Hand Dermatitis

WhatIs ?

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WhatCauses ?

Clinical Presentations Of

Complication Of

Treatment Options For

Prevention Of

What Is Hand Dermatitis?

Hand dermatitis is a chronic inflammatory skin condition which has become more prevalent due to frequent hand washing to prevent COVID-19 (Coronavirus). Soap, hand sanitizers as well as living in cold climates (for instance living in Edmonton, Calgary, Winnipeg, Toronto area), especially during winter season would put people at higher risk.

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Handdermatitis RemoteDerm
Hand Dermatitis
Hand dermatitis RemoteDerm
Hand Dermatitis
Hand dermatitis Remote Derm
Hand Dermatitis
What Causes Hand Dermatitis?

Patients with eczema (atopic dermatitis) are at higher risk of developing hand dermatitis. Using irritating substances like soap or alcohol can irritate the skin and triggers hand dermatitis. Allergic contact dermatitis to products that come into contact with skin (gloves, topical creams, …) can also contribute to formation of hand dermatitis

Clinical Presentations Of Hand Dermatitis

It presents as scaly red inflamed eczema to palm as well as back of hand. Patients may form fissures between finger webspace or over their knuckles which can be very painful.

Complication Of Hand Dermatitis

Superimposed bacterial infection is a main concern for hand dermatitis. When honey crusted, yellowish or greenish discharges are noted, those are indication of bacterial infection.

Treatment Options for Hand Dermatitis
  • Home remedies
    • Moisturizers (CeraVe or Cetaphil, Aveno,…) should be used twice a day and especially after each hand washing
    • Avoiding scented products
  • Over the counter medications
    • Hydrocortisone 1% can be applied once or twice a day to affected area
    • Anti-histamine
      • Claritin (Loratadine)
      • Cetirizine (Zyrtec)
      • Fexofenadine (Allegra)
      • Bilastine
  • Prescription
    • Topical medications
      • Topical steroid creams and ointments can be applied twice a day
      • Protopic ointment & Elidel cream can be applied twice a day
      • Crisaborole topical therapy can be applied once or twice a day
    • Phototherapy
      • Narrow band UVB phototherapy 2-3 times per week
    • Systemic therapy
      • Orel steroid (prednisone) 0.5mg/kg – 1mg/kg staring dose
      • Methotrexate on weekly basis as well as daily folic acid
      • Cyclosporine
      • Imuran
      • Dupilumab (an injectable biologics) may be considered
      • Jack inhibitors (new class of medications)
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Prevention Of Hand Dermatitis
  • Avoiding scented products
  • Avoiding using soap for hand washing, instead benefiting from CeraVe or Cetaphil cleansers
  • Avoiding completely drying the skin post hand washing
  • Applying a thick layer of moisturizer within 3 minutes after hand washing
  • Using cotton gloves, less irritating to skin

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Hand dermatitis is a chronic inflammatory skin condition which has become more prevalent due to frequent hand washing to prevent COVID-19 (Coronavirus). Soap, hand sanitizers as well as living in cold climates (for instance living in Edmonton, Toronto area), especially during winter season would put people at higher risk.