Reader Ngoc Nhi, 24 years old: I often have peeling, cracked skin on my hands and feet. Sometimes there are blisters and itching. It happens most often in the cold season. I went to the doctor, and was diagnosed with eczema, atopic dermatitis, and recently dyshidrosis. I am confused about what disease I have. I hope the doctor can advise me.
BS-CKI Nguyen Minh Phong - Dermatologist - Nam Saigon International General Hospital:
Dear friend,
Eczema is the name of a group of diseases that cause symptoms of itching, dry skin, redness, and skin inflammation, including: atopic dermatitis, contact dermatitis, dyshidrotic eczema, nummular eczema...
Distinguish the difference between atopic dermatitis and dyshidrosis:
1) Atopic dermatitis:
Definition: This is a chronic inflammatory skin disease. The disease usually appears in children and progresses to adulthood, often recurring many times, associated with allergic diseases such as atopic dermatitis and asthma.
Symptoms: Red, rough patches of skin depending on age, spreading down the neck and trunk.
Causes: The specific cause of atopic dermatitis is not yet known. However, there are some favorable factors that can trigger atopic dermatitis:
- Consume foods that are easily allergenic such as seafood and beef.
- Genetics (if a parent has atopic dermatitis, 60% of children will have the disease, and the rate of children having the disease can be up to 80% in cases where both parents have the disease);
- Weather changes;
- Allergic to animal hair, pollen;
- Allergic reaction to chemicals, detergents…;
- Viral or bacterial infections.
2) Dyshidrotic eczema:
Definition: A special form of eczema. It is characterized by its appearance on the palms and edges of the fingers and soles of the feet. In rare cases, it may appear on the backs of the hands and soles of the feet, but it never extends beyond the wrists and ankles.
Symptoms: The blisters of dyshidrosis are 1-2mm in diameter, often deep in the skin, thick and hard, difficult to break, scattered or concentrated in clusters on the sides of the fingers, toes or palms, soles of the feet. If not treated promptly, dyshidrosis can spread to other parts of the body, affecting the life and aesthetics of the patient.
Causes: The causes of the disease are very diverse, irritants (soap, detergents, chemicals, etc.) are the most common causes. This disease is related to occupations: construction workers, hairdressers, housekeepers, cleaning staff, workers in industries exposed to chemicals.
In your case, Ngoc Nhi, your skin is showing a combination of symptoms of both atopic dermatitis and dyshidrosis. Therefore, you should soon visit a dermatologist to get an accurate diagnosis of the skin inflammation.
Note: Do not arbitrarily use oral or topical medications to treat dermatitis without a specialist's prescription to avoid possible unfortunate complications that may affect your health and skin's aesthetics.
Wishing Ngoc Nhi successful treatment of her dermatitis and a quick return to work and normal life.
How to care for skin with atopic dermatitis or dyshidrosis:
- Apply moisturizer regularly.
- Wear loose, airy clothing.
- Avoid contact with skin irritants such as strong detergents, soaps, etc.
- Clean body hygiene.
- Limit foods that irritate the skin such as seafood, beef, etc.
Readers who need advice on health and disease prevention, do not hesitate to send questions to the Alo Doctor Consulting Mailbox .
Source: https://www.sggp.org.vn/hieu-dung-ve-cham-viem-da-co-dia-va-to-dia-post780451.html
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