This site is intended for healthcare professionals only

Palms of hands, in images

Written by: | Published:

Many conditions can occur on the palms of hands Many conditions can occur on the palms of hands

Irritant eczema

The most common cause of eczematous changes on the palms may occur in those with genetic tendencies towards atopic eczema, or those who have contact with irritant substances such as soap and detergents, cutting oils or vegetable juices. Up to 10 per cent of the population may be affected. It is particularly common in those who work with irritant substances, such as cleaners, caterers, hairdressers and healthcare workers, requiring frequent hand washing. Symptoms include itching, inflammatory changes, flaking skin, fissures, vesicles and blisters. The main approach to treatment is to reduce/stop exposure to the irritant substances. If necessary, recommend cotton-lined protective gloves, especially during 'wet work.' Prolonged use of gloves may aggravate the situation. Frequent application of emollients helps and ointments are more effective than creams. A topical corticosteroid for a month may be necessary to get the condition under control, but skin atrophy may follow continued use. Maintenance therapy two to three times a week is sometimes required. Severe cases may need to see a specialist who may prescribe topical calcineurin inhibitors, phototherapy, oral retinoids or immunosuppressive agents.

Contact eczema

Contact eczema


Please login or register to read the rest of the article and to have access to downloads and comments.


What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Most read articles from Practice Nursing Journal

Practice Nursing Journal latest issue and most read articles.

Click here to read a selection of free to access articles from Practice Nursing Journal

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.