Author Topic: Dyshidrosis.. HELP!  (Read 26347 times)

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Offline ElDGee

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Dyshidrosis.. HELP!
« on: Monday September 14, 2009, 10:57:46 PM »
I somehow recently contracted what I'm positive is dyshidrotic eczema. The top of my left ring finger is absolutely covered with clusters of small blisters, and at the very tip there is one big blister covered in a layer of cracked skin. There are a few more random tiny blisters, including two on my palm, but the main problem area (and where I first noticed blisters) is that one finger.

The odd thing is, I've read that this is a chronic condition.. and I've never had it before. My diet hasn't changed. I'm thinking I may have come across a plant I'm allergic to while walking my dog.. but then I walk him all the time and it's never happened before.

Figuring out how it happened is probably a moot venture at this point.. but how should I treat it? I have two creams - one hydrocortisone cream for the itching and another one designed for weepy rashes. I also moisturize with Bag Balm. I've also been taking Benadryl.. the itching actually isn't that bad. It's just really unsightly to look at and hard to use that particular finger as it's so blistered and bumpy.

I don't believe it's infected. It's not warm and when the blisters do weep it's clear.

I'm a 25 year old male and like I said I've never had this happen before. What steps should I take? I've read about treatments ranging from high grade H202 to Vinegar. Should I just 'wait it out' the standard 2-3 weeks most flareups seem to last? I had been keeping band-aids on it because even though the chances of other people noticing is slim, it's still embarrassing. But I read it needs to breathe to heal so I'm toughing it out. I also can't work out and lift weights like I usually so, and that's a huge wrench in my routine.

Any help is greatly appreciated. Ideally I'd just hop over to the local dermatologist but I don't have insurance.

Luke

Offline M@t

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Re: Dyshidrosis.. HELP!
« Reply #1 on: Wednesday October 14, 2009, 11:55:23 AM »
Hi Luke!!

From your description, it sounds like Dyshidrotic (or Pompholyx) eczema. To get a proper diagnosis, you'll need to see a dermatologist, though.

It's not something you contract (like a virus). In most cases there is an underlying genetic predisposition to it, and it sits dormant. Until you encounter a trigger, which sets it off.

In my case, it was a certain type of Athlete's Foot, but in other people it is hand cream, or a certain brand of laundry detergent, somthing you eat, and so on. It might not even be physical at all. Stress can have an impact too.

Once you know what the trigger is, you can avoid it, and reduce the symptoms.

Matt
The early bird gets the worm, but the second mouse gets the cheese in the trap
Eagles may soar, but weasels don't get sucked into jet engines
The Doppler Effect - Why bad ideas seem good when they are coming towards you at high speed. Don't rush things!!!

Offline Saltwater

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Re: Dyshidrosis.. HELP!
« Reply #2 on: Wednesday October 14, 2009, 12:01:41 PM »
Wow, man, that just sounds like my story. Shortly after taking up guitar and also doing a stint of roadie work for a band that loved their "CHEMICAL-BASED FOG MACHINE" I noticed similar symtoms on my little finger. I'm now 46 and, while i have had days when i could not even hold a pen, it's now a case of ignor the pain and no one at work will notice - i would be put off as "injured".
There is no cure; it does not spread in the same way a surface rash does. it runs beneath and awaits a trigger. what triggers mine may not trigger yours but the warmer months are the worst and seem to accelorate its run. i have 25 years experience with this pest. If you live near the beach get into the water every day. i have forked out money to skin specialists and am hard of the opinion that unless you are a baby with nappy-rash there stuff-all they can do for you.
Even when it "disappears" dont let down your guard. I take zinc tablets. I'm going to spend next week on a beach and in the surf and I know - as I had irradicated the alien menace when it sought to conquer both hands in 2004 - that I will come back home with but soft pink scars on my happy feet. Until I go back to work. I have no fingerprints left on any of my left fingers - excluding my thumb: tuff little buggers, are thumbs - and the skin is thin from steroid-based cream. I have come to a point where I may have to put my skin before all else in life and relocate - with or without family - to a coastal location. Look out if it ever reaches Captain Happy!!! OMG!!! stay tuned Reggie.
Steve

Offline Bamawing

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Re: Dyshidrosis.. HELP!
« Reply #3 on: Wednesday October 14, 2009, 03:01:49 PM »
Hi Luke! Don't fret - I never had this problem until I (of all things) got married. I think it was the fact that I moved to Virginia where it's dry... I started using hand cream, and that was all she wrote.

Woof, Saltwater, sounds like you have been through it. Hope the beach brings you some much-needed relief!
I'm more confused than a mood ring on a paranoid bipolar schizophrenic chameleon in a bag of skittles!

Offline carolethecatlover

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Re: Dyshidrosis.. HELP!
« Reply #4 on: Wednesday August 24, 2011, 08:05:39 PM »
 I am studying Dyshidrosis, also known as dyshidrotic eczema, pomphylox, and chronic hand eczema.
I am a chiropodist, this condition occurs on the soles of the feet and the palms of the hands, the glabous skin.
Why?  Because this type of skin has the greatest number of histamine receptors.
Causes:
The basic cause in all cases is allergy to a dermatophyte.
The Id reaction is by far the greatest cause of Dyshidrosis.
This is the dermataphyte/dermataphid reaction.  Dermatophytes are skin loving micro-organisms.   They are usually fungi/yeasts, however, they may be bacteria, mold spores, a type of fungus usually thought of as a plant parasite, pollen and even a temperature change that results in over-production of histamine.  There is no doubt, statistically,  that the sweaty, the pregnant and gym fans get this more, but everybody of any race or gender can get it. Rationale is that the dermatophytes get more to eat in sweat and can increase at such a rate that a colonization results that alerts the body's immune system which produces histamine.
Many people with this condition believe that it is a food allergy or a nickel allergy.
Most doctors seem  to confuse it with contact dermatitis.  Most doctors are prone to tell patients that it is incurable, and the cause is unknown. 
Since 2008 it is totally curable and the cause has been known since 1999.
Most common dermatophytes that are known to cause Dyshidrosis:
Tinea species:  This is athlete's foot in various forms and explains why podiatrists/chiropodists know more about it than most doctors.
Candida Albicans:  Overgrowth or inappropiate colonization by Candida.  This is the 'leaky gut syndrome'.  Most common cause when this occurs during pregnancy or post partum.
Staphylococcus Aureus: Colonization on the skin without infection. Seen along scars on ordinary skin.
Various yeasts that inhabit the nose, anus, vagina and sweat pores.
Bacterial colonizations, which is a sub-clinical infection, ie. no visible infection is seen or felt.



Treatment:
Treatment may be divided into a) alleviating the condition and, b) curing the condition.
Many people do not want a cure.  This condition gets them out of washing up dishes, dirty jobs and lots of sympathy.  Many people have doctors who either do not know the cure or prefer to profit from a continuing patient with an 'incurable' condition.
The best alliviating is to take anti-histamines.  Fexofenadine 180mg per day or 60 mg every 8 hours with food. This is a 3rd generation anti-histamine and it very effective against hives, and other skin rashes.  Fexofenadine has a half-life of 14 hours.
Soaking the hands and feet in warm 50/50 dilute vinegar.
Ditto potassium permanganate.
Going on the carbohydrate restricted Atkinsí diet is excellent but will only alleviate symptoms if the dermatophyte is Candida Albicans in the large bowel.  This yeast/fungus feeds on sugars and carbohydrates.
(The wikipedia article is a load of crap, the webmaster wonít let me change it.)
Curative Treatments:
Nystatin:  A very well tolerated anti Candida drug.  Kills Candida on contact in the bowel, does not pass into the blood.  Usual dose is 4 million units per day.
Ketoconazole/Fluconazole: (Nizoral) 200mg daily
Toctino:  Alitretinoin  9 cis Retinoic Acid  manufactured by Basilea of Switzerland since 2008.
Once a day capsule of 10 or 30mg for 90 days.
9 cis RA is one of the 350 components of vitamin A.
This works,   the clinical trails show various figures from 47% to 87%.  However it is expensive at 411 British Pounds per month.  Toctino can only be prescribed by a dermatologist.

My research:
I have had 14 out of 17 people cured by the vitamin ~A protocol with 2 relapses.
The first person I cured was myself.


Offline itchyasaurus

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Re: Dyshidrosis.. HELP!
« Reply #5 on: Friday June 15, 2012, 03:56:19 PM »
Thanks everyone for this article. It's helped me so much in identifying the symptoms I am getting and being more aware of how to treat them. I find it really interesting particularly what carolethecatlover has written as it does make sense and ties into what I have experienced for the last 10-15 years. I have a pretty rudimentary knowledge of biology on the whole though.