DDx for dyshidrotic eczema
Contact derm (classically to potassium dichromate or rubber) Tinea ID reaction Pustular psoriasis Juvenille plantar dermatosis Rxn to IVIG
Symptoms pts complain of with dyshidrotic eczema
Itching &/ burning
hyperhidrosis
Tx
Open wet compresses to open the vesicles followed by moderate to potent topical steroids. Alternatives include Drysol to relieve hyperhidrosis, botox injections for hyperhidrosis, and phototherapy