Hand and foot rashes
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
- The most common etiologies of hand and foot rashes are irritant and dyshidrotic eczema
- Hand and foot rashes look very different, thus a careful examination is required to make a differential
Diagnosis
Diagnosis
- Possible dermatology referral
History and Symptoms
- Chronic exposure to harmful chemicals or irritants
- Family history (allergy / atopy, psoriasis)
- Presence of small, clear blisters
- Nail examination
- Examine joints
Laboratory Findings
- Culture of pustules
- Scale scrap (KOH prep)
- Fungal culture of nail
Other Diagnostic Studies
- Patch test
- Punch biopsy
Differential Diagnosis of Causes of Hand and foot rashes
Differential Diagnosis of Causes of Hand and foot rashes
- Dyshidrotic Eczcema
- Erythema multiforme
- Irritant or allergic hand Eczema
- Keratoderma
- Pityriasis rubra pilaris
- Psoriasis
- Reiter’s Disease
- Scabies
- Secondary Syphilis
- Tinea manus (hand)
- Tinea pedis (foot)
- Varicella
- Meningococcemia [1]
Treatment
Treatment
- Avoid wet-work, harsh soaps, offending agents (irritants)
- Bland heavy emollients
- Topical or systemic phototherapy with psoralen with ultraviolet A phototherapy (PUVA)
Pharmacotherapy
Pharmacotherapy
Acute Pharmacotherapies
- Topical steroid ointments
- Topical antifungal agents
- Oral antifungals (for onychomycosis)
- Systemic methotrexate
- Cyclosporine
References
References
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
Acknowledgements
Acknowledgements
The content on this page was first contributed by
List of contributors:
Suggested Reading and Key General References
Suggested Reading and Key General References
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