Cutaneous affection characterized by small blisters in hands or feet, that seem to accompany stress.
It affects to the ends and sides of the fingers of hands or feet, palms of the hands and plants of the feet.
Sex
It appears in both sexes, to all the ages, but it is commonest in men between 20 and 50 years.
Causes
Strangers, although seem to be related to periods of anxiety, stress and frustration in the people who do not express their emotions.
The people with dishidrosis have difficulties to relax, still outside the problematic periods.
This problem is not caused by the retention of the sweat, as it were believed in his moment, belief that gave the name him.
Signs and symptoms
Small blisters with the following characteristics:
Blisters are very small (1mm or less of diameter).
They appear in the ends of the foot or fingers, the palms of the hands or the plants of the feet.
The blisters are opaque and you make level yourself with the skin or are slightly prominent.
They are not broken easily.
In certain cases they are joined to form a great blister.
The blisters can prick, hurt or not produce no symptom.
They get worse to the contact with the irritating soap, water or substances.
Factors of risk
Feminine sex.
Stress and internalization of frustrations or annoyances.
Obsessive-compulsive personalities.
Prevention
Follow General the instructions of the section Measured.
They help to prevent the relapses and to treat the active episodes.
Diagnosis and treatment
DIAGNOSIS:
Follow General the instructions of the section Measured.
They help to prevent the relapses and to treat the active episodes.
TREATMENT:
Medical treatment.
Psycotherapy or advising to support stress.
General measures
Whenever it is possible, it avoids the humidity and the heat in the affected zones:
Póngase socks of cotton and shoes with skin sole.
It does not take to slippers of sport or any other footwear done with synthetic materials.
Quítese the socks and the shoes frequently, so that the sweat evaporates.
Póngase cotton vinyl gloves covered to avoid the contact with irritating substances like water, soap, detergent, estropajos of aluminum, products of cleaning and others.
Dry the interior of the gloves after using them.
Deshágase of the gloves if a hole is done to them.
Take gloves to pelar or to express acid fruits and vegetables.
Take to special gloves for the works of the house or the gardening.
If it can, uses the dishwasher. If it does not have one, tries that somebody takes care of that part of the kitchen.
Avoid the contact with irritating chemical agents like the painting, the turpentine spirit and the polishers for cars, grounds, shoes, furniture and metals.
Quítese the ring before making the tasks of the house or of washing the hands.
Use tempered water and very smooth soaps in the shower or the bath.
Medication
It can put preparations of córticoesteroides without prescription to reduce to the inflammation and the picores, 1 or 2 times to the day, unless his doctor advises other meterings to him.
If these do not make effect, the doctor him can prescribe stronger steroid preparations.
Warn its medico if
It observes symptoms of infection around the blisters (inflammation, reddening, sensitivity or heat).
They do not improve the symptoms after one week in spite of the treatment.
In the heat of improvement, the symptoms reappear.
Complications
Secondary bacterial infection (some times).
Prognosis
The symptoms can be controlled by means of treatment, but the relapses are frequent.
The people with slight problems have attacks once in a while, and the skin returns to normality between the episodes.
The people with serious problems have more serious symptoms; sometimes even persistent exfoliations and cracks in the affected skin.