Dhawan said that sometimes scrapings, cultures, patch tests or biopsies may be needed to determine the cause. In cases of fungal infections, often there is an infection elsewhere in the body, which the doctor will determine.
Topical treatments may be used, such as prescription strength steroids or topical immunomodulators like Protopic and Elidel for certain cases. Dhawan sometimes prescribes oral steroids.
The American Osteopathic College of Dermatology (AOCD) described the use of ultraviolet light (UV) for severe cases of hand dermatitis. Psoralen can be applied topically before exposing the skin to UV light, which will make the skin more sensitive to the light.
Dr. Dhawan said topical UV with Psoralen works well for treating psoriasis and atopic dermatitis (eczema).
These more involved treatments are usually combined with the basic treatments discussed above, but more intensive moisturizers and emollients may be used.
Hand Rashes. American Osteopathic College of Dermatology. Retrieved Dec. 21, 2012.
HAND DERMATITIS, OR MY HANDS ARE KILLING ME! By Dr. Sunil Sharon Dhawan. National Eczema Association. Retrieved Dec. 21, 2012.
The Bottomline: Hand Rashes. Dermatology Advice By Dr. Peter Saitta. Retrieved Dec. 21, 2012.
Michele is an R.N. freelance writer with a special interest in woman’s healthcare and quality of care issues. Other articles by Michele are at www.helium.com/users/487540/show_articles
Edited by Jody Smith