Self-care for dermatitis

Red, cracked, itchy or sore hands could be more than just a cold-weather dry skin problem. It could be a sign of dermatitis, or eczema.Hand dermatitis is characterised by flare-ups of itchy, sore skin that is red, brown or grayish in colour. In some cases, the skin may also be swollen and develop blisters and sores. But it is easily treatable with self-care, or medications. Hand dermatitis comes in various forms, including contact dermatitis, dyshidrotic dermatitis and atopic dermatitis. Contact dermatitis is a reaction to some cell-damaging irritant or allergen such as soap, perfume, cosmetics or cleaning products.

Dyshidrotic dermatitis usually occurs in response to stress and is characterised by a rash that typically starts on the sides of the fingers as small, itchy bumps, but can affect the feet as well as the hands. Atopic dermatitis indicates an allergy to something in the environment and may occur together with symptoms of asthma or hay fever. This condition is usually genetic, and may also be particularly severe during the winter months. It is not limited to hands. It can affect just about any area of the body, although it usually affects the skin in the bend of the elbow and the back of the knees.

Researchers from the University of Kansas Medical Center found that this condition affects about 10 per cent of women and 5 per cent of men in the US, and as many as one in three healthcare workers and cosmetologists whose hands are in frequent contact with water. The disease can be very disabling, depending on its severity. It can also have an emotional impact, due to the stress that can be caused just by the prospect of shaking hands with another individual. People affected by the condition should refrain from washing hands too frequently to avoid the progression of hand dermatitis. Affected individuals should use lukewarm or cool water when washing hands or bathing, they should use a hypoallergenic soap, and should frequently apply a moisturizing cream or ointment.
Prescription treatment is also available for those severely affected by hand dermatitis. Corticosteroid-containing ointments or lotions can provide some relief of itching as well as treat inflammation. Antihistamines and oral corticosteroids are also available to help ease intense itching or swelling. In any case a dermatologist should be consulted before taking any treatment.

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