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Treatment of eczema on hands. Eczema on the hands - causes, symptoms and effective treatment of the disease. The main symptoms and signs that identify eczema

Update: October 2018

Eczema belongs to a group of widespread skin diseases and is 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, for 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 body (feet, hands and face). The disease occurs cyclically, with periods of remission and exacerbation. The question of how to treat eczema on the hands is relevant, since many therapeutic areas are insufficiently effective, and the disease reminds itself again and again.

Why does eczema occur on the hands?

Some doctors still classify eczema as idiopathic diseases, i.e. with unknown etiology. Indeed, the true causes of the development of eczema have not yet been fully studied, 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 This is precisely the type of eczema, the exact cause of which has not yet been established. There is an opinion that various internal and external factors play a certain role in its occurrence, such as:

  • emotional and mental stress
  • traumatic situations
  • vegetative-vascular dystonia
  • thyroid diseases
  • diabetes
  • digestive diseases
  • hereditary factor

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

Occupational eczema develops with prolonged negative effects on the skin of certain chemicals - chromium, nickel, formaldehyde, dyes, detergents. Occupational eczema initially manifests itself in typical place 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-standing inflammatory process of microbial or fungal etiology.

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

Common causes of eczema on the hands - 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 increased susceptibility of the body to a number of irritants.

Some researchers have identified the following provoking factors that influence the occurrence and progression of eczema:

  • micronutrient deficiency
  • vitamin B6 deficiency
  • infestations by worms (see,)
  • deficiency of unsaturated fatty acids;
  • metabolic disorders of the kidneys
  • intestinal dysbiosis, inflammation of the gallbladder (see,)
  • immunodeficiency, both congenital and acquired

Symptoms of eczema on hands

  • Idiopathic eczema

characterized by very tangible. The rashes are most often localized on exposed parts of the body, including the hands - they can be erythematous, papular, vesicular and characterized by symmetry. The acute process begins with small vesicular eruptions, which, as the process becomes chronic, merge and open, forming point erosions. The chronic course of the disease leads to lichenification of the skin.

  • Atopic eczema
  • For occupational eczema

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

  • Microbial eczema

most often acts as a complication of pustular skin disease and is localized around wounds, in places of burns, ulcers and fistulas. Initially, the process is limited in nature - a one-sided 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. The 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 prolonged course. Treatment is prescribed individually for each patient and takes into account the type of eczema, severity inflammatory process and 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 negative influence external environment or altered functions of internal organs.

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

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

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

For severe neurotic disorders, the following is prescribed:

  • the doctor may prescribe sodium bromide orally 5-15 ml 3 times a day
  • Bromocamphor also three times a day for 2 weeks
  • only as prescribed by a doctor, tranquilizers in small doses - Nozepam, Phenozepam, Chlozepid for 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 highlight Polyphepan, Multisorb, Enterosgel, Atoxil, ) also short course 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 and between the fingers is treated with hormonal drugs, which are used only as prescribed by a doctor, for a short course, with gradual withdrawal of the drug and only in cases of extreme necessity. Taking corticosteroids has serious side effects and a number of contraindications and may contribute to the development infectious processes, exacerbation of chronic diseases, since it reduces immunity (see).

Their prolonged or frequent uncontrolled use is especially dangerous. If eczema is localized only on the hands and fingers, you can limit yourself to using only local hormonal agents, but in the case of generalization of the inflammatory process, oral hormonal 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 type of eczema on the hands. However, given latest research scientists to drugs containing synthetic vitamins, should be treated very carefully (see):

  • Vitamin E (oil solution)
  • Ascorbic and nicotinic acid
  • B vitamins in injections
  • Folic acid

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

  • In acute cases, parenteral administration of diphenhydramine, chloropyramine, promethazine is indicated.
  • For moderate severity, 1 tablet orally for 2 weeks 3 times a day
  • Then you can use 2nd and 3rd generation drugs, such as ebastine (Kestin 300 rub. 10 pcs.), cetirizine (Cetrin 150 rub. Zirtec, Zodak, Parlazin), Loratadine (Clarisens, Claritin, Lomilan, Loragexal, Loratin), fexofenadine (Telfast , Fexadine) desloratadine (Erius, Lordestin, Dezal) see full.
  • It is also possible to use Ketotifen - stabilizers of mast cell membranes

Immunomodulators

  • Stimulators of phagocytosis, these include Polyoxidonium, Lykopid, Prodigiosan
  • Timomimetics are Thymogen, Timalin, Immunofan
  • According to indications, it can be used - Vitreous body, humisol solution, Plazmol, placenta extract, they can be used to treat eczema on the hands and body only in case of a chronic process.

For dysbacteriosis, indigestion

When eczema is combined with pancreatitis, other gastrointestinal diseases, gastroduodenitis, bile salts, enzyme preparations, pepsin are prescribed - these are Pancreatin, Ermital, Creon, Festal, Solizim, Enzistal, Panzinorm forte, Micrazim, Pangrol, Gastenorm, Pepfiz, Biozym. 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 used for microbial eczema antibacterial agents. To maximize the effectiveness of the treatment, it is better to pre-seed the flora and determine the resistance and sensitivity of the eczema pathogen to specific antibiotics. Macrolides, 2nd generation cephalosporins, fluoroquinolones and aminoglycosides are usually used. When a fungal infection occurs, local treatment with antimycotics - ointments, creams - is indicated.

Local drug therapy

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

Microbial eczema- at this sight skin lesions The following solutions are applied to cortical formations and pustules:

  • Dyes - brilliant green, gentian violet solution, 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

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

  • Burov'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
  • solution citric acid 1%
  • podophylline ointment for eczema on hands 0.1%
  • diphenhydramine paste 2–5%

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

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

When the acute inflammatory process begins to subside, mixtures are used - Lassar paste, zinc paste, it is possible to add additional antipruritic and antiseptic agents to them, such as naphthalan paste, ichthyol paste, boron-zinc paste. In case of chronic eczema on the hands zinc ointment you can add the following ointments - boron-naphthalan, methyluracil, dermatol, which enhance the anti-inflammatory effect.

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

Physiotherapeutic procedures

Physiotherapeutic techniques help resolve inflammatory elements and are an important component of treatment. Applicable:

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

Diet therapy

It is recommended to avoid spicy and salty foods, strong meat broths, egg white, fried meat, game, smoked meats, canned food, cheeses, sausages, spices, coffee, chocolate, alcoholic beverages. The preparation of protein products (meat, fish) should be carried out in a dietary manner. In general, a light dairy-vegetable diet is indicated.

Folk remedies for eczema

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

  • Salt baths

Dry hand eczema can be treated well 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 kept there until the water cools down. You can do this procedure daily until noticeable improvement occurs.

  • Homemade emulsion

Homemade emulsion helps with weeping eczema. Drive one chicken egg into a small jar, add 50 ml of vinegar (table vinegar) and water. This mixture is then thoroughly mixed to form an emulsion. Apply this mixture to the affected areas of the skin overnight and cover with a cloth. The dried film cannot be washed off in the morning, and the procedure must be repeated in the evening. Within about a week, the weeping resolves and the dry skin peels off.

  • Kalanchoe juice

good therapeutic effect provides Kalanchoe officinalis juice, which should be regularly lubricated on the affected skin.

  • Coltsfoot

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

Anti-relapse treatment and prevention of exacerbations

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

Eczema is a dermatological disease in which the skin in exposed areas becomes inflamed. Most often these are hands, face, feet.

First, the skin becomes red, a rash, burning and severe itching appears. Eczema is small blisters that, after maturation, burst open and a weeping wound appears. Eczema is very common, accounting for almost half of all dermatological diseases.

Patients with this diagnosis experience not only physical, but also psychological discomfort, since open wounds often seem scary and contagious to others. But eczema is not actually contagious. When an infected bacterium comes into contact with healthy skin, most often no changes occur; very rarely, minor rashes may appear. In order to get eczema, you need to have a number of predispositions. The complexity of the disease is that eczema is very difficult to cure completely. Its course is cyclical - a period of exacerbation is replaced by remission.

The fact that eczema keeps coming back again and again is depressing and many patients wonder if it is possible to get rid of eczema forever?

Causes

In many cases, skin lesions are caused by multiple factors. A disease accompanied by the appearance of blisters, crusts, ulcers and flaky areas on the hands often occurs in allergy sufferers. In some cases, it is difficult for doctors to determine the cause of the inflammatory process.

Provoking factors:

  • decreased immunity;
  • constant contact with substances that irritate the skin;
  • allergic reactions of various origins.

Causes of eczema on hands:

  1. Consumption of products causing manifestations allergies. Among them: strawberries, citrus fruits, smoked meats, eggs, honey, chocolate, spicy foods.
  2. Allergic reactions to poplar fluff, pollen, animal hair, house dust.
  3. Impact production factors: working with oils, dyes, caustic substances without the use of personal protective equipment.
  4. Helminthic infestations, fungal and bacterial infections.
  5. Chemical dyes, flavors, synthetic substances contained in washing powders, detergents and cleaners, varnishes, sprays, cheap cosmetics, low-quality food products.
  6. Long-term use of medications. Side effects in the form of skin lesions appear during the uncontrolled use of popular drugs: analgin, paracetamol.
  7. Insect bites (bees, wasps, horseflies).
  8. Wearing rings, bracelets, clothes, wristwatch from materials or alloys containing allergens.
  9. Chronic diseases that weaken the body's defenses.
  10. Constant nervous tension. Frequent stress leads to relapses of the disease and complicates its course.

Classification

Medical practice shows that today the number of people experiencing allergic skin lesions is increasing. Per share various types eczema accounts for 40% of cases.

The most common types of eczema:

  1. True. Acute stage accompanied by the appearance of bubbles with liquid, pinpoint erosions and redness. The patient experiences itching, the intensity of which varies in each case. With a chronic course, the swelling intensifies, and the affected skin becomes covered with cracks.
  2. Microbial. This type of eczema appears after infection of the skin around cracks, fistulas and ulcers. The rash, covered with crusts and scales, is pink in color. After removing the scales, bloody dew appears. If treatment is not started in a timely manner, the disease will turn into eczema.
  3. Professional. In its manifestations it resembles the real one, but appears after prolonged contact of hands with the allergen. In the early stages, development can be easily stopped, and the skin morphology will be completely restored. The first exacerbations resemble contact dermatitis. If the impact of the irritating factor does not stop, the inflammatory process becomes persistent and recurrent.
  4. Seborrheic. This type of dermatitis affects the scalp. The rash appears on the forehead, on the skin of the back, chest and limbs. The affected area of ​​skin becomes covered with scales and becomes moist due to the secreted fluid.
  5. Children's room. This type of eczema appears in children in infancy and goes away by 3 years. Rashes appear on the face. As the disease progresses, there is damage to the body, accompanied by enlargement of the lymph nodes.

The first signs of eczema

Eczema on hands initial stage is developing rapidly. Each subsequent stage is characterized by the development of complications and severe skin lesions.

First signs:

  • redness of the skin on the hands, between the fingers and on the back of the hands;
  • itching in inflamed areas, increasing every day;
  • vesicles filled with serous contents appear in the affected areas;
  • a burning sensation occurs, the itching intensifies, the affected areas become hot to the touch;
  • the area of ​​erosion increases, a dense crust appears, and wet areas appear;
  • the risk of infection through inflamed skin increases.

Symptoms

Symptoms of eczema on the hands in the initial stage (see photo) will vary depending on what type of disease affects the person.

Symptoms of idiopathic eczema on the hands:

  • The rash may appear as erythema, papules, or blisters. They are localized on open areas of the body, including the legs and arms, and are most often symmetrical.
  • The beginning of an exacerbation of the disease is characterized by the appearance of bubbles, which subsequently merge and, after destruction, form erosions.
  • The entire process of inflammation is accompanied by severe skin itching, which may precede the onset of the disease.
  • When the process becomes chronic, lichenification of the skin occurs.

Symptoms of occupational eczema on the hands:

  • Inflammation appears only in those areas of the skin that come into contact with the irritant. It is the hands and fingers that are most susceptible to the appearance of occupational eczema.
  • As the disease progresses, eczema spreads to other areas of the body.
  • The inflammation process occurs like idiopathic eczema.

Symptoms of atopic eczema on the hands:

  • The skin swells and turns red, covered with small blisters.
  • The bubbles resolve, leaving behind areas of weeping.
  • As the disease progresses, the skin becomes covered with crusts and scales, becomes dry, and begins to peel.
  • Itching can plague the patient both during remission and during exacerbation of eczema. However, when the process goes into acute phase, the itching becomes extremely pronounced.

Symptoms of dyshidrotic eczema:

  • A rash appears that looks like small blisters filled with liquid.
  • The rash initially appears on the sides of the fingers and then spreads to the palms.
  • The skin becomes swollen and red.
  • After the vesicles open, erosions appear on the inflamed areas and become profusely wet. At the same time, the skin begins to peel off.
  • The disease is accompanied by severe itching.
  • Often a secondary infection occurs, which provokes the appearance of pain, cracks, and lichenification.

Symptoms of microbial eczema:

  • Microbial eczema is located around existing wounds, burns, fistulas with purulent inflammation.
  • Eczema initially affects only that part of the skin where there is a pustular disease. The stratum corneum peels off, peeling begins, or exudate separates.
  • Subsequently, the exudate dries and forms crusts.
  • Eczema is not treated, then it begins to affect symmetrically located skin areas.
  • As a rule, itching does not bother the patient much.

Diagnostics

Before treating eczema on your hands, you need to visit a dermatologist who can determine the cause of the disease.

Doctors generally make a diagnosis based on an external examination. skin conversations with the patient, but in in rare cases required additional examination– general blood test, smear to determine the infectious agent. If a specialist suspects the presence of another disease with a similar course (scabies, psoriasis), he may prescribe a skin biopsy.

It should be said that treatment with traditional medicine or the use of antihistamine creams should not be started without first consulting a doctor, as they can cause complications. The only thing a patient with suspected eczematous rash can do is go on a diet, removing “harmful” foods from their diet.

What does eczema on the hands look like: photo

Since at home it is quite problematic to determine the type of eczema of the hands by characteristic features its course, if the listed symptoms are detected, the patient is recommended to seek the advice of a qualified dermatologist.

Treatment

How to treat eczema on hands? Chronic eczema of the hands and other parts of the body is characterized by a prolonged 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 influence of the external environment or altered functions of internal organs.

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

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

Biostimulants are prescribed: course injections of aloe or placenta extract, 1.0–1.5 ml.

For severe neurotic disorders, the following is prescribed:

  • the doctor may prescribe sodium bromide orally 5-15 ml 3 times a day
  • Bromocamphor also three times a day for 2 weeks
  • only as prescribed by a doctor, tranquilizers in small doses - Nozepam, Phenozepam, Chlozepid for no more than 10 days
  • sedative herbal remedies - Novopassit, Persen, Valerian, Peony tincture, Sedasen

Enterosorbents and drugs to reduce intoxication:

  • Among the energy sorbents we can highlight Polyphepan, Multisorb, Enterosgel, Polysorb, Atoxil, Filtrum STI (instructions) also for 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 and between the fingers is treated with hormonal drugs, which are used only as prescribed by a doctor, for a short course, with gradual withdrawal of the drug and only in cases of extreme necessity. Taking corticosteroids has serious side effects and a number of contraindications; it can contribute to the development of infectious processes and exacerbation of chronic diseases, as it reduces immunity (see hormonal ointments for psoriasis).

Their prolonged or frequent uncontrolled use is especially dangerous. If eczema is localized only on the hands and fingers, you can limit yourself to using only local hormonal agents, but in the case of generalization of the inflammatory process, oral hormonal 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 type of eczema on the hands. However, taking into account the latest research by scientists, preparations containing synthetic vitamins should be treated very carefully (see the dangers of synthetic vitamins):

  • Vitamin E (oil solution)
  • Ascorbic and nicotinic acid
  • B vitamins in injections
  • Folic acid

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

  • In acute cases, parenteral administration of diphenhydramine, chloropyramine, promethazine is indicated.
  • For moderate severity, 1 tablet orally for 2 weeks 3 times a day
  • Then you can use 2nd and 3rd generation drugs, such as ebastine (Kestin 300 rub. 10 pcs.), cetirizine (Cetrin 150 rub. Zirtec, Zodak, Parlazin), Loratadine (Clarisens, Claritin, Lomilan, Loragexal, Loratin), fexofenadine (Telfast , Fexadine) desloratadine (Erius, Lordestin, Dezal) see full list of allergy medications.
  • It is also possible to use Ketotifen - stabilizers of mast cell membranes

Immunomodulators

After acute process, when inflammatory manifestations subside, persons with immunodeficiency conditions only under the supervision of an immunologist and an immunogram are shown the following immunomodulators, the use of which should also be treated with caution (see drugs to enhance immunity):

  • Stimulators of phagocytosis, these include Polyoxidonium, Lykopid, Prodigiosan
  • Timomimetics are Thymogen, Timalin, Immunofan
  • According to indications, it is possible to use - Vitreous body, humisol solution, Plazmol, placenta extract; they can be used to treat eczema on the hands and body only in case of a chronic process.

For dysbacteriosis, indigestion

When eczema is combined with pancreatitis, other gastrointestinal diseases, gastroduodenitis, bile salts, enzyme preparations, pepsin are prescribed - these are Pancreatin, Ermital, Creon, Festal, Solizim, Enzistal, Panzinorm forte, Micrazim, Pangrol, Gastenorm, Pepfiz, Biozym. If eczema on the hands is accompanied by a violation of the intestinal microflora (see treatment of intestinal dysbiosis), courses of probiotics are used, such as Hilak Forte, Lactobacterin, Bifiform, Rio flora immuno (see list of dietary supplements and probiotics, Linex analogues).

For microbial eczema

In the presence of a purulent process in microbial eczema, antibacterial agents are used. To maximize the effectiveness of the treatment, it is better to pre-seed the flora and determine the resistance and sensitivity of the eczema pathogen to specific antibiotics. Macrolides, 2nd generation cephalosporins, fluoroquinolones and aminoglycosides are usually used.

When a fungal infection occurs, antifungal drugs in tablets or local treatment with antifungals - ointments, creams - are indicated.

Local drug therapy

If a patient is diagnosed with microbial eczema, then he needs to lubricate the crust on his hands with the following creams and ointments:

  • Brilliant green, Methyl violet solution, Gentian violet solution.
  • Creams and aerosols: Panthenol, Polcortolon, Levovinisol.
  • If the disease is chronic, lotions with a solution of Resorcinol or Ethacridine Lactate are recommended.

Lotion can have an anti-inflammatory effect and reduce itching with the application of the following compositions:

  • Goulard;
  • Burov's fluid;
  • Resorcinol in solution up to 1%;
  • Copper sulfate, zinc sulfate in solution 0.1%;
  • Silver nitrate in solution 0.15%;
  • Phenol in solution up to 5%;
  • Citric acid in solution 1%;
  • Metol solution up to 1.0%;
  • Podophylline ointment;
  • Diphenhydramine paste.

Effective removal products acute inflammation are powders with white clay, with zinc oxide, with wheat starch. When the disease subsides somewhat, you can use zinc oil, as well as neutral ointments that do not contain active ingredients.

A solution of boric acid, a solution of tannin, and a solution of galascorbine helps eliminate swelling of the skin, reduce weeping, and remove redness.

To speed up the healing process at the stage of extinction of inflammation, you can use Lassara paste, zinc ointment with the addition of Naftalan paste, Ichthyol paste, Boron-zinc and Boron-naphthalan paste, Dermatol and Methyluracil paste.

As for corticosteroid ointments, to get rid of eczema on the hands, doctors often prescribe Elokom, Advantan, Skin-cap, Flucinar, Celestoderm. If the patient has microbial eczema, then it is best to use Trimistin, Lorinden S, Celestoderm with Garamycin, Travocort, Kremgen.

Diet and nutrition for eczema

Any food allergen can trigger the development of eczema in some cases, and what is extremely undesirable for one person is completely tolerated by others. For this reason, the diet should be selected strictly individually, excluding those foods that provoke an exacerbation of eczema in a particular patient.

The usual frequency of meals for eczema is from 4 to 6 times in small portions.

In order to identify products, causing exacerbation, you need to keep a food diary for some time, where you write down not only everything that is eaten and drunk during the day, but also the body’s reaction over the next 2 days. After analyzing the relevant records, “calculating” the guilty product of work is not difficult. Such products should be excluded from the diet completely and not used even in combination with others, for example, when preparing salads or as one of the components of baked goods. The duration of such a strict diet is about 1 year, after which the body usually “forgets” the allergen and does not react with inflammation to its presence in food.

The most common allergens in animal products are:

  • bird,
  • seafood,
  • caviar,
  • fish,
  • eggs,
  • milk (including goat milk).

Plant products containing allergens:

  1. Cereals: corn, barley, rye, wheat.
  2. Nuts.
  3. Legumes: peas, soybeans, beans, lentils.
  4. Vegetables, fruits of red, yellow or orange color: citrus fruits, melon, persimmon, apricot, peach, watermelon, carrots, beets, strawberries, strawberries, raspberries, currants, pomegranates, grapes, tomatoes.
  5. Chocolate: candies, cocoa.
  6. Other products: kiwi, garlic, avocado, radish, horseradish, mushrooms, eggplant, radish, chestnut, spices, ketchup, mayonnaise, smoked meats, caramel, pickles, pastry, honey, coffee, mustard, vinegar, cheeses, kvass, etc. P.

When compiling hypoallergenic diet It must be remembered that there is a so-called cross allergy when eating one product causes an allergic reaction when eating others:

  • milk - beef - digestive enzymes,
  • pollen - fruits and berries.
  • Mold (for example, in cheese) - kefir - various cheeses - products made from yeast baked goods - last year's fruits.

In this case, if an allergy is detected, say, to pollen, then it is necessary to exclude or sharply limit berries and fruits.

In the event of eczema, you must fully comply with all recommendations, since one episode of eczema can be associated with one allergen, then a subsequent exacerbation of the disease can be triggered by completely different allergens.

Physiotherapeutic procedures

They contribute to the resolution of inflammatory elements and are an important component of treatment. Applicable:

  • 2-4 chamber baths
  • dry radon baths, mineral water baths
  • aerotherapy, electrosleep
  • diphenhydramine inhalations
  • general galvanization
  • diadynamic therapy
  • segmental ultrasound exposure
  • ultraviolet irradiation
  • ultraphonophoresis of external medicinal products
  • mud therapy, ozokerite therapy
  • laser therapy, ozone therapy
  • low frequency magnetic field
  • acupuncture
  • paraffin applications

Spa treatment

Folk remedies for the treatment of eczema

The home medical book contains many recipes and tips that will help you fight eczema.

  1. Vinegar, egg and water. In a glass you need to beat one egg with the addition of 50 ml of vinegar and the same amount of water. Lubricate the weeping eczema before going to bed and cover with a clean cloth. In the morning, there is no need to wash off the dried film; cover it with another layer of the mixture prepared the day before. A few days of such treatments and the eczema will stop getting wet.
  2. Calendula, chamomile, sage. Pour in liter jar one tablespoon of each plant. Pour boiling water over the collection, cover with a lid and let it brew for a couple of hours. When the broth has cooled down to warm state, put your hands in it. Chamomile perfectly relieves inflammation and soothes the skin, sage eliminates itching and burning, calendula disinfects the surface of the wound. Such baths can be done several times a day.
  3. Salt baths. Hot salt baths are very effective for dry eczema. They disinfect the surface, relieve inflammation and itching. Pour a couple of tablespoons of salt into a liter of hot water and dissolve it. Place your hands in the bath and keep them there for at least half an hour.
  4. Aloe and Kalanchoe juice. These plants have powerful bactericidal properties. The leaves can be crushed in a blender and then squeezed out through cheesecloth. You need to lubricate the eczema with freshly prepared juice 2-3 times a day to speed up wound healing.
  5. Strawberries. Strawberries will help relieve inflammation and burning. Fresh berries should be kneaded and applied to affected areas of the skin.
  6. Oil and vinegar. Any vegetable oil has a huge amount of vitamin E, which is involved in collagen synthesis and promotes skin regeneration. Vinegar disinfects the wound and helps relieve inflammation. Mix the two components in equal proportions, soak a clean piece of gauze in the liquid, and then apply the lotion to the eczema for 10 minutes. Two procedures a day will be enough for the wound to begin to heal within 3-4 days.
  7. Sea buckthorn oil. Sea buckthorn oil is excellent for softening tissues during dry erosion. The oil must be preheated and applied to the affected areas of the skin.
  8. Cabbage and milk. Cabbage leaves should be carefully removed from the head of cabbage, pour milk over them and put on medium heat. When the milk boils, reduce the heat and simmer the leaves until they become soft. Milk cabbage leaves should be applied to the affected skin of the hands twice a day.

These recipes are quite effective, but can only be used in combination with conservative treatment.

Eczema on the hands during pregnancy - features

Pregnancy itself is a serious challenge for female body. The properties of the immune system are aimed at the successful gestation and development of the child. If a woman suffered from any allergies before pregnancy skin diseases, with a high degree of probability, dermatitis will make itself felt again.

In addition, after attaching ovum inside the uterus in the body expectant mother Serious hormonal changes occur, prostaglandins necessary for relaxation of smooth muscles are intensively produced. These factors can become provocateurs in the development of the inflammatory process of the skin.

Expectant mothers note that during pregnancy, the skin becomes drier and sensitivity increases. Using conventional shower gels, soaps and creams can cause the development of eczema.

To prevent such troubles, cosmetics and hygiene products should be replaced with hypoallergenic ones, and also, starting from the 4th month of pregnancy, the skin should be nourished with baby oil or special milk for expectant mothers - this will eliminate such unpleasant symptoms as tightness, dryness and flaking.

Every pregnant woman, faced with eczema, worries: will the disease affect the development of her baby? Experts say that dermatitis itself does not pose any threat to the intrauterine development of the fetus, however, itching of the skin, irritability of the woman and insomnia against the background of unpleasant sensations can lead to negative consequences.

Prevention

To prevent relapses of the disease, it is recommended to protect yourself from all possible allergens: dusty furniture and carpets, pet hair, fish food, household chemicals. Sleep should be complete. Stress and insomnia reduce the body's resistance to the disease, and it can recur. Not recommended for use water procedures longer than 5-10 minutes. It is also necessary to constantly use hypoallergenic nourishing hand creams.

Particular attention should be paid to diet, eliminating all possible allergens and harmful products. It is recommended to engage in aerobic sports and often walk in the fresh air.

Eczema is a dermatological disease in which the skin in exposed areas becomes inflamed. Most often these are hands, face, feet. First, the skin becomes red, a rash, burning and severe itching appears. Eczema is small blisters that, after maturation, burst open and a weeping wound appears. Eczema is very common, accounting for almost half of all dermatological diseases.

Patients with this diagnosis experience not only physical, but also psychological discomfort, since open wounds often seem scary and contagious to others. But eczema is not actually contagious. When an infected bacterium comes into contact with healthy skin, most often no changes occur; very rarely, minor rashes may appear. In order to get eczema, you need to have a number of predispositions. The complexity of the disease is that eczema is very difficult to cure completely. Its course is cyclical - a period of exacerbation is replaced by remission. The fact that eczema keeps coming back again and again is depressing and many patients wonder if it is possible to get rid of eczema forever?

Causes of eczema on hands

Eczema is still one of the diseases, the exact cause of which even doctors do not know. But there are people who may be at risk. For example, eczema overwhelmingly occurs in allergy sufferers. This suggests that people with weak immunity who are not able to withstand certain external factors have a serious predisposition to this kind of disease. Frequent contact with caustic substances may also be provoking factors. chemical compounds, synthetic clothing, low-quality detergents - powder, soap, dishwashing gel.

Eczema can occur due to long-term use some medications, for example, uncontrolled use of paracetamol, analgin. Some people have metal allergies, so wearing metal objects that come into contact with the skin (jewelry, eyeglass frames, belt clips) can also trigger eczema on the hands. Any allergic reactions (to food allergens, to plant pollen) can also cause a dermatological disease.

Most often, eczema occurs from professional activity when a person, due to his specialization, is faced with constant contact with caustic substances. This can happen in paint factories, it can happen in hairdressers (if they perform the hair coloring procedure without gloves), and also in various chemical processes.

Types of eczema and their manifestations

Depending on the form of the disease, eczema is divided into several groups.

  1. True (idiopathic) eczema is characterized by rashes small pimples over a fairly large area of ​​skin. Over time, the blisters burst, leaving inflamed, weeping tissue on the skin. Then the top layer of skin dries out and crusts form, although the inflammatory process continues on the lower layers. This type of eczema is characterized by severe itching.
  2. Microbial eczema. It is characterized by the formation of small pustular pimples and inflammations on the skin, which are of fungal or bacteriological origin. Often microbial eczema occurs locally open wounds, burns, cuts, abrasions, fistulas when pathogenic microbes enter unprotected tissue.
  3. Mycotic eczema is an allergic reaction to a fungal pathogen. A common cause of the disease is ringworm, condidiasis and other types of mycoses.
  4. Seborrheic eczema occurs in people with seborrhea. Most often, lesions are localized on the head, in the inguinal folds, behind ears(that is, in areas of increased sebum production). This kind of eczema rarely appears on the hands.
  5. Occupational eczema occurs due to constant contact with aggressive chemicals.
  6. Dyshidrotic eczema most often occurs on the palms and soles of the feet. Since the skin in these areas is quite thick, inflammation is rarely acute. With such eczema, groups of pustular inflammations appear, which either burst or dry out when closed.

In addition, there are types of eczema such as tylotic, varicose and sikisiphoric. There is also childhood eczema, which is almost always localized on the face - cheeks, forehead.

It is very important to accurately classify your eczema as treatment may vary slightly. To do this, it is better to consult a doctor for correct diagnosis. Regardless of what type of eczema your doctor has diagnosed you with, it needs to be treated comprehensively. Into principles general treatment includes drug therapy (both internal and external), strengthening the immune system, normalizing intestinal function, following a diet, as well as following basic hygiene standards. Let's talk about each point of treatment in more detail.

This is the basis complex treatment, because without normalizing internal resources it is impossible to overcome eczema. Here are several directions in which the doctor acts in order to defeat the disease together with you.

  1. Sorbents. Since one of the common causes of eczema is allergies, the patient is often prescribed sorbents. Once in the intestines, they absorb the allergen, preventing it from causing a reaction in the body. Among them are Filtrum, Polysorb, Enterosgel and others.
  2. Sedatives. If the appearance of eczema is associated with neurological disorders, treatment is often accompanied by taking sedative medications. They normalize the nervous system and protect the patient from sudden attacks aggression. Among the most harmless sedative medications are Novopassit, Persen, tincture of valerian and motherwort.
  3. Hormones. Some hormonal agents (corticosteroids) are very effective against various types of dermatological diseases, but have a number of contraindications. Such drugs are prescribed only by a doctor and are taken according to a gradual withdrawal plan. Under no circumstances should you take hormones uncontrollably and frequently. Prednisolone, Triamcinol, Dexamethasone are used to treat eczema.
  4. Antihistamines. They are a mandatory component of treatment. Cetrin, Zodak, Zyrtec, Claritin, Ketotifen help relieve tissue swelling, reduce itching and burning.
  5. Antibacterial agents. For microbial eczema, antibiotics should be included in treatment. It is best to take a smear or scraping from the wound and do a culture tank, identifying which antibiotics the microbes are least sensitive to.
  6. Beneficial bacteria. To normalize intestinal function and protect the body from dysbiosis, take various probiotics, which sow pathological bacteria and populate the intestines beneficial microorganisms. Among them are Hilak Forte, Linex, Bifiform, Lactobacterin, etc.

In addition, the patient is prescribed vitamins and immunomodulators to strengthen the immune system, since restoration of the body's defenses is the basis of recovery.

External treatment for eczema

It is very important to treat eczema not only from the inside, but also from the outside. To do this, the patient is prescribed ointments and gels with corticosteroids, which relieve itching, burning and inflammation. Among the most inexpensive are Prednisolone, Astroderm, Hydrocartisone ointment. Bepanten and Panthenol will also help relieve itching and redness; these are more gentle and safe ointments that are used for minor eczema.

To relieve itching and inflammation, you can use Burov's liquid, lead water, citric acid solution, menthol solution. Lotions or baths are made from the liquid. At home, you can use talc, starch, and zinc powder to dry wet fabrics.

In addition, eczema can be treated physiologically. The most common procedure is ultrasound irradiation to disinfect the wound from germs.

Hygiene for eczema

Maintaining hygiene is another fundamental condition for getting rid of eczema. Here are a few rules that will not only help you cure eczema, but also protect your body from its recurrence.

  1. Clothes and bed sheets should be made only from natural fabrics. Towels, bed linen and clothing should be changed as often as possible.
  2. When washing, use hypoallergenic powders and rinse clothes several times.
  3. Try to carry out wet cleaning of premises daily.
  4. Between courses of treatment, do not use hormonal ointments too often - addiction occurs in the body, and the effectiveness of the drug decreases.
  5. When working with caustic chemicals, it is imperative to use protective equipment - respiratory masks, rubber gloves, and a gown.
  6. When open wounds appear, to avoid the formation of eczema, the damaged skin should be thoroughly disinfected.

These simple rules will help you avoid periods of exacerbation of eczema or completely forget about the problem.

Diet is an important component of recovery

In the fight against many diseases, diet is one of the main components on the path to recovery. It is necessary to exclude provoking foods from the diet - those to which you are allergic. The most common food allergens are eggs, strawberries, chocolate, nuts, honey, and citrus fruits. You should also avoid spicy, salty and smoked foods, and instant cooking. Fast food, carbonated drinks, chips and salted nuts clog the intestines, which increases skin rash. Food should be dietary, light, healthy.

The home medical book contains many recipes and tips that will help you fight eczema.

  1. Salt baths. Hot salt baths are very effective for dry eczema. They disinfect the surface, relieve inflammation and itching. Pour a couple of tablespoons of salt into a liter of hot water and dissolve it. Place your hands in the bath and keep them there for at least half an hour.
  2. Aloe and Kalanchoe juice. These plants have powerful bactericidal properties. The leaves can be crushed in a blender and then squeezed out through cheesecloth. You need to lubricate the eczema with freshly prepared juice 2-3 times a day to speed up wound healing.
  3. Strawberries. Strawberries will help relieve inflammation and burning. Fresh berries should be mashed and applied to affected areas of the skin.
  4. Oil and vinegar. Any vegetable oil contains a huge amount of vitamin E, which is involved in collagen synthesis and promotes skin regeneration. Vinegar disinfects the wound and helps relieve inflammation. Mix the two components in equal proportions, soak a clean piece of gauze in the liquid, and then apply the lotion to the eczema for 10 minutes. Two procedures a day will be enough for the wound to begin to heal within 3-4 days.
  5. Sea buckthorn oil. Sea buckthorn oil is excellent for softening tissues during dry erosion. The oil must be preheated and applied to the affected areas of the skin.
  6. Vinegar, egg and water. In a glass you need to beat one egg with the addition of 50 ml of vinegar and the same amount of water. Lubricate the weeping eczema before going to bed and cover with a clean cloth. In the morning, there is no need to wash off the dried film; cover it with another layer of the mixture prepared the day before. A few days of such treatments and the eczema will stop getting wet.
  7. Calendula, chamomile, sage. Pour one tablespoon of each plant into a quart jar. Pour boiling water over the collection, cover with a lid and let it brew for a couple of hours. When the broth has cooled to a warm state, dip your hands into it. Chamomile perfectly relieves inflammation and soothes the skin, sage eliminates itching and burning, calendula disinfects the surface of the wound. Such baths can be done several times a day.
  8. Cabbage and milk. Cabbage leaves should be carefully removed from the head, pour milk over them and put on medium heat. When the milk boils, reduce the heat and simmer the leaves until they become soft. Milk cabbage leaves should be applied to the affected skin of the hands twice a day.

These recipes are quite effective, but can only be used in combination with conservative treatment.

People suffering from eczema often feel like lepers because of the way others treat them. Eczema often occurs on exposed areas of the skin, patients have to wear gloves, Sunglasses. Do not aggravate the depressed state of a patient with eczema! If there is such a person in your environment, support him with your gaze and kind words, because eczema is not contagious and does not pose any danger to you. Be kinder, and the world will reciprocate you!

Video: how to treat eczema

Many people are interested in what eczema on the hands is, as well as the causes and methods of treatment. of this disease. The inflammatory process that affects the dermis and is chronic is called eczema. Most often it affects the hands, penetrating deeper and affecting the middle layer of the skin.

The disease manifests itself small rash, which is accompanied by the formation of cracks and blisters that burst and cover large areas of the skin. As a result, wounds arise, where infection constantly penetrates, causing the formation of pus. There are several types of eczema of the hands and fingers:

  • professional;
  • microbial;
  • true;
  • children's room

Why does eczema occur on the hands?

There can be several causes of eczema on the hands. There are a huge number of provocateurs for the onset of the disease, but doctors have not yet been able to identify the main one among them. Experts agree that the onset of the disease is provoked by a whole range of factors. Chief among them are:

Each type of disease develops under the influence specific factors, which cause eczema on the hands. Idiopathic eczema develops under the influence of the following reasons:

  1. High level of nervous tension.
  2. Stress, causing injury psychological in nature.
  3. Autonomic nervous system disorder.
  4. Thyroid dysfunction.
  5. Development of diabetes mellitus.
  6. Hereditary predisposition.
  7. Digestive problems.

Atopic eczema occurs under the influence of factors such as:

  1. Allergic reaction to animal fur, plant pollen, house dust, food, and other irritants.
  2. Genetic predisposition to asthma or bronchitis.

Occupational eczema develops under the influence of factors that are present at work. Most often this is a chemical effect, the influence of gas, steam, smoke. Typically, metallurgists, builders, pharmacists, employees of publishing houses and printing enterprises suffer from this type. The dangers for the skin of the hands are: harmful substances such as nickel, lead, manganese, cobalt, resins, etc.

If occupational eczema is not treated, then the disease will spread throughout the body. Microbial eczema occurs due to the fact that the skin of the hands is constantly under the influence of fungi and bacteria. It can also be triggered by reasons such as:

  • purulent wounds;
  • trophic ulcers;
  • abrasions;
  • burns;
  • cuts.

If the surface of the hands constantly interacts with surfactants, then a type of disease such as dyshidrotic will develop. This disease also occurs under the influence of occupational factors, improper use or irrational exposure to medications, and the use of cosmetics, detergents, the development of diseases of the nervous system, injuries to the skin of the hands, the negative effects of direct sun rays and cold. Infections can also provoke dysdrotic eczema. The deeper bacteria and microbes penetrate, the larger the affected area will be.

The skin of the hands is not affected by seborrheic or varicose eczema, although in medical practice exceptions do occur.

Symptoms of eczema on hands

Like the causes, the symptoms of the disease will differ for one species or another. Often it is external manifestations help doctors make the correct diagnosis, which is necessarily supported by tests and diagnostic measures. Idiopathic eczema has the following symptoms:

  1. Rashes on the skin of the hands look like papules, erythemas, and blisters, which are located in open areas. The rash is symmetrical.
  2. The process is chronic, which provokes the development of skin lichenification.
  3. A person suffers from constant itching and burning, and these factors often indicate the onset of the disease.
  4. Blisters appear earlier than other types of rash. The formations quickly burst, resulting in erosion.

Signs of the atopic type include:

  1. Swelling and redness of the skin.
  2. Covering your hands with small bubbles that quickly burst, forming weeps.
  3. Scales and crusts appear on the skin.
  4. The skin on your hands becomes dry and flaky.
  5. Itching accompanies the patient all the time, i.e. during periods of exacerbation and treatment. If the disease has entered an acute phase, then the itching subsides a little.

The professional type is accompanied by an inflammatory process, which intensifies under the influence of irritants. The disease can spread throughout the body, although it often appears on the fingers. Symptoms develop quickly and are very similar to the idiopathic form. The microbial type occurs around wounds that fester, as well as burns, fistulas, accompanied by purulent inflammation.

Unlike other types of disease, the microbial one affects purulent areas of the skin, which provokes the formation of the stratum corneum and its gradual detachment. Then peeling develops and exudate separates. Crusts then appear in its place. Itching may occur, but not constantly.

The microbial type must be treated urgently, as it can cause damage to symmetrically located areas of the skin.

Dyshidrotic eczema manifests itself as follows:

  1. First, a rash appears that looks like blisters with liquid.
  2. Then the rash affects the sides of the fingers, gradually beginning to spread to the remaining areas of the skin of the upper extremities.
  3. Hands swell and become red.
  4. When the bubbles open, erosions begin to appear, which can be wet. But this does not prevent the skin from peeling and flaking.
  5. There is a constant itching of a pronounced nature.
  6. At the same time, a secondary infection develops, which causes pain, cracking, etc.

How to treat the disease?

An experienced doctor knows how to treat eczema and has the right to prescribe treatment and choose a way to get rid of the disease. Self-medication is contraindicated: having noticed the first symptoms, it is better to immediately go to the hospital, get tested and get recommendations from a specialist. Based on the results of tests and diagnostics, the doctor chooses a treatment method. The patient must be prepared for the fact that the therapeutic course will last a long time. Much depends on the patient himself: timely access to the hospital, compliance special diet developed by a doctor, regular medication intake, etc.

Treatment of any type of disease is prescribed strictly individually for each patient, who, if side effects occur, must immediately report them to the doctor.

This or that type of eczema on the hands, depending on the cause and treatment, goes away in children and adults within different period time. What matters is the patient’s age, his state of health, the presence or absence of bad habits, management active image life, diet

How to treat eczema on hands? First of all, the doctor prescribes a comprehensive medication regimen. First, the dermatologist will prescribe drugs of a pathogenetic nature, which should block the influence external factors, dysfunction internal organs. The next step will be nonspecific therapy:

  • blood transfusion;
  • hirudotherapy;
  • autohemotherapy;
  • lactotherapy.

If the form of eczema is severe, then treatments such as:

  1. Hemosorption.
  2. Plasmapheresis.
  3. Enterosociality.
  4. Taking biostimulants (injections containing aloe or placenta extract).

If the disease provokes the development of neurotic disorders, then the doctor will definitely prescribe the use of Sodium bromide, Bromcamphor and tranquilizers. Additionally appointed sedatives, which should help the body cope with intoxication and reduce the influence of toxins and harmful substances.

Often the disease affects the areas between the fingers, which forces the dermatologist to prescribe an appointment hormonal drugs. The course of treatment with hormones cannot be long, but must be supervised by a doctor. You cannot prescribe or cancel hormones on your own, so as not to harm the body. Drug therapy accompanied by mandatory admission vitamin complexes groups E, B, folic and ascorbic acids. The complex therapy includes the following components:

  1. Antihistamines, which are prescribed as injections, tablets or solutions.
  2. Immunomodulators.
  3. Stimulants.
  4. Enzymes.
  5. Probiotics.
  6. Antibacterial drugs.
  7. Antifungal agents.
  8. Local antimycotics (ointments and creams).

Home treatment and diet

It all depends on what side effects and complications the eczema caused. To speed up recovery, patients are prescribed physical therapy, which helps relieve inflammation of the skin. For the entire period of treatment it is worth switching to dietary nutrition.

You must stop using:

  • spicy and salty foods;
  • fried meat;
  • smoked products;
  • meat broths;
  • alcoholic and alcoholic beverages;
  • cheeses;
  • coffee;
  • chocolate;
  • conservation.

You can treat eczema on your hands at home, but use various folk remedies only on the recommendation of a doctor. In any case, a person carries out the main therapeutic course at home, taking pills and other medications according to a schedule.

Nervous tension affects not only internal state body. It can also manifest itself externally - in the form of eczema of the skin. This chronic disorder causes pain and discomfort to a person. The instructions below will help you figure out how to treat eczema on your hands. Such skin irritation can be treated with official and traditional medicine.

Causes of eczema on hands

This chronic illness skin in the form of inflammation of the upper epidermis is not contagious. Idiopathic hand eczema has been little studied, but doctors have been able to identify a number of provoking factors:

  • emotional stress, depression;
  • diseases of the endocrine system;
  • diseases of the digestive system;
  • diabetes;
  • vegetative-vascular dystonia;
  • deficiency in the diet of vitamin B6, fatty acids;
  • infection with worms;
  • kidney dysfunction;
  • dysbiosis of the intestinal tract;
  • low immunity.

How to treat eczema on hands at home

In most cases, local treatment is carried out. Antibiotics are added to the treatment of microbial diseases, and limiting human contact with the allergen, proper nutrition And bed rest. In addition to these 2 forms, other types of infection are also distinguished:

  • idiopathic;
  • atopic;
  • professional;
  • fungal and seborrheic;
  • dyshidrotic.

Medicine

A doctor may prescribe medications for a specific form of illness. Nervous hand eczema is treated with the following medications:

  1. Sedatives – “Bromcamphor” 5 ml or “Sodium Bromide” 10 ml three times a day for 2 weeks.
  2. Tranquilizers – “Nozepam”, “Chlozepid”, “Phenozepam”.
  3. Herbal preparations – “Novopassit”, “Persen”, “Peony tincture”.

Hormonal medications are prescribed for severe manifestations of inflammation. These may be Dexamethasone, Corticotropin, Prednisolone. Vitamin therapy is mandatory for the treatment of inflammatory processes in the hands:

  • vitamin E oil solution, vitamin B injections;
  • regular ascorbic acid;
  • folic acid.

For any type of eczema, antihistamines are prescribed:

  1. For severe manifestations of inflammation - Diphenhydramine, Promethazine, Chloropyramine. They are introduced bypassing gastrointestinal tract.
  2. Other antiallergic drugs are Cetrin, Dezal, Clarisens, Suprastin.

If a dependence of inflammation on gastrointestinal disorders is identified, then Pancreatin, Festal, Enzistal, Panzinorm Forte and probiotics Hilak Forte, Bifiform or Lactobacterin are prescribed. The microbial form requires treatment with antifungal drugs, such as Nystatin, Levorin, Pimafucin. Local therapy is an ointment for eczema on the hands. The most effective dermatologists consider greasy product"Advantan":

  • lubricate the affected skin surfaces once a day;
  • This ointment for eczema on the fingers has practically no contraindications;
  • the course of treatment continues until you receive positive results, sometimes up to several months.

Cream

How to get rid of eczema on your hands forever? After treatment, numerous creams are used for prevention:

  1. "Elokom". Indications: fungal, viral or bacterial infection. You need to cover the damaged areas once every day. The duration of treatment depends on the achievement of the effect of application. Price – from 400 rub.
  2. "Celestoderm". External medicine for eczema on hands. It is necessary to cover the affected areas with a thin layer up to three times a day. Course of treatment until symptoms disappear. Price – from 250 rub.
  3. "Elidel". Anti-inflammatory cream for the treatment of diseases on the hands of an adult or a child if he is older than 3 months. You need to spread the cream over the affected areas up to 2 times a day. Repeat the procedures until the signs of the disease are completely eliminated. Price – from 100 rub.

Folk remedies

Here's how to treat eczema on your hands with folk remedies:

  1. Hand baths for eczema. This method is recommended for dry eczema. Dilute 2 tbsp in 1 liter of hot water. salt. When the liquid has cooled slightly, place your hands in the bath and do not remove until completely cooled. Repeat the method at least every day.
  2. Emulsion. To treat weeping mold, break 1 egg, add 50 ml of table vinegar there. Dilute with the same amount of water. Mix until smooth, distribute over hands, wrap around them soft cloth. In the morning, do not wash off the resulting film. In the evening, repeat the procedure again.
  3. Kalanchoe. Apply the juice of this plant to the lesions every day.

Diet for eczema

When treating eczema, you need to normalize your diet. Include dairy and herbal products, but give up this:

  • spicy, salty foods;
  • strong meat broths;
  • egg white;
  • fried meat;
  • smoked meats;
  • sweets;
  • alcoholic drinks.

Features of the treatment of hand eczema

Eczema is also classified according to the nature of the disease. This is what eczema on the hands looks like:

  1. Dry. Characterized by dryness and cracking of the skin of the hands. It worsens more often in winter, when air humidity is low. Occurs in a chronic form.
  2. Getting wet. Most often appears on the hands and is a transformation of the dry form. As you can see in the photo, characteristic signs are redness between the fingers and on the hands themselves, swelling and itching. Bubbles form, which then burst, releasing fluid and causing depressions in the epidermis.

Dry

It is important to know what measures are taken to treat dry eczema:

  1. Lubrication with corticosteroid ointments to eliminate peeling. Doctors will tell you exactly how to treat eczema on the hands in the initial stage.
  2. Timely treatment, because dry eczema very quickly turns into weeping eczema.
  3. Regular softening of the skin with creams after completion of treatment.
  4. Eliminating the stress factor to avoid relapses.
  5. Minimizing water procedures.
  6. Elimination of allergens.

Wet

Weeping eczema develops from the dry form and is associated with immune deficiency. Features of her treatment:

  1. No decorations on damaged areas.
  2. Exclusion of cosmetics such as perfumes and deodorants.
  3. Replacing regular powder and soap with baby soaps that are free of fragrances and dyes.
  4. Following a diet, excluding citrus fruits and bright red berries.
  5. Reduce contact with water.
  6. The use of antibacterial and antifungal drugs, because weeping eczema often develops due to fungi of the genus Candida.

Video: how to cure eczema on your hands

Inflammation of the epidermis often indicates the presence of problems in the body, such as allergies or decreased immunity. Eczema is no exception. It appears due to factors that provoke it: nervous overstrain, allergens or genetic predisposition. Whatever the form of the disease, it causes discomfort to a person. To get rid of the sore, watch a useful video on how to treat eczema on your hands.

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on individual characteristics specific patient.

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