Dry eczema on the hands and feet - treatment with drugs and folk remedies
Jul 11, 2018
Dry or asteatotic eczema is a form of dermatitis that manifests itself by excessive dryness, irritation of the skin and the appearance of painful, long-healing cracks. This kind of dermatosis is characterized by a persistent recurrent course, the exacerbation of the disease occurs mainly in the cold season. Dry eczema affects mainly the hands and fingers, in some cases the lesions are located on the lower limbs.
1 The causes of the development of the disease
- 2 Symptoms of dry eczema
- 3 Diagnosis
- 4 Treatment of dry eczema
- 5 Medical treatment( tablets, ointments, creams)
- 6 Treatment of dry eczema with folk remedies
- 7 Reviews
Reasons for developmentDiseases
The development of dry eczema can be caused by a variety of reasons.
- Environmental impact. Provoke an exacerbation of dermatosis can dry air. This factor is especially pronounced in the winter season, while in summer the symptoms of dry eczema usually subside.
- Professional factor. In many cases, dry eczema on the hands appears as a result of constant contact with chemicals in the workplace. As irritants, allergens can be alkalis, acids, paint, glue, detergents, mortars.
- Genetic factor. Often the development of eczema is associated with a hereditary predisposition to this disease. The disease is transmitted from parents suffering from dermatoses.
- Chronic infections( viral, bacterial, fungal), provoking a decrease in immunity.
- Metabolic disorders.
- Allergic reactions.
- Diseases of internal organs( liver, kidneys, gastrointestinal tract).
- Psychoemotional factor. There is a relationship between exacerbations of eczema and the mental state of the patient. Doctors say that constant nervous stress and depression often provoke the onset of an illness.
Symptoms of dry eczema
A characteristic symptom of the disease is excessive dryness of the skin, with the allocation of a skin pattern. There is a feeling of tightened skin, the skin becomes rough and rough. To these manifestations, the inflammatory process and reddening of the skin soon join.
At the initial stage, the signs of inflammation are weak, but as the disease progresses, bright red rashes appear in the skin in the form of eczematous papules prone to overgrowth and fusion into large plaques. With dry eczema, vesicles filled with liquid( vesicles), as a rule, do not form.
The appearance of rashes is accompanied by intense itching, which causes serious discomfort to the patient and can cause nervous breakdowns and depressive conditions. Itching is so pronounced that it can cause disorders of the nervous system: development of insomnia and depressive conditions.
Further development of the disease leads to the formation of thin and deep surface cracks on the skin, which when attached to the inflammation are very painful. The appearance of the skin is reminiscent of the surface of old, cracked porcelain, besides dry skin begins to peel off.
If the disease continues to progress, the appearance of exudate is attached to the manifestations of eczema, there are wetting areas which, when dry, are covered with a coarse red crust.
Dry eczema on the legs ofmay manifest as a lesion of the soles, a kind of dermatitis called tylotic( horny) eczema. The disease develops imperceptibly, for a long time, since the skin on the soles is coarser and has a thick horny layer. A distinctive feature of horny eczema is the appearance of bubble rashes, severe itching and intense peeling.
To make the correct diagnosis for dry eczema, it is important to collect a complete and detailed medical history and differentiate the disease from other types of dermatosis. Symptoms of eczema often resemble a clinical picture of atopic( allergic) and contact dermatitis, so it may be necessary to study samples of the epidermis.
Skin biopsy is rarely performed, only in those cases where there are difficulties in establishing a definitive diagnosis due to secondary infection. In the overwhelming majority of cases, an experienced dermatologist has a visual inspection, since the characteristic symptoms of the disease are usually pronounced.
After specifying the diagnosis, the physician will individually decide the issue, than treating dry eczema, given the degree of severity of dermatosis and the patient's state of health.
Treatment of dry eczema
Dry eczema therapy is usually prolonged and implies not only conservative medical treatment, adjustment of the whole way of life, but also compliance with a certain diet. Treatment of eczema should be started in time, with the appearance of the first symptoms, it will help prevent the transition of the disease into a chronic form and will lead to persistent and prolonged remission.
The main methods of drug therapy are the administration of drugs that restore immunity, eliminate foci of chronic infection and treat associated diseases. For topical use, topical preparations( ointments, creams, gels, emulsions) are used to help relieve painful symptoms, relieve itching and soften dry skin.
Drug treatment( tablets, ointments, creams)
Systemic treatment of drugs involves the appointment of vitamin-mineral complexes and antihistamines, which contribute to the elimination of allergic reactions and itching. In cases of sleep disorders, insomnia, irritability, the use of light sleeping pills, sedatives and antidepressants is indicated.
If a bacterial infection joins the manifestations of eczema, the doctor may prescribe a course of antibiotics. Often, the symptoms of dry eczema arise from food allergies. In such cases, the use of enterosorbents( activated carbon, Polysorb) is indicated. These drugs will help to cleanse the body and remove toxins from the intestine. If the course of the disease is complicated by a fungal infection, the use of antimycotic agents is indicated.
Simultaneously with medications, topical agents are used: ointments containing fat-soluble vitamins, glycerin, lactic and glycolic acid. To soften dry skin, you need to use fatty creams, petroleum jelly, special moisturizers. It is recommended to use mild soap for hygienic procedures.
To remove the painful symptoms during an exacerbation hormonal anti-inflammatory ointments of moderate activity will help. They effectively eliminate the itching, irritation and dryness of the skin, contribute to the rapid healing of painful cracks.
To use them should be short courses, as it is possible the development of side effects( atrophy of the skin and decrease of local immunity), which creates conditions for attachment of a bacterial or fungal infection.
If this happens, the treatment is carried out by combined ointments containing antibacterial and antifungal components. Treatment with corticosteroids ointments is continued for 2 weeks, until redness disappears, itching and flaking. After the abolition of medications continue to use softening and moisturizing ointments and creams.
The most popular means for the treatment of dry eczema are creams and ointments:
They are effective for very dry, sore skin. Preparations quickly soften, eliminate irritation, itching and flaking of the skin, relieve inflammation and redness. The treatment plan, dosage and duration of therapy is determined by the attending physician.
In the progression of the disease and the transition of dry eczema to the stage of wetness with further formation of crusts, the use of corticosteroid agents with a higher degree of exposure is recommended:
The use of these drugs prevents the generalization of the inflammatory process. At the same time, it is recommended that the affected areas be treated with Burov's liquid, which has an anti-inflammatory, antiseptic and antibacterial effect.
Currently, there are drugs that, in contrast to hormone ointments, do not have serious side effects, are able to fight the manifestations of the disease no less effectively and quickly eliminate the painful symptoms. This topical inhibitor of calciferin is Pimecrolimus cream and Tacrolimus ointment. Prescribe such drugs should dermatologist.
During the treatment of dry eczema on the legs, concomitantly with corticosteroid agents, treatment with antifungal ointments is prescribed. Avoid combing to avoid attachment of a secondary infection and carefully observe personal hygiene. Often, dry eczema on the feet is accompanied by severe itching. In such cases, prescribe ointments containing antihistamine components.
An obligatory part of complex treatment is changing the habitual diet and adherence to a special diet, as often the development of dry eczema is promoted by food allergy.
Diet and nutrition features for dry eczema
All potential allergens that could exacerbate the disease should be excluded from the diet. These include the following products:
- Chicken eggs
- Citrus fruits
- Spicy, salted, pickled dishes
- Spices and condiments
- Garlic, onion
- Berries( strawberry, raspberry, sea buckthorn, cherry)
- Fatty meat and fish
- Sweet carbonated drinks
- Flour and confectionery
The basis of the diet should be boiled vegetables, sour-milk products, cereals, vegetable soups, dietary meat( chicken, veal, rabbit).Food should be steamed, boiled or stewed. It is recommended to include daily salads in the diet of fresh vegetables, seasoned with vegetable oil.
It is useful to drink more liquid, drink ordinary drinking water, compotes, freshly squeezed juices, green tea. Compliance with hypoallergenic diet will prolong the state of remission and avoid exacerbation of the disease.
Treatment of dry eczema with folk remedies
Medication can be supplemented with folk medicine. Folk methods give a good result, especially at the initial stages of the disease, but before using them, consult with your doctor.
- Oily and soda trays. Allow to soften the skin and get rid of itching. To make a bath in warm water( 500 ml), dissolve one tablespoon of soda and add three tablespoons of any vegetable oil. The resulting emulsion is dropped and held for 15 minutes. The procedure can be done daily, before bedtime.
- The pronounced curative effect has sea buckthorn oil or chamomile. Sea-buckthorn oil can be bought at the pharmacy and lubricated affected skin several times a day. Camomile oil must be prepared by yourself. To do this, 50 g of dry chamomile is ground, filled with 500 ml of vegetable oil and insisted in a dark place for 2 weeks. The finished medicinal product is filtered and used for oil compresses or simply rubbed into the affected skin.
- Spruce gum. It is prepared from equal parts of purified resin( resin), pork wax and wax. All the ingredients are melted in a water bath, cooled, and the resulting composition is smeared with eczema foci 2-3 times a day.
- Applications of yolk oil. Take a dozen hard-boiled chicken eggs, and carefully separate the yolk. Boiled yolks carefully thread on a metal spoke and warm them over the flame of a candle. In this case, the oily liquid is separated from the yolks, which is collected in a cup. The resulting oil is impregnated with a sterile napkin and applied to the affected areas. Compress from raw potatoes. It moisturizes and softens the skin. Raw potatoes should be grated on a fine grater and squeezed juice. The remaining weight should be put in a gauze pouch and applied for several minutes to the foci of eczema 4-5 times a day.
- Compress of herbs. You should prepare a mixture of two parts of chamomile and calendula and one part of sage. The herb collection is poured with steep boiling water, insisted for 30 minutes, cooled and filtered. In the broth moisten a sterile napkin and apply it as a compress on the affected areas.
During treatment with folk remedies, you should remember that you can not rip off dry crusts from the foci of eczema and comb the sores, this can lead to infection.
Additional recommendations of
To avoid exacerbation of the disease, observe some recommendations:
- Avoid prolonged contact of hands with water.
- When working at home( during cleaning, washing dishes), you must protect your hands with gloves.
- At work, work associated with chemicals, mortars and other irritants should only be carried out using special protective equipment( respirators, gloves).
- Constantly apply special moisturizing and nourishing creams and ointments to the skin of hands.
- With dry eczema on your feet, you can not wear synthetic socks and tight, uncomfortable shoes.
Compliance with these simple recommendations will help to prevent the exacerbation of the disease and achieve a stable remission.
I have eczema on my fingers, the skin is dry and scaly. When exacerbations there are painful cracks, which heal for a long time, with the skin constantly itching. It was treated with folk remedies, sea buckthorn oil helped well. After several days of treatment, the skin softened, the cracks healed.
But then the disease returned. Recently tried ointment Advantan. It became easier on the second day of application. The skin became soft, the redness and itching were gone. Now I try to do homework in gloves, so that my hands do not come into contact with detergents.
On hands constantly there is an erythema, an itch and an ecdysis after I shall allow myself to break a diet. Sometimes you want to indulge yourself with forbidden foods( oranges, chocolate).Here the body and gives a reaction, the skin on your hands begins to itch, blushes, it becomes dry, crackles.
I constantly use fatty creams, natural vegetable oils. The doctor prescribed Olok's ointment, she also helps a lot. When the skin is very itchy, I drink Claritin or Loratadin, these remedies help to cope with itching.