Dyshidrotic eczema is a common condition distinguished by intensely itchy bumps, or fluid filled blisters, that affect the palms of the hands and occasionally the soles of the feet. The skin condition usually starts as a cluster of small, raised bumps either in the center of the palm or sides of the fingers. As the condition worsens the bumps fill with clear fluid to form blisters, or vesicles, which eventually erupt and leave behind plaques of dry, cracked skin.
Dyshidrotic eczema is also known as pompholyx or palmoplantar eczema. The condition most commonly affects young adults and occurs more often in warm weather areas. It usually recurs in intervals of three to four weeks and can be ongoing for months or years. It's not completely understood why the condition occurs but it is thought that regular exposure to irritants creates a reaction in the layers of the skin leading to skin changes. There are many skin irritants known to cause dyshidrotic eczema. The most common of these are:
Household cleaners such as laundry detergents
Ingredients in cosmetic products such as fragrances and preservatives
Latex and vinyl gloves
Hard metals such as nickel
When the condition is in its early stages, the affected area of skin starts to develop multiple small, raised, bumps that are intensely itchy. The most common area for these to occur is on the palms of the hands and sides of the fingers; occasionally the soles of the feet may be involved as well. For most individuals, avoiding skin irritants and following general skin care measures stops the disease process at this stage. If the condition does progress, itchiness continues and over the next three to four weeks the raised bumps begin to fill with clear, odorless fluid. Eventually the fluid filled blisters erupt and leave behind thick, scaly plaques of skin. The process can continue in similar three to four week cycles, each cycle leading to larger blisters called bullae. In severe cases, scaly plaques of skin may start to crack and fissure, leading to pain and interfering with daily activities.
The first step in treatment is to follow general skin care measures to allow the layers of the skin to heal. These measures include:
Avoiding skin irritants
Using lukewarm water and soap-free cleansers to wash hands
Drying hands completely after washing
Applying ointments or salves such as petroleum jelly, as often as possible
Removing metal jewelry and watches before washing hands
If more severe skin changes do occur despite following skin care recommendations, a strong steroid ointment may be necessary to decrease inflammation and control symptoms. In rare cases the condition may be severe enough to require oral steroid medication to control skin damage and pain.
Skin changes that are associated with severe pain or worsen despite following appropriate skin care measures should be evaluated by a health care professional. In these instances it is important to be evaluated for other potential causes of symptoms. Other conditions which may present as blisters, or vesicles, on the hands include infections with certain viruses such as Herpesvirus or coxsackievirus, fungal infections, or allergies.
I am 56 and I have had clear blisters on hands since two years. My doctor diagnosed them as my stress being the primary cause. They come and go usually and remain only for a week or so. I use a thick moisturizing cream overnight, then visit my doctor and have a steroid shot. This is followed by a round of prednisone and an antihistamine prescription. After this they are generally gone in about a week or so.
Hey, I have found blister on palm and hand treatment! This was pretty much an accident. I found that these hand blisters are a result of potassium deficiency. I just started eating two bananas a day. See now, they are gone.
I have been suffering from water blisters on hands since a month or so. They look like bubbles on hand and some clear liquid is present inside them. It is very hard to believe that this is a result of just an allergy or weather change. I guess it may be something serious, like eczema, a genetic disorder or any other infection. Factors like exposure to sun, detergents and chemicals act as agents that trigger up sudden flares.
Thanks a lot for all this valuable information. I have stopped using detergents with bare hands. I am also avoiding fragrance soaps that may cause allergy to me. I have had little blisters on hands since two weeks. I don’t even try to pop them out. I have been using corticosteroids and also use moisturizing cream –Aveeno to keep my hands moist. Rubbing tea tree oil could be helpful too. Hope this may be of some help.
In my case blisters on hands and feet were appearing too often. I decided to get to the root of this matter. So I began searching the internet for a possible remedy. I found a website - http://en.wikipedia.org/wiki/Dyshidrosis, the images displayed on this website match much with the blisters I have got on my hands and feet. I was yet to confirm from my doctor about what I had got. But these blisters are diagnosed as eczema. My doctor gave me a separate theory, he summed up that these are rashes that have developed due to an allergy. This allergy may have been caused due to weather change accompanied by stress. This has brought my immune system pretty low and as a result, the blisters were appearing. Generally these tiny blisters on hands may be the result of any one of these or a combined effect too-eczema, asthma, dyshidrosis, allergies, climate change, insect bites, dust mites etc. Keep your house clean, change air filters in your ac. Do not accumulate dust at one place in your home, better throw it out. Moisturize your skin, dry skin is more prone to itching.
Even I am also having the same type of problem. But I have small blisters on hands for over a year or so. They come and go. Sometime there is a flare when I suffer due to stress or sickness. My doctor advises me not to scratch them or try to pop them out. They will get aggravated. I don’t use detergents when I get these blisters on; I have been using hydrocortisone cream to control the flares.
I have been having blisters on hand since a couple of days. I can see a clear liquid coming when I try popping them out. These blisters are nowhere on my body other than my hands. They are scattered all over and some are grouped together. If anybody has an idea about what these things are, please help me.