Dyshidrotic Eczema
Dyshidrotic eczema is a chronic, itchy condition of the hands and/or the feet that presents with identifiable fluid-filled blisters, classically on the sides of the fingers or insole of the foot. The itching is intense and persistent, and the rash may fissure, ooze, or become crusted. There is no known cause for dyshidrotic eczema, but it is believed due to a malfunction of the sweat glands / ducts in these areas. When presented with hot or moist environments, sweat collects within the ducts and leads to the inflammation that characterizes the condition.
Dyshidrotic eczema is recurrent often necessitating frequent treatment. Care must be taken to avoid hot environments or prolonged contact with water. For oozing and crusting lesions, Burow's wet dressings or Burow's (Domeboro) compresses three times daily may be used. In addition, potent topical steroids and moisturizers may be used with great success for this condition.
These soaks are used to dry weeping and oozing eczematous rashes. Here's how to make a compress:
* One packet dissolved in 16 ounces of water makes a modified Burow's Solution approximately equivalent to a 1:40 dilution; two packets, a 1:20 dilution; and four packets, a 1:10 dilution.
* Dissolve one or two packets in water and stir the solution until fully dissolved.
* Do not strain or filter the solution.
* Can be used as compress, wet dressing or as a soak.
AS A COMPRESS OR WET DRESSING:
+ Saturate a clean, soft, white cloth (such as a diaper or torn sheet) in the solution; gently squeeze and apply loosely to the affected area.
+ Saturate the cloth in the solution every 15 to 30 minutes and apply to affected area.
+ Discard solution after each use.
+ Repeat as often as necessary.
AS A SOAK:
+ Soak affected area in the solution for 15 to 30 minutes.
+ Discard solution after each use.
+ Repeat three times a day.
Don Mehrabi MD, FAAD
Dermatologist, Certified by the American Board of Dermatology
Los Angeles, California
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