Hand eczema - 手濕疹https://en.wikipedia.org/wiki/Hand_eczema
手濕疹 (Hand eczema) 常出現在手掌和腳底,有時很難或無法與異位性皮膚炎、過敏性接觸性皮膚炎以及牛皮癬區分,這些皮膚炎也常累及手部。

與手濕疹 (hand eczema) 相關的皮膚發炎通常伴隨水皰形成與明顯的搔癢,亦可能出現堅硬的老繭或疼痛的裂口。

手濕疹 (hand eczema) 的單一誘因並不罕見,常見因素包括環境因素(如過度洗手)、接觸過敏原或刺激物,以及遺傳傾向。

手濕疹 (hand eczema) 是常見疾病:研究顯示,一般人群一年患病率可高達 10%。

治療 - 非處方藥
請避免使用肥皂或洗手液。因手掌與腳底皮膚較厚,低效的非處方類固醇軟膏可能無效,此時需醫師處方才能使用強效類固醇軟膏。
#Hydrocortisone ointment

如果症狀嚴重,每天服用非處方抗組織胺也有幫助。
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]

如果破裂的病灶疼痛,請使用非處方抗生素。
#Bacitracin
☆ 德國 Stiftung Warentest 2022 年的結果顯示,消費者對 ModelDerm 的滿意度僅略低於付費遠距醫療諮詢。
  • 減少肥皂和清潔劑的使用對於治療很重要。
  • 輕度手部濕疹
  • Hand eczema hyperkeratosis ― 當症狀變得慢性並惡化時,它可能會破裂和流血。
  • 手指濕疹
  • 嚴重病例
References Hand eczema: an update 22960812
Hand eczema 是影響手部最常見的皮膚疾病之一,也是與工作相關的最常見皮膚病類型。通常情況下,皮膚科診所只會診斷出較嚴重的病例,因為早期手部皮膚炎的患者很少主動就醫。輕度病例多在常規職業篩檢時被發現。手部濕疹可能會成為慢性疾病,即使避免接觸誘發濕疹的物質後仍可能持續存在。手部濕疹的主要危險因子包括個人或家族過敏史、長時間暴露於潮濕環境以及接觸過敏原。研究顯示,女性,特別是二十多歲的年輕女性,手部濕疹的盛行率較高,這可能與環境因素有關。
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 是一種由多種因素引起的慢性皮膚狀況,常與工作或日常家務相關。確定確切的致因往往相當困難。隨著時間推移,病情可能惡化至足以影響患者的日常功能。約有 2% 至 10% 的人於一生中會出現手部濕疹。此疾病是職業皮膚問題中最常見的之一,佔所有工作相關皮膚疾病的 9% 至 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.