{"id":80436,"date":"2025-09-02T14:51:52","date_gmt":"2025-09-02T05:51:52","guid":{"rendered":"http:\/\/ic-clinic-ueno.com\/hand-eczema\/"},"modified":"2026-07-06T19:42:14","modified_gmt":"2026-07-06T10:42:14","slug":"hand-eczema","status":"publish","type":"page","link":"https:\/\/ic-clinic-ueno.com\/en\/treatment\/hand-eczema\/","title":{"rendered":"Hand Eczema Treatment | Dermatology Outpatient Clinic"},"content":{"rendered":"\n<div class=\"wp-block-sgb-message\"><div class=\"memo sng-shadow-0\" style=\"border-radius:0px;background-color:#fff9e6;color:#ffb36b\"><div class=\"memo_ttl dfont\"><span class=\"sng-box-msg__icon\" style=\"background:#ffb36b\"><i class=\"fas fa-pencil-alt\"><\/i><\/span><div class=\"sng-box-msg__title\"><\/div><\/div><div class=\"sng-box-msg__contents\">\n<p class=\"wp-block-paragraph\">\u26a0\ufe0f Appointments for \u201chand eczema\u201d are available only at the dermatology outpatient department of IC Clinic Shinjuku.<\/p>\n<\/div><\/div><\/div>\n\n\n<div class=\"wp-block-sgb-message\">\n<div class=\"memo sng-shadow-0\" style=\"border-radius: 10px; background-color: #fff4e6; padding: 20px;\">\n<div class=\"sng-box-msg__contents\">\n<p style=\"font-size: 18px; line-height: 1.8; margin-bottom: 15px;\">\u2728 <strong style=\"color: #ff6b6b; font-size: 20px;\">Benefits of reading this article<\/strong><\/p>\n<p style=\"font-size: 16px; line-height: 1.8;\">\u2705 Learn the <mark style=\"background-color: #ffff00;\">correct way to treat hand eczema<\/mark><br>\u2705 Understand the difference between <mark style=\"background-color: #ffff00;\">over-the-counter medications and clinical treatment<\/mark><br>\u2705 Master <mark style=\"background-color: #ffff00;\">specific prevention methods<\/mark> to reduce recurrence<br>\u2705 Find <mark style=\"background-color: #ffff00;\">a suitable treatment approach<\/mark> for your symptoms<\/p>\n<p style=\"font-size: 16px; line-height: 1.8; margin-top: 20px; color: #d63031;\"><strong>\u26a0\ufe0f Risks of not reading<\/strong><br>\u274c Risk of symptoms worsening and becoming <span style=\"background-color: #ffff00;\">chronic<\/span><br>\u274c Possibility of <span style=\"background-color: #ffff00;\">secondary infection<\/span> leading to increased pain<br>\u274c Incorrect care causing <span style=\"background-color: #ffff00;\">prolonged treatment duration<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-20959078 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ic-clinic.b4a.clinic\/clinics\/312\/bookings\/new\/select\/menu\/\">\ud83d\udcc5 IC Clinic Shinjuku \u2013 General Dermatology Outpatient \u2014 Book online here<\/a><\/div>\n<\/div>\n\n\n<p style=\"text-align: center; font-size: 14px; color: #666; margin-top: 10px;\">\u203b Available at the dermatology outpatient department of IC Clinic Shinjuku<\/p>\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc4b \u201cWhat are the symptoms of hand eczema?\u201d<br>\ud83d\udc8a \u201cWhat should I do if I develop hand eczema?\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are troubled by a skin condition affecting your hands, you are not alone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema is <mark style=\"background-color: #ffff00; font-weight: bold;\">a skin condition in which the hands become rough due to a weakened skin barrier function<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-0\">\ud83d\udd0d What is hand eczema?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color: #ffff00; font-weight: bold;\">Hand eczema is a skin condition characterized by cracked skin and the formation of small blisters on the hands<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Excessive hand washing and exposure to detergent ingredients can strip the skin of its moisturizing components, <mark style=\"background-color: #ffff00; font-weight: bold;\">leading to a weakened skin barrier function and the development of hand eczema<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-1\">\u2753 Is stress related to hand eczema? Causes explained<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The cause of hand eczema is <mark style=\"background-color: #ffff00; font-weight: bold;\">skin dryness leading to a weakened skin barrier function<\/mark>. <span style=\"color: #e74c3c; font-weight: bold;\">There is no established link with stress.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The skin on the hands and fingers has a thicker stratum corneum to help withstand external irritation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, <mark style=\"background-color: #ffff00; font-weight: bold;\">frequent wet work or prolonged contact with detergents and similar substances can cause moisture to be lost from the skin<\/mark> if not properly cared for afterward.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When the skin barrier function is compromised, the skin becomes more vulnerable to external irritation, leading to symptoms such as cracking and blisters.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition, when the skin loses moisture and is subjected to various forms of irritation, the stratum corneum loses its elasticity and cracks. To help prevent hand eczema, it is important to <mark style=\"background-color: #ffff00;\">make a habit of minimizing irritation to the fingertips on a daily basis<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-2\">\ud83d\ude16 Does hand eczema cause itching? Symptoms explained<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-size: 18px; font-weight: bold; color: #e74c3c;\">\u26a0\ufe0f Main symptoms of hand eczema<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udca7 <strong>Dry hands<\/strong><\/li>\n\n\n\n<li>\ud83d\ude2b <strong>Itching<\/strong><\/li>\n\n\n\n<li>\ud83e\ude79 <strong>Peeling skin<\/strong><\/li>\n\n\n\n<li>\ud83d\udd34 <mark style=\"background-color: #ffff00;\">Redness<\/mark><\/li>\n\n\n\n<li>\ud83d\ude23 <strong>Swelling<\/strong><\/li>\n\n\n\n<li>\ud83d\udca6 <mark style=\"background-color: #ffff00;\">Blisters<\/mark><\/li>\n\n\n\n<li>\ud83d\udc94 <strong>Cracked skin<\/strong><\/li>\n\n\n\n<li>\ud83e\ude78 <mark style=\"background-color: #ffff00;\">Chapped skin (deep fissures)<\/mark><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In some cases, <mark style=\"background-color: #ffff00; font-weight: bold;\">deep cracks may cause pain or lead to a bacterial infection<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-3\">\ud83d\udd2c How is hand eczema diagnosed?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When hand eczema is suspected, <span style=\"color: #27ae60; font-weight: bold;\">no special examination or tests are typically required<\/span>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, if <mark style=\"background-color: #ffff00; font-weight: bold;\">tinea (athlete\u2019s foot of the hand) is suspected despite symptoms resembling rough skin, a small sample of skin may be collected for testing<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-4\">\ud83d\udc8a How is hand eczema treated?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The primary treatment for hand eczema is <mark style=\"background-color: #ffff00; font-weight: bold; font-size: 18px;\">applying a topical steroid medication two to three times a day<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Topical steroid medications may help <mark style=\"background-color: #ffff00; font-weight: bold;\">reduce inflammation and calm redness in the affected area<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"color: #e74c3c; font-weight: bold;\">\u26a0\ufe0f Important point:<\/span> Even if redness and itching improve, stopping the topical steroid medication too soon may result in a quick recurrence, so <mark style=\"background-color: #ffff00;\">continue applying it until symptoms resolve<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition, <mark style=\"background-color: #ffff00; font-weight: bold;\">since hand eczema is triggered by dry skin, moisturizers may also help relieve symptoms<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Continuing to apply a moisturizer even after redness and itching have subsided <span style=\"color: #27ae60; font-weight: bold;\">may help reduce the likelihood of recurrence<\/span>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-5\">\ud83d\uded2 What over-the-counter medications may help with hand eczema? Hand cream effects also explained<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">For hand eczema, <mark style=\"background-color: #ffff00; font-weight: bold;\">over-the-counter topical steroid medications may also be helpful<\/mark>. Addressing symptoms early is important to avoid scratching, which can spread inflammation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If cracking is severe, <mark style=\"background-color: #ffff00;\">a mild ointment-type topical steroid<\/mark> is generally more appropriate.<\/p>\n\n\n<div class=\"wp-block-sgb-message\">\n<div class=\"memo sng-shadow-0\" style=\"border-radius: 10px; background-color: #ffe6e6; padding: 20px;\">\n<div class=\"sng-box-msg__contents\">\n<p style=\"font-size: 17px; font-weight: bold; color: #c0392b; margin-bottom: 10px;\">\u26a0\ufe0f Notes on over-the-counter medications<\/p>\n<p style=\"font-size: 15px; line-height: 1.8;\">Over-the-counter topical steroids may not always be suited to your specific condition or may not produce the desired results.<br><br><mark style=\"background-color: #ffff00; font-weight: bold;\">Over-the-counter medications should be considered a temporary measure<\/mark>, and you should <span style=\"color: #e74c3c; font-weight: bold;\">seek medical consultation as soon as possible<\/span>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 18px; font-weight: bold; color: #e74c3c; margin-top: 30px;\">\u274c Hand cream alone cannot treat hand eczema!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color: #ffff00; font-weight: bold; font-size: 17px;\">Hand eczema cannot be treated with hand cream alone<\/mark>, so please be aware of this. Hand cream is a moisturizer, not a therapeutic medication.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema involves <mark style=\"background-color: #ffff00; font-weight: bold;\">\u201cinflammation\u201d<\/mark>, not merely dry skin, so <span style=\"color: #e74c3c; font-weight: bold;\">calming the inflammation takes priority over moisturizing<\/span>.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-20959078 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ic-clinic.b4a.clinic\/clinics\/312\/bookings\/new\/select\/menu\/\">\ud83d\udcc5 IC Clinic Shinjuku \u2013 General Dermatology Outpatient \u2014 Book online here<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-6\">\ud83d\udee1\ufe0f How can hand eczema be prevented?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 18px; font-weight: bold; color: #27ae60;\">\u2728 3 prevention methods you can start today<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83e\udde4 <mark style=\"background-color: #ffff00; font-weight: bold;\">Wear gloves when doing wet work<\/mark><\/li>\n\n\n\n<li>\ud83e\uddf4 <strong>Use low-irritant detergents<\/strong><\/li>\n\n\n\n<li>\ud83d\udca7 <mark style=\"background-color: #ffff00; font-weight: bold;\">Keep the skin moisturized<\/mark><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The primary cause of hand eczema is <mark style=\"background-color: #ffff00;\">a weakened skin barrier function due to skin dryness<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Applying a moisturizer or hand cream after wet work or hand washing, when the hands are prone to drying out, may help reduce the risk.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">People who frequently handle water in their daily work or household tasks are more susceptible to chronic hand eczema, so <mark style=\"background-color: #ffff00; font-weight: bold;\">maintaining consistent fingertip care as part of your daily routine is important<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-7\">\u2753 Frequently asked questions about hand eczema<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Here are answers to some frequently asked questions about hand eczema.<\/p>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\">\n<div class=\"schema-faq-section\" id=\"faq-question-1756792267064\">\n<strong class=\"schema-faq-question\">\ud83e\udd14 Can hand eczema be transmitted to others?<\/strong>\n<p class=\"schema-faq-answer\"><mark style=\"background-color: #ffff00; font-weight: bold;\">Hand eczema cannot be transmitted to others<\/mark>. Hand eczema is an inflammatory condition, not an infectious disease caused by bacteria.<br>\nHowever, bacteria can enter through broken blisters or cracks, potentially <span style=\"color: #e74c3c; font-weight: bold;\">causing an infection as a complication<\/span>. While hand eczema itself is not contagious, any resulting infectious complication may be.<br>\nAdditionally, <mark style=\"background-color: #ffff00; font-weight: bold;\">\u201ctinea manuum (hand ringworm)\u201d is contagious<\/mark>, as it is a skin condition that can look similar to hand eczema. If you develop any problem with your hands, please consult a physician first.<\/p>\n<\/div>\n<div class=\"schema-faq-section\" id=\"faq-question-1756792281012\">\n<strong class=\"schema-faq-question\">\ud83d\ude30 What should I do if my hand eczema is not getting better?<\/strong>\n<p class=\"schema-faq-answer\">When hand eczema is difficult to resolve, a treatment called <mark style=\"background-color: #ffff00; font-weight: bold;\">\u201cexcimer light therapy\u201d<\/mark> may be considered. This treatment involves directing ultraviolet light at the inflamed area to help reduce inflammation.<br>\n<mark style=\"background-color: #ffff00; font-weight: bold;\">Types of hand eczema that cause intense itching with small blisters, or types that cause skin thickening, may be difficult to manage with topical steroids alone<\/mark>, and excimer light therapy may be an option in such cases.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-8\">\ud83c\udfe5 For hand eczema treatment in Tokyo, consult IC Clinic<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema is a skin condition that can affect anyone who frequently performs wet work. <mark style=\"background-color: #ffff00;\">Even mild cases may become chronic or worsen over time<\/mark>, so early care is important.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema can sometimes lead to <span style=\"color: #e74c3c; font-weight: bold;\">secondary infections<\/span>, so <mark style=\"background-color: #ffff00; font-weight: bold;\">if you notice any unusual sensation in your hands, please see a physician promptly<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2728 IC Clinic strives to be <mark style=\"background-color: #ffff00;\">a welcoming clinic for patients of all ages and backgrounds<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whatever your symptoms, we will work with you to discuss and propose appropriate treatment options. If you are experiencing any itching, redness, or other concerns with your hands, please feel free to consult IC Clinic.<\/p>\n\n\n\n<div class=\"wp-block-sgb-message\"><div class=\"memo sng-shadow-0\" style=\"border-radius:0px;background-color:#fff9e6;color:#ffb36b\"><div class=\"memo_ttl dfont\"><span class=\"sng-box-msg__icon\" style=\"background:#ffb36b\"><i class=\"fas fa-pencil-alt\"><\/i><\/span><div class=\"sng-box-msg__title\"><\/div><\/div><div class=\"sng-box-msg__contents\">\n<p class=\"wp-block-paragraph\">\u26a0\ufe0f Appointments for \u201chand eczema\u201d are available only at the dermatology outpatient department of IC Clinic Shinjuku.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-20959078 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ic-clinic.b4a.clinic\/clinics\/312\/bookings\/new\/select\/menu\/\">\ud83d\udcc5 IC Clinic Shinjuku \u2013 General Dermatology Outpatient \u2014 Book online here<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-9\">\ud83d\udd2c Detailed pathology and mechanisms of hand eczema<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-10\">\ud83e\uddf1 How the skin barrier function works in detail<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">To understand hand eczema more deeply, let us first explain the skin barrier function. Healthy skin plays an important role in <mark style=\"background-color: #ffff00;\">protecting the body from external irritants and preventing foreign substances from entering<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The stratum corneum, the outermost layer of the skin, is composed of corneocytes and intercellular lipids. This structure is often compared to <mark style=\"background-color: #ffff00; font-weight: bold;\">\u201cbricks and mortar\u201d<\/mark>. The corneocytes act as the bricks and the intercellular lipids as the mortar, together blocking external irritants.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When hand eczema develops, <span style=\"color: #e74c3c; font-weight: bold;\">these intercellular lipids are lost, creating gaps between the corneocytes<\/span>. As a result, moisture evaporates more easily and external irritants can penetrate into the skin more readily.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-11\">\u26a1 The inflammatory process<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The inflammatory reaction in hand eczema is triggered by a complex immune mechanism. When the skin barrier function is compromised, substances that would normally be unable to penetrate reach the interior of the skin, and <mark style=\"background-color: #ffff00;\">immune cells recognize these as foreign bodies<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At this point, <mark style=\"background-color: #ffff00; font-weight: bold;\">Th1 and Th2 helper T cells are activated<\/mark>, releasing pro-inflammatory cytokines such as interleukins. These substances cause vasodilation, increased vascular permeability, and infiltration of inflammatory cells, resulting in symptoms such as <span style=\"color: #e74c3c; font-weight: bold;\">redness, swelling, and itching<\/span>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-12\">\ud83d\udcca Detailed classification and characteristics of hand eczema<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-13\">\ud83d\udc46 Contact dermatitis type<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The contact dermatitis type of hand eczema <mark style=\"background-color: #ffff00; font-weight: bold;\">develops upon contact with specific substances<\/mark>. This type is classified into two subtypes: irritant contact dermatitis and allergic contact dermatitis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db; margin-top: 20px;\">\ud83d\udd35 Irritant contact dermatitis<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This type is caused by chemical irritants and <mark style=\"background-color: #ffff00;\">can occur in anyone exposed to a sufficient concentration or duration of contact<\/mark>. Common causes include detergents, soaps, alcohol-based disinfectants, and organic solvents. Symptoms are limited to the area of contact and may appear even on first exposure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c; margin-top: 20px;\">\ud83d\udd34 Allergic contact dermatitis<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This type is caused by an <mark style=\"background-color: #ffff00; font-weight: bold;\">allergic reaction<\/mark> to specific substances. Common causative substances include nickel, chemical compounds in rubber products, fragrances, and preservatives. Once sensitization has occurred, <span style=\"color: #e74c3c; font-weight: bold;\">even minimal contact can trigger symptoms<\/span>, which may spread beyond the area of contact.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-14\">\ud83d\udca6 Pompholyx (dyshidrotic eczema)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This is a type of hand eczema in which <mark style=\"background-color: #ffff00; font-weight: bold;\">numerous small blisters form on the palms and sides of the fingers<\/mark>. It is thought to involve abnormal function of the sweat glands. It tends to <span style=\"color: #27ae60; font-weight: bold;\">worsen in spring and summer<\/span> and is more common in people with hyperhidrosis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The blisters are clear and cause peeling when they rupture. <mark style=\"background-color: #ffff00;\">Intense itching is often present<\/mark>, and there is also a risk of secondary infection.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-15\">\u23f0 Chronic eczema type<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When hand eczema persists over a long period, <mark style=\"background-color: #ffff00; font-weight: bold;\">the skin becomes thickened and develops a rough texture<\/mark>. This is referred to as the chronic eczema type. The skin surface hardens, making deep fissures and cracks more likely to form.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At this stage, ongoing inflammation means treatment takes longer, and <span style=\"color: #e74c3c; font-weight: bold;\">recovery may take months to years in some cases<\/span>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-16\">\ud83d\udc68\u200d\u2695\ufe0f Characteristics of hand eczema by occupation and age<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-17\">\ud83c\udfe5 Hand eczema in healthcare workers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Those who work in healthcare settings are <mark style=\"background-color: #ffff00; font-weight: bold;\">among the most susceptible occupational groups due to frequent hand washing and disinfection<\/mark>. Since the spread of COVID-19 in particular, enhanced infection control measures have led to a <span style=\"color: #e74c3c; font-weight: bold;\">notable increase in the incidence of hand eczema<\/span>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udca1 Characteristics of hand eczema in healthcare workers:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udca7 <mark style=\"background-color: #ffff00;\">Chemical irritation from alcohol-based disinfectants<\/mark><\/li>\n\n\n\n<li>\ud83d\udd04 <strong>Dozens of hand washings and disinfections per day<\/strong><\/li>\n\n\n\n<li>\ud83e\udde4 <mark style=\"background-color: #ffff00;\">Allergic reactions from rubber gloves<\/mark><\/li>\n\n\n\n<li>\ud83d\udcc9 <strong>Significant impact on work performance<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"color: #27ae60; font-weight: bold;\">\u2705 Recommended measures:<\/span> Use of alcohol-free disinfectants, wearing cotton gloves under rubber gloves, and intensive skin care after work are recommended.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-18\">\ud83c\udf7d\ufe0f Hand eczema in food service workers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Those working in the food service industry are also <mark style=\"background-color: #ffff00; font-weight: bold;\">at high occupational risk for hand eczema<\/mark>, as they are constantly in contact with water and detergents through dishwashing, cooking, and cleaning tasks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c;\">\u26a0\ufe0f Characteristics of hand eczema in food service workers:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83c\udf21\ufe0f <mark style=\"background-color: #ffff00;\">Excessive removal of sebum by hot water<\/mark><\/li>\n\n\n\n<li>\ud83e\uddea <strong>Exposure to strong detergents and bleach<\/strong><\/li>\n\n\n\n<li>\ud83c\udf4b <mark style=\"background-color: #ffff00;\">Irritation from food ingredients (citrus fruits, spices, etc.)<\/mark><\/li>\n\n\n\n<li>\u23f0 <strong>Long working hours with limited break time<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-19\">\ud83d\udc87 Hand eczema in hairdressers and barbers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hairdressers and barbers are prone to hand eczema because they <mark style=\"background-color: #ffff00; font-weight: bold;\">regularly come into contact with chemical substances such as perm solutions, hair dye, and shampoos<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #8e44ad;\">\ud83d\udd0d Key points to be aware of:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83c\udfa8 <mark style=\"background-color: #ffff00;\">Allergic reactions to paraphenylenediamine (a component of hair dye)<\/mark><\/li>\n\n\n\n<li>\ud83d\udca8 <strong>Irritation from ammonia-based perm solutions<\/strong><\/li>\n\n\n\n<li>\ud83d\udca6 <strong>Extended work in wet conditions<\/strong><\/li>\n\n\n\n<li>\u2702\ufe0f <mark style=\"background-color: #ffff00;\">Minor skin injuries during cutting<\/mark><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-20\">\ud83c\udfe0 Hand eczema in homemakers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Wet work in household chores is the main cause. <mark style=\"background-color: #ffff00; font-weight: bold;\">Hand eczema tends to become chronic due to daily housework<\/mark> such as laundry, dishwashing, and cleaning.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e67e22;\">\ud83d\udccb Characteristics of hand eczema from housework:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udcc5 <mark style=\"background-color: #ffff00;\">Continuous daily irritation<\/mark><\/li>\n\n\n\n<li>\ud83d\ude14 <strong>Tendency to downplay symptoms, leading to delayed treatment<\/strong><\/li>\n\n\n\n<li>\ud83d\udd04 <mark style=\"background-color: #ffff00;\">Environmental factors that make it difficult to pause housework<\/mark><\/li>\n\n\n\n<li>\ud83d\ude30 <strong>Worsening of symptoms due to stress<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-21\">\ud83d\udc76 Hand eczema in children<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema in children has <mark style=\"background-color: #ffff00; font-weight: bold;\">different characteristics from that in adults<\/mark>. Because children\u2019s skin is thinner and more sensitive, <span style=\"color: #e74c3c; font-weight: bold;\">even mild irritation can trigger inflammation<\/span>, and symptoms may worsen rapidly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #f39c12;\">\ud83d\udc67 Characteristics of hand eczema in childhood:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83e\ude7a <mark style=\"background-color: #ffff00;\">High association with atopic dermatitis<\/mark><\/li>\n\n\n\n<li>\ud83d\ude16 <strong>Symptoms tend to worsen due to scratching behavior<\/strong><\/li>\n\n\n\n<li>\ud83d\udc8a <mark style=\"background-color: #ffff00;\">Caution required when using topical steroid medications<\/mark><\/li>\n\n\n\n<li>\ud83c\udfeb <strong>Impact on school life (swimming lessons, lunch duty, etc.)<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-22\">\ud83d\udc74 Hand eczema in older adults<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color: #ffff00; font-weight: bold;\">Sebum production decreases with age<\/mark>, making older adults more susceptible to hand eczema. In addition, because skin regeneration capacity is reduced, <span style=\"color: #e74c3c; font-weight: bold;\">healing tends to take longer<\/span>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #95a5a6;\">\u26a0\ufe0f Points to note for hand eczema in older adults:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83e\ude79 <mark style=\"background-color: #ffff00;\">Increased risk of injury due to skin thinning<\/mark><\/li>\n\n\n\n<li>\ud83d\udc8a <strong>Need to check for interactions with other medications<\/strong><\/li>\n\n\n\n<li>\ud83e\udde0 <strong>Difficulty maintaining treatment due to cognitive decline<\/strong><\/li>\n\n\n\n<li>\ud83d\ude22 <mark style=\"background-color: #ffff00;\">Worsening of symptoms due to social isolation<\/mark><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-20959078 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ic-clinic.b4a.clinic\/clinics\/312\/bookings\/new\/select\/menu\/\">\ud83d\udcc5 IC Clinic Shinjuku \u2013 General Dermatology Outpatient \u2014 Book online here<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-23\">\ud83d\udcc8 Severity classification and stepwise treatment of hand eczema<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-24\">\ud83d\udfe2 Mild (Grade 1)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #27ae60;\">\u2705 Symptom characteristics<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udca7 <strong>Mild dryness and redness<\/strong><\/li>\n\n\n\n<li>\ud83d\ude0a <mark style=\"background-color: #ffff00;\">Itching is present but does not significantly interfere with daily life<\/mark><\/li>\n\n\n\n<li>\ud83e\ude79 <strong>Mild peeling<\/strong><\/li>\n\n\n\n<li>\u2728 <strong>No blister formation<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udc8a Treatment approach<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the mild stage, the focus is first on <mark style=\"background-color: #ffff00; font-weight: bold;\">thorough moisturizing care and removal of irritating factors<\/mark>. A <span style=\"color: #27ae60; font-weight: bold;\">weak topical steroid (weak to medium class) is applied thinly once or twice daily<\/span> to the affected area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The treatment period at this stage is generally around <mark style=\"background-color: #ffff00;\">1\u20132 weeks<\/mark>, and improvement may be expected within a relatively short time with appropriate treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-25\">\ud83d\udfe1 Moderate (Grade 2)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #f39c12;\">\u26a0\ufe0f Symptom characteristics<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udd34 <mark style=\"background-color: #ffff00;\">Moderate inflammation and swelling<\/mark><\/li>\n\n\n\n<li>\ud83d\ude23 <strong>Itching is severe and interferes with daily life<\/strong><\/li>\n\n\n\n<li>\ud83d\udca6 <mark style=\"background-color: #ffff00;\">Formation of small blisters<\/mark><\/li>\n\n\n\n<li>\ud83d\udc94 <strong>Mild cracking<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udc8a Treatment approach<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For moderate cases, <mark style=\"background-color: #ffff00; font-weight: bold;\">a medium to strong class topical steroid<\/mark> is used. It is applied two to three times daily, with the potency gradually stepped down as symptoms improve.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Combined use of a moisturizer is essential, with appropriate moisturizing applied before and after topical steroid application. Treatment typically requires around <mark style=\"background-color: #ffff00;\">3\u20136 weeks<\/mark>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-26\">\ud83d\udd34 Severe (Grade 3)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c;\">\ud83d\udea8 Symptom characteristics<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\ude30 <mark style=\"background-color: #ffff00; font-weight: bold;\">Intense inflammation and swelling<\/mark><\/li>\n\n\n\n<li>\ud83d\ude2b <strong>Severe itching that disrupts sleep<\/strong><\/li>\n\n\n\n<li>\ud83d\udca6 <mark style=\"background-color: #ffff00;\">Formation of numerous blisters<\/mark><\/li>\n\n\n\n<li>\ud83d\udc94 <strong>Deep cracks and fissures<\/strong><\/li>\n\n\n\n<li>\u26a0\ufe0f <mark style=\"background-color: #ffff00; font-weight: bold;\">High risk of secondary infection<\/mark><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udc8a Treatment approach<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For severe cases, <mark style=\"background-color: #ffff00; font-weight: bold;\">a strong to very strong class topical steroid<\/mark> is used. Oral antihistamines may also be combined as needed to help control itching.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If secondary infection is suspected, <span style=\"color: #e74c3c; font-weight: bold;\">topical or oral antibiotics may be considered<\/span>. Treatment of severe cases may require <mark style=\"background-color: #ffff00;\">two to three months or more<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-27\">\ud83d\udd0d Differential diagnosis: distinguishing hand eczema from similar conditions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-28\">\ud83e\udda0 Differentiating from tinea manuum (hand ringworm)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Tinea manuum is a condition <mark style=\"background-color: #ffff00; font-weight: bold;\">caused by a fungal (mold) infection<\/mark> and closely resembles hand eczema in its presentation, making <span style=\"color: #e74c3c; font-weight: bold;\">differential diagnosis important<\/span>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #9b59b6;\">\ud83d\udd0d Characteristics of tinea manuum<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udd90\ufe0f <mark style=\"background-color: #ffff00;\">Symptoms often appear on only one hand<\/mark><\/li>\n\n\n\n<li>\ud83e\uddb6 <strong>Often accompanied by tinea pedis (athlete\u2019s foot)<\/strong><\/li>\n\n\n\n<li>\ud83d\udc8a <mark style=\"background-color: #ffff00;\">Responds to antifungal medication<\/mark><\/li>\n\n\n\n<li>\ud83d\udd2c <strong>Fungal elements detected on KOH examination<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udca1 Key differentiating features<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema typically presents on <mark style=\"background-color: #ffff00;\">both hands<\/mark>, whereas tinea manuum <span style=\"color: #e74c3c; font-weight: bold;\">often begins on one hand<\/span>. In addition, most patients with hand eczema do not have tinea pedis, whereas tinea manuum is frequently associated with concurrent athlete\u2019s foot.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-29\">\u26a1 Differentiating from palmoplantar pustulosis<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Palmoplantar pustulosis is a <mark style=\"background-color: #ffff00; font-weight: bold;\">chronic inflammatory condition characterized by numerous pustules on the palms and soles<\/mark>. Differential diagnosis is necessary because it resembles the pompholyx type of hand eczema.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e67e22;\">\ud83d\udd0d Characteristics of palmoplantar pustulosis<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udca7 <mark style=\"background-color: #ffff00;\">Characterized by sterile pustules<\/mark><\/li>\n\n\n\n<li>\ud83e\udd32 <strong>Symptoms appear symmetrically<\/strong><\/li>\n\n\n\n<li>\ud83e\uddb7 <mark style=\"background-color: #ffff00;\">Associated with focal infections (tonsillitis, periodontitis, etc.)<\/mark><\/li>\n\n\n\n<li>\ud83e\uddb4 <strong>May be accompanied by joint symptoms<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-30\">\ud83e\ude7a Hand eczema associated with atopic dermatitis<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema occurring in patients with atopic dermatitis is characterized by <mark style=\"background-color: #ffff00; font-weight: bold;\">greater treatment resistance and a higher tendency to recur<\/mark> compared with ordinary hand eczema.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #16a085;\">\ud83d\udd0d Characteristics of hand eczema associated with atopic dermatitis<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83e\ude79 <mark style=\"background-color: #ffff00;\">Atopic symptoms also present in other areas (antecubital fossa, popliteal fossa, etc.)<\/mark><\/li>\n\n\n\n<li>\ud83d\udcca <strong>Elevated IgE levels<\/strong><\/li>\n\n\n\n<li>\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 <strong>Often a family history is present<\/strong><\/li>\n\n\n\n<li>\ud83c\udf3c <mark style=\"background-color: #ffff00;\">Sensitization to environmental allergens<\/mark><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-31\">\ud83d\udca1 Current treatment options for hand eczema<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-32\">\ud83e\uddea Topical calcineurin inhibitors<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Topical calcineurin inhibitors such as tacrolimus ointment and pimecrolimus cream are gaining attention as <mark style=\"background-color: #ffff00; font-weight: bold;\">treatment alternatives to topical steroids<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #27ae60;\">\u2728 Characteristics of topical calcineurin inhibitors<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u2705 <mark style=\"background-color: #ffff00;\">Less likely to cause skin atrophy, a side effect associated with steroids<\/mark><\/li>\n\n\n\n<li>\u23f0 <strong>Suitable for long-term use<\/strong><\/li>\n\n\n\n<li>\ud83d\udc64 <mark style=\"background-color: #ffff00;\">Can be used on sensitive areas such as the face and genitals<\/mark><\/li>\n\n\n\n<li>\u26a0\ufe0f <strong>A temporary sensation of irritation may occur at the start of treatment<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-33\">\ud83d\udc8a Topical JAK inhibitors<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Topical JAK (Janus kinase) inhibitors are <mark style=\"background-color: #ffff00; font-weight: bold;\">a relatively recent treatment option<\/mark>. By directly inhibiting inflammatory signaling pathways, they may help control symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83c\udf1f Advantages of topical JAK inhibitors<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u26a1 <mark style=\"background-color: #ffff00;\">Relatively rapid onset of action<\/mark><\/li>\n\n\n\n<li>\u2705 <strong>Lower risk of steroid-related side effects<\/strong><\/li>\n\n\n\n<li>\ud83d\udee1\ufe0f <mark style=\"background-color: #ffff00;\">Favorable safety profile for long-term use<\/mark><\/li>\n\n\n\n<li>\ud83d\udcaa <strong>May also be considered for treatment-resistant cases<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-34\">\u2600\ufe0f Phototherapy (excimer light \/ narrowband UVB)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color: #ffff00; font-weight: bold;\">Ultraviolet-based treatment<\/mark> that may be particularly helpful for chronic or treatment-resistant hand eczema cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #f39c12;\">\ud83d\udca1 Excimer light therapy<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color: #ffff00;\">Ultraviolet light at a wavelength of 308 nm<\/mark> is directed at the affected area to help suppress inflammation. This approach has the advantage of minimizing impact on healthy skin while targeting the affected area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #9b59b6;\">\ud83d\udca1 Narrowband UVB therapy<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This treatment uses <mark style=\"background-color: #ffff00;\">ultraviolet light at a wavelength of 311 nm<\/mark> with a full-body phototherapy device. It may be selected when the hand eczema is widespread, or when other areas of skin inflammation need to be treated simultaneously.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-35\">\ud83d\udc89 Biologics<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">For hand eczema associated with severe atopic dermatitis where <mark style=\"background-color: #ffff00; font-weight: bold;\">conventional treatments have not provided sufficient relief<\/mark>, biologics may be considered in some cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c;\">\ud83d\udc8a Dupilumab (Dupixent)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is an <mark style=\"background-color: #ffff00;\">antibody medication that inhibits the IL-4 and IL-13 receptors<\/mark>, targeting the underlying inflammatory mechanisms in atopic dermatitis. As part of atopic dermatitis management, <span style=\"color: #27ae60; font-weight: bold;\">improvement in hand eczema may also be expected<\/span>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-36\">\u26a0\ufe0f Complications of hand eczema and how to manage them<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-37\">\ud83e\udda0 Secondary bacterial infection<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When the skin barrier function is compromised by hand eczema, <mark style=\"background-color: #ffff00; font-weight: bold;\">the risk of bacterial infection increases<\/mark>. Infections caused by Staphylococcus aureus and Streptococcus are particularly common.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c;\">\ud83d\udea8 Symptoms of infection<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udca7 <mark style=\"background-color: #ffff00;\">Discharge of pus from the affected area<\/mark><\/li>\n\n\n\n<li>\ud83d\udd25 <strong>Intense pain or sensation of warmth<\/strong><\/li>\n\n\n\n<li>\ud83d\udd34 <mark style=\"background-color: #ffff00;\">Spreading redness<\/mark><\/li>\n\n\n\n<li>\ud83e\udd12 <strong>Fever or swollen lymph nodes<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udc8a Treatment<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If a bacterial infection is confirmed, <mark style=\"background-color: #ffff00; font-weight: bold;\">topical or oral antibiotics<\/mark> are used. <span style=\"color: #e74c3c; font-weight: bold;\">In severe cases, inpatient treatment may be required<\/span>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-38\">\ud83e\udda0 Herpetic whitlow<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This is a complication that occurs when <mark style=\"background-color: #ffff00; font-weight: bold;\">herpes virus infects the affected area of hand eczema<\/mark>. It is seen particularly among healthcare workers and those who care for young children.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #9b59b6;\">\ud83d\udd0d Symptom characteristics<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\ude16 <mark style=\"background-color: #ffff00;\">Blisters accompanied by intense pain<\/mark><\/li>\n\n\n\n<li>\ud83e\udd12 <strong>Fever and general malaise<\/strong><\/li>\n\n\n\n<li>\ud83d\udca2 <strong>Swollen lymph nodes<\/strong><\/li>\n\n\n\n<li>\ud83d\udd04 <mark style=\"background-color: #ffff00;\">Tendency to recur<\/mark><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-39\">\ud83d\udea8 Eczema herpeticum (Kaposi\u2019s varicelliform eruption)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This is a serious complication in which <mark style=\"background-color: #ffff00; font-weight: bold;\">herpes virus spreads extensively in patients with hand eczema associated with atopic dermatitis<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c;\">\u26a0\ufe0f Symptoms and management<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Numerous blisters merge to form erosive areas. As <span style=\"color: #e74c3c; font-weight: bold;\">the patient\u2019s general condition may deteriorate<\/span>, <mark style=\"background-color: #ffff00; font-weight: bold;\">urgent hospitalization for intravenous antiviral therapy is required<\/mark>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-40\">\ud83e\udd30 Managing hand eczema during pregnancy and breastfeeding<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-41\">\ud83d\udc76 Treatment options during pregnancy<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">During pregnancy, the choice of treatment requires careful consideration of <mark style=\"background-color: #ffff00; font-weight: bold;\">potential effects on the fetus<\/mark>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #27ae60;\">\u2705 Treatment options that may be used<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udc8a <mark style=\"background-color: #ffff00;\">Weak to moderate topical steroids (for short-term use)<\/mark><\/li>\n\n\n\n<li>\ud83d\udca7 <strong>Moisturizers (no restrictions)<\/strong><\/li>\n\n\n\n<li>\ud83e\udde4 <strong>Physical skin care measures (e.g., wearing gloves)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #e74c3c;\">\u26a0\ufe0f Treatments requiring caution<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83d\udc8a <mark style=\"background-color: #ffff00;\">Strong topical steroids (avoid prolonged use)<\/mark><\/li>\n\n\n\n<li>\ud83e\uddea <strong>Topical calcineurin inhibitors (use with caution especially in the first trimester)<\/strong><\/li>\n\n\n\n<li>\ud83d\udc8a <mark style=\"background-color: #ffff00;\">Oral medications (including antihistamines \u2014 consult your physician)<\/mark><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"i-42\">\ud83e\udd31 Treatment during breastfeeding<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">During breastfeeding, consideration must be given to potential effects on the infant; however, <mark style=\"background-color: #ffff00; font-weight: bold;\">most topical medications transfer minimally into breast milk<\/mark> and can generally be used with relative safety.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 17px; font-weight: bold; color: #3498db;\">\ud83d\udca1 Notes for the breastfeeding period<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83e\uddfc <mark style=\"background-color: #ffff00;\">Thorough hand washing after applying topical medication<\/mark><\/li>\n\n\n\n<li>\ud83d\udc76 <strong>Remove medication from hands before breastfeeding<\/strong><\/li>\n\n\n\n<li>\u26a0\ufe0f <mark style=\"background-color: #ffff00;\">Avoid applying medication around the breast area<\/mark><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-20959078 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ic-clinic.b4a.clinic\/clinics\/312\/bookings\/new\/select\/menu\/\">\ud83d\udcc5 IC Clinic Shinjuku \u2013 General Dermatology Outpatient \u2014 Book online here<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"text-align: center; font-size: 15px; color: #666;\">\u203b Our specialist physicians at the dermatology outpatient department of IC Clinic Shinjuku are here to help.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"i-43\">\ud83d\udcdd Summary<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hand eczema is a very common skin condition in modern life, but <mark style=\"background-color: #ffff00; font-weight: bold; font-size: 18px;\">with appropriate knowledge and treatment, it is a condition that can be well managed<\/mark>. What matters most is <span style=\"color: #e74c3c; font-weight: bold;\">early and accurate diagnosis, appropriate treatment, and consistent ongoing skin care<\/span>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">By consulting a specialist while symptoms are still mild and finding a treatment approach that suits you, you can learn <mark style=\"background-color: #ffff00;\">how to live well with hand eczema<\/mark>. By taking preventive measures suited to your occupation and lifestyle, <span style=\"color: #27ae60; font-weight: bold;\">it is also possible to help minimize the risk of recurrence<\/span>.<\/p>\n\n\n<div class=\"wp-block-sgb-message\">\n<div class=\"memo sng-shadow-0\" style=\"border-radius: 10px; background-color: #e8f5e9; padding: 25px;\">\n<div class=\"sng-box-msg__contents\">\n<p style=\"font-size: 19px; font-weight: bold; color: #27ae60; margin-bottom: 15px;\">\u2728 Would you like to address your hand eczema at IC Clinic?<\/p>\n<p style=\"font-size: 16px; line-height: 1.8;\">\u2705 <mark style=\"background-color: #ffff00;\">Experienced specialist physicians<\/mark> providing attentive consultations<br>\u2705 <mark style=\"background-color: #ffff00;\">A suitable treatment approach tailored to your symptoms<\/mark><br>\u2705 <strong>From mild to severe cases<\/strong> \u2014 a wide range of conditions welcomed<br>\u2705 Free consultation to <mark style=\"background-color: #ffff00;\">address any concerns or questions you may have<\/mark><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p><p style=\"font-size: 18px; text-align: center; margin-top: 30px; margin-bottom: 20px;\">If you are troubled by hand eczema, <mark style=\"background-color: #ffff00; font-weight: bold;\">please do not struggle alone \u2014 consult a medical professional<\/mark>. With appropriate treatment, <span style=\"color: #27ae60; font-weight: bold;\">you may be able to return to comfortable daily living<\/span>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-20959078 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ic-clinic.b4a.clinic\/clinics\/312\/bookings\/new\/select\/menu\/\">\ud83d\udcc5 IC Clinic Shinjuku \u2013 General Dermatology Outpatient \u2014 Book online here<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2728 Benefits of reading this article \u2705 Learn the correct way to treat hand eczema\u2705 Understand the difference between over-the-counter medications and clinical treatment\u2705 Master specific prevention methods to reduce recurrence\u2705 Find a suitable treatment approach for your symptoms \u26a0\ufe0f Risks of not reading\u274c Risk of symptoms worsening and becoming chronic\u274c Possibility of secondary infection &#8230; <\/p>\n","protected":false},"author":0,"featured_media":0,"parent":79973,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_yoast_wpseo_meta-robots-noindex":"","footnotes":""},"class_list":["post-80436","page","type-page","status-publish","entry","nothumb"],"acf":[],"_links":{"self":[{"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/pages\/80436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/comments?post=80436"}],"version-history":[{"count":3,"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/pages\/80436\/revisions"}],"predecessor-version":[{"id":82756,"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/pages\/80436\/revisions\/82756"}],"up":[{"embeddable":true,"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/pages\/79973"}],"wp:attachment":[{"href":"https:\/\/ic-clinic-ueno.com\/en\/wp-json\/wp\/v2\/media?parent=80436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}