Microbial Eczema on Hands Pictures - 54 Photos & Images

Hand dermatitis is a common group of acute and chronic eczematous disorders that affect the dorsal and palmar aspects of the hand. Hand dermatitis is also known as microbial hand eczema.

Hand dermatitis may affect the backs of the hands, the palms or both. It can be very itchy, often burns, and is sometimes painful. It has acute, relapsing and chronic phases.

Acute hand dermatitis presents with:

  • Red macules, papules and plaques
  • Swelling
  • Blistering and weeping
  • Fissuring
  • Features of chronic hand dermatitis include:
  • Dryness and scale
  • Lichenification

There are various causes and clinical presentations of hand dermatitis.

Patients with all forms of hand dermatitis should be most particular to:

  • Minimise contact with irritants — even water
  • When washing hands, use non-soap cleanser, rinse carefully, and ensure hands are completely dry afterwards
  • Completely avoid touching allergens that have been identified by patch testing
  • Wear task-appropriate protective gloves
  • Apply thick emollients before work/school and reapply after washing or when the skin dries out (this may be 10–20 times in a day)


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