Hand eczema - 手湿疹https://en.wikipedia.org/wiki/Hand_eczema
手湿疹 (Hand eczema) 常出现在手掌和脚底,有时很难或几乎不可能与特应性皮炎、过敏性接触性皮炎以及牛皮癣区分开来,这些皮炎也常累及手部。

通常,手湿疹 (Hand eczema) 相关的皮肤炎症伴有水疱形成和明显瘙痒,但也可能出现坚硬的老茧和疼痛的裂口。

导致手湿疹 (Hand eczema) 的单一因素并不罕见,常见的包括环境因素(如过度洗手)、接触过敏原或刺激物以及遗传倾向。

手湿疹 (Hand eczema) 是一种常见疾病:研究数据显示,一般人群的一年患病率高达 10%。

治疗 - 非处方药
请避免使用肥皂或洗手液。由于手掌和脚底皮肤较厚,低效的非处方类固醇软膏可能不起作用,此时需要医生处方才能使用强效类固醇软膏。
#Hydrocortisone ointment

如果症状严重,每天服用非处方抗组胺药也有帮助。
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]

如果破裂的病灶疼痛,请使用非处方抗生素。
#Bacitracin
☆ 德国 Stiftung Warentest 2022 年的结果显示,消费者对 ModelDerm 的满意度仅略低于付费远程医疗咨询。
  • 减少肥皂和清洁剂的使用对于治疗很重要。
  • 轻度手部湿疹
  • Hand eczema hyperkeratosis ― 当症状变得慢性并恶化时,它可能会破裂和流血。
  • 手指湿疹
  • 严重病例
References Hand eczema: an update 22960812
Hand eczema(手部湿疹) 是影响手部最常见的皮肤病之一,也是与工作相关的最常见皮肤病类型。通常情况下,皮肤科诊所只会诊断出严重的病例,因为早期手部皮炎患者很少主动就医。轻度病例往往在常规职业筛查中被发现。Hand eczema(手部湿疹) 可能成为一种慢性疾病,即使在避免接触致病因素后仍可能持续。其主要危险因素包括个人或家族过敏史、长期暴露于潮湿环境以及接触过敏原。研究表明,女性,尤其是二十多岁的年轻女性,Hand eczema(手部湿疹) 的患病率较高,这可能与环境因素有关。
Hand eczema, one of the most common skin conditions affecting the hands, is also the most common type of skin disease related to work. Typically, only severe cases are diagnosed in dermatology clinics, as patients seldom seek help for early hand dermatitis. Mild cases are usually identified during routine occupational screenings. Hand eczema can become a long-lasting condition, persisting even after avoiding contact with the substance that triggers it. Key risk factors for hand eczema include a personal or family history of atopy, exposure to wet conditions, and contact with allergens. Studies show a higher prevalence of hand eczema among women, especially younger women in their twenties, likely due to environmental factors.
 Hand eczema 24891648 
NIH
Hand eczema 是一种由多种因素引起的慢性皮肤疾病,常与工作或日常家务有关。确切的致因往往难以确定。随着病程进展,部分患者的症状可能加重,导致功能受限,甚至失去工作能力。约有 2%–10% 的人群在某个阶段会出现手部湿疹。它是职业皮肤病中最常见的类型,占所有职业相关皮肤疾病的 9%–35%。
Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis.