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Itchy
There are blisters
Clear liquid in a blister
Redness of the skin
Heat rash
Rashes
My skin is dry
Not seeing your symptoms? No worries!
This refers to a skin inflammation where small blisters develop on the fingers, palms, and soles.
Your doctor may ask these questions to check for this disease:
Avoid harsh soaps and popping the blisters. Moisturizers and steroid creams can help with healing.
Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Yukiko Ueda, MD (Dermatology)
Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Q.
Dyshidrotic Eczema? Why Your Skin Is Blistering & Medical Next Steps
A.
Small, intensely itchy, clear blisters on the sides of the fingers, palms, and soles often point to dyshidrotic eczema, a noncontagious condition tied to immune overactivity and a weakened skin barrier, commonly triggered by stress, contact allergens like nickel or fragrances, sweat, and sometimes fungal infections. See a clinician for confirmation and to rule out infection or contact allergy, especially if you have severe pain, pus, spreading redness, or fever; treatments often include prescription topical steroids or calcineurin inhibitors, short oral steroids or phototherapy for severe cases, plus thick moisturizers and trigger avoidance to prevent flare-ups. There are several factors to consider, so see the complete guidance below.
References:
* Aschenbeck, K. A., & Newman, W. (2020). Dyshidrotic Eczema: A Comprehensive Review. *The Journal of Clinical and Aesthetic Dermatology*, *13*(12), 26–32.
* Guillet, M., Giraudeau, B., Maruani, A., & Lebrun-Vignes, B. (2022). Treatment of dyshidrotic eczema: An updated review. *Journal of Dermatological Treatment*, *33*(2), 643–652.
* Seckin, D., & Kural, N. (2022). The Role of Sweat in Dyshidrotic Eczema: A Critical Review. *Indian Journal of Dermatology*, *67*(3), 253–257.
* Litchman, E., & Litchman, A. (2022). Pompholyx (Dyshidrotic Eczema): Epidemiology, Clinical Features, Diagnosis, and Management. *Clinics in Dermatology*, *40*(2), 173–182.
* Larese Filon, F., Bovenzi, M., Bosco, A., Sarnico, M., & Furlan, M. R. (2020). Allergic Contact Dermatitis in Dyshidrotic Eczema: A Systematic Review. *Contact Dermatitis*, *82*(1), 12–21.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Calle Sarmiento PM, Chango Azanza JJ. Dyshidrotic Eczema: A Common Cause of Palmar Dermatitis. Cureus. 2020 Oct 7;12(10):e10839. doi: 10.7759/cureus.10839. PMID: 33173645; PMCID: PMC7647841.
https://www.cureus.com/articles/42664-dyshidrotic-eczema-a-common-cause-of-palmar-dermatitisNishizawa A. Dyshidrotic Eczema and Its Relationship to Metal Allergy. Curr Probl Dermatol. 2016;51:80-5. doi: 10.1159/000446785. Epub 2016 Aug 30. PMID: 27584966.
https://www.karger.com/Article/Abstract/446785Bose R, Beecker J. Dyshidrotic eczema in two patients on secukinumab for plaque psoriasis: A case report. SAGE Open Med Case Rep. 2020 Feb 10;8:2050313X20904561. doi: 10.1177/2050313X20904561. PMID: 32095241; PMCID: PMC7011358.
https://journals.sagepub.com/doi/10.1177/2050313X20904561