eMedicine Specialties > Pediatrics: General Medicine > Dermatology
Dyshidrotic Eczema: Differential Diagnoses & Workup
Updated: Apr 9, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Other Problems to Be Considered
- Id reaction (ie, autoeczematization)
- Pustular psoriasis
- Primary fungal infection
- Recurrent focal palmar peeling (previously termed keratolysis exfoliativa)
- Dyshidrosiform bullous pemphigoid that may have vesicles (vesicular pemphigoid) or may be evident as erythema and swelling with bullae on the palmoplantar areas8
Workup
Histologic Findings
The vesicles in patients with dyshidrotic eczema are intraepidermal and spongiotic.
More on Dyshidrotic Eczema |
| Overview: Dyshidrotic Eczema |
Differential Diagnoses & Workup: Dyshidrotic Eczema |
| Treatment & Medication: Dyshidrotic Eczema |
| Follow-up: Dyshidrotic Eczema |
| Multimedia: Dyshidrotic Eczema |
| References |
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References
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Guillet MH, Wierzbicka E, Guillet S, Dagregorio G, Guillet G. A 3-year causative study of pompholyx in 120 patients. Arch Dermatol. Dec 2007;143(12):1504-8. [Medline].
Chen JJ, Liang YH, Zhou FS, et al. The gene for a rare autosomal dominant form of pompholyx maps to chromosome 18q22.1-18q22.3. J Invest Dermatol. Feb 2006;126(2):300-4. [Medline].
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[Best Evidence] Boyle RJ, Bath-Hextall FJ, Leonardi-Bee J, Murrell DF, Tang ML. Probiotics for treating eczema. Cochrane Database Syst Rev. Oct 8 2008;CD006135. [Medline].
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Klein AW. Treatment of dyshidrotic hand dermatitis with intradermal botulinum toxin. J Am Acad Dermatol. Jan 2004;50(1):153-4; author reply 154. [Medline].
Landow K. Hand dermatitis. The perennial scourge. Postgrad Med. Jan 1998;103(1):141-2, 145-8, 151-2. [Medline].
Ogden S, Clayton TH, Goodfield MJ. Recalcitrant hand pompholyx: variable response to etanercept. Clin Exp Dermatol. Jan 2006;31(1):145-6. [Medline].
Petering H, Breuer C, Herbst R, Kapp A, Werfel T. Comparison of localized high-dose UVA1 irradiation versus topical cream psoralen-UVA for treatment of chronic vesicular dyshidrotic eczema. J Am Acad Dermatol. Jan 2004;50(1):68-72. [Medline].
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Further Reading
Keywords
dyshidrotic eczema, rash, pompholyx, dyshidrosis, cheiropompholyx, chiropompholyx, dyshidria, palmoplantar hyperhidrosis, dermatitis, pruritic vesicular eruption, acute and recurrent vesicular hand dermatitis, skin rash, treatment, diagnosis, outbreak, skin condition, metal hypersensitivity, contact dermatitis
Differential Diagnoses & Workup: Dyshidrotic Eczema