Contact dermatitis

Itching and pain are the common presentations. Suspect infection when patient’s complain of pain. A detailed history about exposure to environmental allergens must be recorded. Inquire about exposure to irritants in the work environment. Some patients are atopic, this means they have and hereditary predisposition to eczema, asthma, hayfever and dry skin. These patients are more vulnerable and more likely to develop hand eczema when exposed to irritants.

hand eczema

Severe hand eczema from irritation. Crusting on the fingers is a sign of secondary infection.

hand eczema

Severe chronic irritant contact dermatitis of the palms. It is sometimes impossible to distinguish between eczema and psoriasis with this presentation.