tablespoons per 1 liter of water. Such baths for eczema on the hands are made in a basin with a solution and are there until the water cools down. You can do this procedure daily until a noticeable improvement occurs.

homemade emulsion

With weeping eczema, homemade emulsion helps. One chicken egg is driven into a small jar, 50 ml of vinegar (table) and water are added. This mixture is then thoroughly mixed until emulsified. The affected areas of the skin are lubricated with this mixture at night and covered with a cloth on top. In the morning, the dried film cannot be washed off, and in the evening it is necessary to repeat the procedure. Within about a week, weeping resolves and dry skin peels off.

Kalanchoe juice

Good therapeutic effect renders the juice of Kalanchoe officinalis, which should be regularly lubricated with the affected skin.

Coltsfoot

To relieve unpleasant symptoms in the form of itching and treat eczema, coltsfoot helps, which must be passed through a meat grinder and fresh milk added to it. The affected areas are lubricated with the resulting composition at night and snatched with cellophane. Relief occurs after 2-3 procedures.

Anti-relapse treatment and prevention of exacerbations

During the period of remission, course treatment with histoglobulin is carried out. Impeccable observance of the rules of personal hygiene and timely treatment intercurrent diseases. Compliance with the diet helps to significantly prolong the period of remission. Affected areas of the skin should be protected from any negative impact, both when doing household chores and in production.

Eczema of the skin of the hands is a severe inflammatory process of a chronic nature. The course of dermatitis is characterized by periods of exacerbation and remission, an increase in negative symptoms when allergens appear. Eczema on the hands in most cases occurs as allergic reaction to irritating factors.

Treatment of chronic dermatitis is a long process, the effectiveness of therapy depends on many nuances. It is important to know how to recognize the initial stage of the disease, how to prevent severe damage to the epidermis.

Reasons for the development of the disease

Eczema is one of chronic pathologies, the reasons for which have not yet been fully established. There are many factors that cause an acute response of the body: from household to professional.

Scientists have found that the inflammatory process in top layer The epidermis develops as a response to the action of stimuli. With inflammation the immune system produces prostaglandins that provoke the release into the bloodstream of inflammatory mediators - serotonin and histamine. Irritation of skin receptors, increased permeability of the capillary wall is displayed on the surface of the epidermis: swelling, spots appear, rashes of various kinds are noticeable.

Provoking factors:

fungal or bacterial skin infections;
allergic reactions to animal hair, food, medicines, pollen, house dust, household chemicals;
frequent use in everyday life and professional activities of irritating substances: varnishes, solvents, paints, antiseptic solutions, gasoline, acetone, chlorine-containing drugs, and other compounds.

At risk are patients with certain diseases and problems:

hereditary predisposition;
weakness of the immune system;
hormonal disruptions;
chronic pathologies of the kidneys, oral cavity, respiratory tract;
frequent stressful situations;
lack of sleep, poor nutrition, vitamin deficiency.

Varieties of pathology

By the nature of negative reactions, the following types of eczema on the hands are distinguished:

true. Pronounced itching, acute course, the palms are covered with small bubbles with a clear liquid;
dyshidrotic eczema. The disease develops with problems with sweating in the area of the feet and hands. The problem often occurs with hyperhidrosis, disorders of the autonomic nervous system. Dyshidrotic eczema is often recorded in persons forced by occupation to work for a long time in rubber gloves;
seborrheic eczema. Yellow crusts appear on the skin, there is a strong burning sensation, itching, an infection joins when scratching, inflammation intensifies. A connection with lipophilic yeast fungi has been fixed. Seborrheic eczema is often noted in patients with HIV;
microbial eczema. This form occurs as a complication of the true or bacterial variety after infection has been added. severe itching makes the patient comb his palms, infectious agents easily penetrate through damaged skin;
professional. A severe form of the disease develops against the background of constant contact with irritating substances: disinfectants, cleaning solutions, oils, gasoline, alkalis. characteristic feature- alternation of weeping with periods of peeling, excessive dryness of the epidermis;
atopic. This type of dermatitis in most cases is observed in allergy sufferers with a genetic predisposition, in asthmatics, and infants.

Non-infectious lesions of the epidermis - dermatitis and eczema on the hands, ICD code 10 - L20 - L30.

Stages of the disease

According to the severity of symptoms, the following stages of the disease are distinguished:

acute. The tissues swell, redness appears, bubbles appear. After a while, the formations burst, the transparent contents flow out, erosion occurs, dense yellow crusts appear;
subacute. On the palms, a change in the skin pattern was recorded, red spots with an active thickening of the epidermis are observed;
chronic. On the hands, dense foci of red, sometimes yellow or cyanotic color, areas of skin exfoliation are noticeable.

initial stage

It is important to know the first signs of eczema development in order to start treatment on time. Often, patients come late to an appointment with a dermatologist because of a misunderstanding of why repulsive manifestations of dermatitis appeared on their hands. Dangerous self-medication, the use of unsuitable ointments.

The main signs of the early stage of eczema:

feeling of tightness of the skin;
irritation, the appearance of small red-pink bubbles on the palms;
peeling of the epidermis on the hands.

Signs and symptoms

In the absence of treatment or improper therapy, continued contact with irritants, dermatitis passes into the chronic stage, clinical manifestations intensify. The more histamine and serotonin in the blood, the more acute the negative symptoms.

The main symptoms of eczema:

swelling of the skin;
redness of the epidermis in problem areas;
the appearance of bubbles with a diameter of several millimeters. The formations are filled with liquid, when combing, the bubbles burst, weeping occurs, secondary infection often develops;
severe itching of the affected areas. Discomfort worse at night;
while washing hands, pain is felt, tightness of the skin increases, daily hygiene procedures cause discomfort;
at the chronic stage, the palms are covered with crusts, spots, exfoliated parts of the epidermis are visible, the surface color is heterogeneous;
the hands acquire an unpleasant, repulsive appearance, the patient is shy, communicates less often with colleagues and relatives, experiences moral discomfort, and is often nervous. Stressful situations provoke an increase in symptoms.

General rules and methods of treatment

Diagnosis of the disease is carried out by a dermatologist. After identifying the irritant, the doctor prescribes a set of measures to eliminate negative symptoms and reduce the risk of relapse. The result of treatment largely depends on the patient: only if the therapy regimen is followed, preventive measures are taken, and certain habits and menus are changed, a positive effect can be achieved.

Ten rules for the treatment of eczema on the hands:

Observe .
For body care, use formulations with natural ingredients that do not dry out the skin.
Laundry should be washed with laundry soap, be sure to iron clean clothes on both sides.
Avoid contact with irritating substances in the performance of professional duties: the epidermis often cracks, becomes inflamed when exposed to oils, acids, alkalis, disinfectant solutions, reagents.
Washing dishes, important cleaning in the apartment should be carried out only with gloves.
Buy clothes made from natural fabrics.
Remove “dust collectors” from the dwelling - carpets, floor coverings, heavy curtains, soft toys.
Sleep 7-8 hours a day, be less nervous, observe emotional balance, do not refuse to communicate with people, drink vitamins.
Get more outdoors, but avoid prolonged exposure to the sun. In frosty weather, be sure to apply a greasy cream to the brushes, wear gloves.
Take a complex of drugs prescribed by a doctor, attend procedures. Refuse self-selection of drugs, find an experienced dermatologist. Unfortunately, eczema often lasts for years: the symptoms either practically disappear or weaken, then worsen. Interaction with a competent doctor is half the success of therapy.

Important! In addition to taking medications, a dermatologist prescribes quartz treatment. The technique is effective in the treatment of severe forms of dermatitis, to prevent the growth of pathogenic microorganisms in weeping areas. With persistent remission positive result provides spa treatment. Baths with herbal decoctions based on chamomile, sage, succession, calendula are useful.

Medical therapy

How and how to treat eczema on the hands? The dermatologist selects medicines for a particular patient, based on the severity and form of development of dermatitis. It is forbidden to independently acquire and use potent formulations based on corticosteroids: improper use of hormonal ointments and creams causes complications.

The main types of drugs:

antihistamines. Medications reduce itching, block histamine receptors, reduce response to stimuli. For long-term therapy, tablets of new generations are recommended, which delicately affect the body, without sedative effects, dangerous side effects. , ;
local antiseptics. The compositions reduce inflammation, dry the epidermis, and prevent the development of secondary infection. Furacilin, Tannin, Resorcinol. Lotions with disinfectants are carried out daily;
hormonal ointments from eczema on the hands. Strong compounds are indispensable in the acute form of the disease. Dexamethasone, Prednisolone;
antibiotics. Preparations of various groups are necessary when identifying bacterial infection. For a particular patient, the doctor selects a specific drug based on tests for the sensitivity of bacteria to the action. active substances various antibiotics;
sedatives. reduce nervous tension, prevent an acute reaction to stimuli help effective drugs: sodium bromide, Bromocamphor;
herbal preparations to normalize the state of the nervous system. Doctors positively assess the effect of the compositions Persen, Novopassit, peony tincture is effective;
tranquilizers help with severe stress, a tendency to irritability, improve sleep. Chlozepid, Nozepam, Phenazepam. It is important to take tranquilizers only under the supervision of a doctor.

Is eczema on hands contagious?

Many people suffering from manifestations of dermatitis often become outcasts, the social circle narrows. Often, relatives, colleagues, acquaintances unknowingly think that a patient with eczema is contagious to others.

This statement is incorrect: dermatitis develops as a negative reaction of the body, pathogenic microorganisms are present only with a fungal or bacterial form of eczema or secondary infection. Weeping zones are more dangerous for a sick person: erosive areas are a gateway for infections; against the background of reduced immunity, serious complications are possible.

If a colleague or relative is diagnosed with eczema, you should not limit contacts: isolation disturbs the patient's mental balance, provokes stress, which negatively affects the course of therapy. Shaking hands is not worth it: on the skin healthy people there may be microbes that easily penetrate the affected areas of the skin. The patient is obliged to have personal hygiene items, to ensure that on problem areas no dirt got in.

Limiting contact with irritants, strengthening immunity, regular brush care, a minimum of stress, proper nutrition reduces the risk of eczema on the hands. If you suspect the development of dermatitis, it is important to contact a dermatologist without delay, establish an allergen, and begin therapy. With occupational eczema, it is often necessary to change the type of activity in order to prevent serious problems with health.

Medical video - reference. Folk remedies and recipes for the treatment of eczema on the hands: