Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
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What Treats Hand Eczema?

Monday, 05 Apr 2010 10:16 AM


Question: What is the best treatment for hand eczema?

Dr. Hibberd's Answer;

Eczema is a localized, usually superficial, irritation of skin. Contact dermatitis is very common, especially with teens who are exposed to irritants and various jewelry items that are (inexpensively) plated with nickel-based products. Cleaning products and household cleaners are common causes of hand eczema or dermatitis.

Infections are a less common cause, although occasional fungal conditions may occur that are easily treated with either topical or oral medications.

Sometimes the cause is not very clear, and we may opt for a low dose topical corticosteroid and a mild topical antifungal such as Lotrisone in adults. It is important not to use cortisone preparations alone without appropriate anti-fungal or anti-bacterial coverage on fungal or bacterial infections of skin, as this may add fuel to the fire. If unsure, have a doctor check your condition.

Dyshidrotic eczema, an exaggerated dry skin phenomenon, is also common and the accompanying fissuring and irritation will usually respond to a low dose of a topical corticosteroid once or twice daily for three to five days.

Hope this helps you. As you know, a picture speaks a thousand words, and it may be best to have your condition professionally examined for more specific recommendations.



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