Hand dermatitis: review of etiology, diagnosis, and treatment
| Autor: | John P. Trafeli, Adam D. Perry |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Hand washing
medicine.medical_specialty Histamine Antagonists Administration Oral Primary care Hand Dermatoses Administration Cutaneous Stratum corneum medicine Initial treatment Humans Glucocorticoids Referral and Consultation Barrier function Transepidermal water loss integumentary system business.industry Public Health Environmental and Occupational Health Patch Tests Phototherapy Dermatology Anti-Bacterial Agents medicine.anatomical_structure Hand dermatitis Etiology Family Practice business Immunosuppressive Agents |
| Zdroj: | Journal of the American Board of Family Medicine : JABFM. 22(3) |
| ISSN: | 1558-7118 |
| Popis: | Hand dermatitis is a common condition seen in the primary care setting. Occupational exposures and frequent hand washing often lead to symptoms that are irritating and may cause discomfort. Irritant dermatitis, atopic hand dermatitis and contact hand dermatitis account for at least 70% of all diagnoses. A unifying feature in most cases is an underlying disruption in the stratum corneum, altering its barrier function. Transepidermal water loss increases with barrier disruption and is exacerbated by additional exposure to water. Precise diagnosis and subsequent treatment present a considerable challenge, and hand dermatitis often becomes chronic. Initial treatment should be aimed at controlling inflammation and restoring the skin's natural barrier. Common management recommendations include the avoidance of irritants and potential allergens along with the use of emollients and topical corticosteroids to decrease inflammation. Simple petroleum-based emollients are very effective at restoring hydration and repairing the stratum corneum. Referral to a Dermatologist or an Allergist may be necessary for patients who require patch testing or those with refractory symptoms. |
| Databáze: | OpenAIRE |
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