Tuesday, November 23, 2004

Hand Eczema

Hand eczema often results from a combination of causes, including genetic makeup, injury, contact with irritants and allergy. It is frequently caused or aggravated by work, when it is known as occupational dermatitis.

Hand eczema is particularly common in industries involving cleaning, catering, metalwork, hairdressing, healthcare and mechanical work.

Hand eczema varies in severity. It may affect the backs of the hands, the palms or both sites. Often it starts as a mild intermittent complaint, but it can become increasingly severe and persistent.

The affected skin initially becomes red and dry, then progresses to itchy bumps and fluid-filled blisters, scaling, cracking, weeping and swelling. Bacterial infection can result in pustules, crusting and pain. Longstanding eczema at the ends of the fingers may result in deformed nails. Hand eczema can spread to affect other sites, particularly the forearms and feet.