Summary
Definition
History and exam
Key diagnostic factors
- skin lesions
- pruritus
Other diagnostic factors
- hyperhidrosis
- recurrent eruptions
- pain
Risk factors
- exposure to irritants
- atopy
- metal allergy
- hyperhidrosis
- emotional stress
Diagnostic tests
1st tests to order
- clinical diagnosis
Tests to consider
- skin biopsy
- potassium hydroxide (KOH)
- patch testing
- skin scraping
Treatment algorithm
all patients
Contributors
Authors
Peggy A Wu, MD, MPH, FAAD
Professor of Clinical Dermatology
University of California Davis
Sacramento
CA
Disclosures
PAW declares that she has received royalties for contributing to UpToDate. She is also a contributor for a National Comprehensive Cancer Network guideline although she receives no compensation for this.
Victor Huang, MD, FAAD
Associate Professor of Clinical Dermatology
Dermatology
University of California Davis
Sacramento
CA
Declarações
VH declares that she has received royalties for contributing to UpToDate and has served on an advisory board for the Opzelura in the treatment of vitiligo.
Agradecimentos
Dr Peggy Wu and Dr Victor Huang would like to gratefully acknowledge Dr Andrea Bershow, Dr Erin M. Warshaw and Dr Sabra M. Lofgren, previous contributors to this topic.
Declarações
AB, EMW and SML declare that they have no competing interests.
Revisores
Kachiu Cecilia Lee, MD, MPH
Assistant Professor
Department of Dermatology
Brown Medical School
Providence
Rhode Island
Declarações
KCL declares that she has no competing interests.
Gerard Guillet, MD
Professor of Dermatology
Department of Dermatology and Allergology
University Hospital Poitiers
Poitiers
France
Declarações
GG declares that he has no competing interests.
Créditos aos pareceristas
Os tópicos do BMJ Best Practice são constantemente atualizados, seguindo os desenvolvimentos das evidências e das diretrizes. Os pareceristas aqui listados revisaram o conteúdo pelo menos uma vez durante a história do tópico.
Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
Agner T, Elsner P. Hand eczema: epidemiology, prognosis and prevention. J Eur Acad Dermatol Venereol. 2020 Jan;34 Suppl 1:4-12.Texto completo Resumo
Elsner P, Agner T. Hand eczema: treatment. J Eur Acad Dermatol Venereol. 2020 Jan;34 Suppl 1:13-21.Texto completo Resumo
Jacob PT, Marie LAS, Jose HA, et al. Guidelines for diagnosis, prevention and treatment of hand eczema. Contact Dermatitis. 2022 May;86(5):357-78. Resumo
Christoffers WA, Coenraads PJ, Svensson Å, et al. Interventions for hand eczema. Cochrane Database Syst Rev. 2019 Apr 26;4(4):CD004055.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Tinea manuum/pedis
- Palmoplantar psoriasis
- Allergic contact dermatitis
Mais Diagnósticos diferenciaisDiretrizes
- Guidelines for diagnosis, prevention and treatment of hand eczema
Mais DiretrizesFolhetos informativos para os pacientes
Dermatitis
Eczema
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