Idiopathic Chronic dermatitis

Scott tscottd at home.com
Tue Jun 15 22:51:22 EST 1999


Yes, thank you for your help. I too thought of this.  My feet are fine.  Is it
common to have this condition only on your hands?

Larry Preuss wrote:

> In article <3765E48C.B20BB2DB at home.com>, Scott <scott at home.com> 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?
> >
> >Thank you for your help
> >Scott
>
> Scott, this sounds very much like dyshidrosis, and the people to consult
> about it are he dermatologists rather than the allergists. It would be
> extremely rare to see a contact hypersensitivity reaction affecting the
> palms of the hands and not the dorsa as well. The skin of the palm is so
> tough, compared to that of the back of the hand, that is is almost never
> affected alone. There are special cases, such as that of a butcher who used
> a knife with a cocabola wood handle, but such cases are pretty obvious.
> Latex is certainly not the obvious offender here.
>
> --
> Larry Preuss
> Ann Arbor, MI
> USA




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