Depending on the severity of your signs and symptoms, treatment options may include: Corticosteroids (help in the disappearance of the blisters), Phototherapy (combines exposure to ultraviolet light with drugs that help make your skin more receptive to the effects of this type of light), Immune-suppressing ointments (Medications such as tacrolimus (Protopic) and pimecrolimus (Elidel) may be helpful for people who want to limit their exposure to steroids.), Botulinum toxin injections (treat severe cases of dyshidrosis) etc. Dyshidrotic eczema occurs in 5-20% of patients with hand eczema and more commonly develops in warmer climates and during spring and summer months (seasonal or summer pompholyx). Dyshidrotic eczema accounted for 1% of initial consultations in a 1-year Swedish study. In a retrospective study reviewing records of 714 Portuguese patients during a 6-year period, Magina et al found dyshidrotic eczema to be the third most common type of hand dermatitis (20.3%). The male-to-female ratio for dyshidrotic eczema has variably been reported as 1:1 and 1:2.
The blisters associated with dyshidrosis occur most commonly on the sides of the fingers and the palms, although the soles of the feet also can be affected. The blisters are usually small ? about the width of a standard pencil lead ? and typically appear in clusters, with an appearance similar to tapioca. In more-severe cases, the small blisters may merge together to form larger blisters. Skin affected by dyshidrosis can be very itchy or even painful. Once the blisters dry and flake off, which occurs in about three weeks, the underlying skin may be red and tender. Dyshidrosis tends to recur fairly regularly for months or years.