Idiopathic Chronic dermatitis

C.A. Owens caowens at
Tue Jun 15 06:02:40 EST 1999

On Tue, 15 Jun 1999 05:21:38 GMT, Scott <scott at> wrote:

>I have had for nearly 3 years a moderate to severe dermatitis on both
>hands.  Only the palmar surface of the fingers are affected, with
>occasional spreading to the palms.  Tiny blisters form that rupture
>through the skin and create tiny open sores that heel slowly.  At times
>my hands have become lichonified with thick, irritable skin.  The onset
>of this dermatitis did not accompany any changes in my life or home.  No
>detergents, soaps, clothing, furniture, etc. were changed either.
>    I have been worked up by an immunologist who told me that he did not
>know what the cause was treated me empirically with a steroid cream.  I
>was tested for every allergen that he ( the immunologist) suspected.
>Now, I am a medical student and the obvious suspect is latex.  However,
>I have tested negative for a latex RAST, and the symptoms seem to be
>independent of glove type, size, latex v. non latex, powdered v non
>powdered, etc...  It does not seem to matter if have been wearing gloves
>alot or not.
>QUESTION #1    Does anyone have any ideas as to what may be causing
>this?  Or has anyone seen someone with some kind of hypersensitivity
>that is limited to only a portion of the hands?
>Question#2  What are the possible side effects of long-term
>corticosteroid cream (fluocinonide 0.1%) application to the hands, as it
>seems I may be forced to use this for years to come?

Has anybody looked to see whether you have a fungal infection?  This
sounds a LOT like athlete's foot.  Also, stress can cause these sorts
of reactions.  Does it get worse / better as your stress levels

Chris Owens

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