Dermatitis on toes: Hand and Foot Dermatitis – Dermatologic Disorders
Shoe contact dermatitis | DermNet NZ
Author: Vanessa Ngan, Staff Writer. 2012.
What is shoe contact dermatitis?
Shoe contact dermatitis can be defined as skin manifestations on the feet caused by the wearing of shoes, boots and sandals. This often occurs because the skin on the feet reacts to particular substances (allergens) found in footwear.
What causes shoe contact dermatitis?
Contact allergic dermatitis
Many different products and chemicals are used in the manufacture of footwear. Allergy may be due to the chemicals found in the material that the footwear is made from, e.g. leather or rubber, from glues used to hold the shoe together, or from decorations applied to the shoe.
What are the symptoms of shoe contact dermatitis?
Shoe contact dermatitis usually begins on the top surface of the big toe and spreads to the upper surfaces of the foot. Dermatitis may also be found on the sole, the side of the feet and heels and the legs.
Symptoms of contact allergic dermatitis may include swelling, redness, blisters or cracks in the skin, burning, itchiness and pain. The allergy can develop over a long period as the skin on the feet is repeatedly exposed to a certain allergen found in the shoe. However, it is not unusual to suddenly become allergic to a substance after months or years of exposure.
How is shoe contact dermatitis diagnosed?
Often shoe contact dermatitis is difficult to diagnose as there are some other diagnoses that need to be ruled out. These include:
Diagnosis by performing special allergy tests (patch tests) may involve testing against some different chemicals due to the many potential allergens that may be present in the shoe. Patch testing with portions of the patient’s shoes, alongside a shoe ‘screening tray’ of common additives and chemicals is essential in making a correct diagnosis.
See individual contact allergens for patch testing recommendations.
What is the treatment for shoe contact dermatitis?
Shoe contact dermatitis should clear rapidly once the offending allergen is removed. This will mean not being able to wear the offending shoes ever again unless the allergen can be removed. For example, allergy to a nickel buckle could be resolved by replacing with a non-nickel buckle. Allergy to chromate in leather can be avoided by choosing vegetable tanned leather items.
Over-the-counter creams and ointments containing mild topical steroids, such as hydrocortisone, may be used to help control itching, swelling, and redness. In more severe cases, a prescription topical steroid may be required, as well as antibiotic medication if the skin becomes blistered, painful and infected.
What should I do to avoid shoe contact dermatitis?
If you suffer from shoe contact dermatitis the best way to prevent any problems is by avoiding all footwear that contains the allergen you are sensitive to.
Some steps you can take to reducing shoe contact dermatitis reactions include:
- Controlling foot perspiration using antiperspirants
- Wear vegetable-tanned shoes
- Replace rubber insoles with a foam sole, e.g. urethane foam
- Air shoes regularly and do not keep them boxed up with DMF sachets.
Your dermatologist may have further specific advice, particularly if you are highly sensitive to particular allergens.
Athlete’s Foot vs Shoe Contact Dermatitis – Softstar Blog
April happens to be National Foot Health Awareness month, and it also happens to be the time of year when many people dust off their running shoes to enjoy a sunny day outside. Unfortunately, that’s also when foot problems often come up. It’s easy to take our feet, the foundational body parts that move us through our day, for granted. But if that foundation becomes red, itchy and irritated then suddenly your feet will be all you’re able to think about.
Two common causes of irritated skin on your feet are athlete’s foot and contact dermatitis. While both foot conditions have overlapping symptoms (and thus could be easy to misdiagnose), they result from very different causes. We’ll walk you through the symptoms, treatment and prevention tips for each so you can take proper steps to keep the skin on your feet healthy and irritation-free.
What Is Athlete’s Foot?
Athlete’s foot (also called tinea pedis) is a surface fungal infection that irritates the skin on your feet. This type of fungus grows best in warm, moist conditions, such as the areas between the toes. It’s one of the most common fungal infections that affect humans, and it spreads easily. You can contract athlete’s foot by coming into contact with an infected person or with contaminated objects or surfaces, such as a locker room floor, towels or shoes.
The condition can affect people of all ages, though it’s more common in adults than children and more common in men than women. If you live in a humid climate or if you have a weakened immune system then you may be more at risk of contracting athlete’s foot. If you frequent areas where lots of people walk barefoot, such as swimming pools and locker room gyms, then you are at higher risk of infection.
The areas most likely to be affected by athlete’s foot are the spaces between your toes, although the soles and tops of your feet can be affected too. The specific type of fungus that causes a case of athlete’s foot will determine the exact symptoms and the area of your foot most impacted. Common symptoms include redness, a scaly rash, itching, stinging and burning. More severe forms of athlete’s foot can cause very painful blisters and ulcers. What’s called the “moccasin” form of athlete’s foot causes severe dryness and scales on the soles and up the sides of your feet, and this variety might most resemble contact dermatitis.
Athlete’s Foot Prevention and Treatment
There are several simple steps you can take to try to avoid an unpleasant spell of dealing with athlete’s foot.
- Don’t wear tight-fitting athletic shoes that trap sweat against your skin. Such shoes create a perfect environment for fungi to thrive. Instead wear shoes that give your toes plenty of space and are made of breathable materials that allow good ventilation (ahem… such as Softstars).
- Avoid walking barefoot in public high-traffic areas where a lot of other people have been walking without shoes. This includes locker rooms, public showers, and public pool areas. Try wearing sandals in such areas, and clean the sandals regularly.
- Don’t share socks, shoes or towels with other people. It’s common on sports teams to perhaps borrow such items from each other, but it’s best to be prepared ahead of time and keep back-up items on hand in your locker or backpack so you don’t have to risk catching anything.
- Wash and dry your feet (including between your toes) every morning and evening, especially if you’ve been physically active.
- Change socks daily, plus after you’re physically active and sweating, and let shoes dry between uses if they’re sweaty or wet.
- Take special care to follow these prevention steps if you’re on an antibiotic. Antibiotic medications can kill off the beneficial skin bacteria that normally help control the fungus that causes athlete’s foot.
If you do contract a case of athlete’s foot then it is best to start treatment as soon as possible. There are many over-the-counter anti-fungal creams, sprays and powders that normally do the trick. In addition, keep following the prevention steps listed above, such as wearing ventilated shoes and keeping your feet clean and dry so that you’re depriving the fungi of its ideal environment. If your skin is peeling then try not to peel and pick at it. You might create open sores that could expose you to a secondary type of infection. If you have an advanced case of athlete’s foot or if over-the-counter treatments aren’t working then you should seek the advice of a medical professional. If anti-fungal medications aren’t eliciting improvement, it might also be a sign that you’re dealing with another type of condition such as contact dermatitis.
What Is Contact Dermatitis?
Contact dermatitis is a response your skin has to a specific irritant or allergy. It’s possible the irritant could be innocuous to other people, but still trigger a reaction for you. Unlike athlete’s foot, which is caused by common fungal strains, contact dermatitis may be caused by a wide number of sources ranging from soaps and fragrances to chemicals and certain types of metals. “Irritant” contact dermatitis can onset very quickly after coming into contact with the offending material while “allergy” contact dermatitis may take up to a week for symptoms to appear.
Contact dermatitis occurs more frequently in adults than children, and it can occur virtually anywhere on your body… wherever your skin comes into contact with the irritant or allergen. Contact dermatitis can certainly occur on your feet, which come into contact with many surfaces throughout the day, especially in warm weather when you’re likely to be barefoot more often. If you experience contact dermatitis on your feet, symptoms may include redness, itchiness, a patchy or scaly rash, dry and cracked skin, bumps and blisters, swelling, burning, and/or tenderness.
In some cases, Contact dermatitis may be a reaction to chemicals and materials commonly used in footwear. In athletic shoes, for instance, dyes used in soling material have been known to cause contact dermatitis in some people. If a person is allergic or sensitive to shoe chemicals and materials then that sensitivity may be exacerbated by the warm and damp conditions inside the shoe. This can lead to rash-like symptoms on the skin that could appear similar to the symptoms of athlete’s foot.
Contact Dermatitis Prevention and Treatment
Like going on an elimination diet to determine whether you have a food allergy, with contact dermatitis you’ll want to eliminate exposure to common irritants to determine what triggered the initial reaction. Here are some tips on pinpointing the cause of your symptoms.
- Consider all substances your feet have come into contact with in recent days. For instance, what creams, lotions, body washes or soaps have you used? Try eliminating them or switching to all-natural, unscented versions.
- Consider all surfaces you’ve walked on and what cleaners have been used on those surfaces. The chemicals or fragrances in cleaning products could be a source of irritation for you.
- Consider the laundry soap used to wash your socks. Like floor cleaners, the fragrances or other ingredients used in the soap could be the culprit.
- Try switching to footwear made with natural materials, such as Softstar’s soft leather shoes, to eliminate any potential irritants posed by synthetic materials and the high-chemical manufacturing processes of most commercial footwear. All leather used for Softstar shoes is tanned without formaldehyde and colored with non-toxic food grade dye. For an extra level of chemical-free “naked” leather, check out our Vegetable-Tanned options.
- For athletes, athletic tape, especially brands that contain rubber or latex, may be an irritant. If you tape your fee frequently then you may want to try switching brands or types of tape.
- Determine whether your feet have come into contact with any metals. Nickel, for example, is a common irritant. Consider clasps and buckles on shoes that may come into contact with your skin.
- Rule out whether your feet have come into contact with any new plants, or with plants known to cause contact dermatitis, such as poison oak.
- Ironically, an overuse of antifungal creams applied to treat athlete’s foot can actually cause contact dermatitis in certain individuals. If you try an antifungal cream and it doesn’t help the condition, or if the condition even seems to be getting worse, seek the advice of a medical professional.
The most obvious form of treatment for contact dermatitis is simply avoiding coming into contact with irritants. You can also try using cold compresses to help with the immediate symptoms of burning and itching of your feet. Your doctor may recommend other treatment options as well, such as corticosteroids or antihistamines.
Overall Foot Health Tips
As you carefully consider your symptoms as well as the surfaces and substances your feet have come into contact with to determine your next best steps, there are some general foot health practices to keep in mind. Whether you have a case of athlete’s foot or contact dermatitis—or you’re trying to prevent them—it’s always a good idea to practice good foot hygiene, avoid high-germ areas, use natural products free of dyes and synthetic fragrances and treat your feet to the good life by wearing breathable, natural footwear.
While we are shoemakers who are passionate about foot health, we are not doctors and cannot prescribe medical advice. We recommend you consult your health care practitioner to develop a treatment plan for any foot condition.
Eczema on the feet | Eczema Foundation
Between the toes, on the soles of the feet or on the tops of the feet…
Eczema is skin inflammation characterized mainly by its red, itchy patches. However, several different types of eczema can affect the feet: atopic eczema, contact eczema or dyshidrosis, a particular aspect observed in this area of the body.
Allergic contact eczema on the feet
Your eczema may be caused by an allergic reaction to a product to which your feet were exposed. Your shoes or socks may be the trigger (dyes, leather tanning products, adhesives, foams).
If the triggering agent is unclear, you will need to identify it with the help of a doctor so that you can avoid it in the future. Your doctor will ask a series of detailed questions in addition to carrying out allergy tests to identify the allergy.
Have you always followed the same routine? It is possible to develop a sudden allergy to a product you have used previously without any problems—until now.
Atopic eczema on the feet
Atopic eczema is a hereditary condition with alternating periods of eczema flare-ups and remission. It is linked to skin which is hypersensitive to its environment. Although genetic, the disease can be triggered or aggravated by various environmental factors.
This type of eczema rarely affects the feet (more common on the ankles and the tops of the feet than on the soles). The treatment is the same for all types of atopic eczema: soothe itching with a topical corticosteroid and repair the skin with emollients.
Dyshidrosis is unique in that it is limited to the hands and feet and is often very painful. As with all types of eczema, symptoms include redness and itching, as well as small blisters that dry out and form little scabs.
Causes of dyshidrosis
What causes this type of eczema? Little is known about the causes, but there are various triggering or aggravating factors: stress, sweat, contact allergies (nickel, cobalt) or even a foot mycosis.
Often linked to atopic skin, it tends to flare up more in the spring during allergy and hay fever season. Some people struggle with it more in the summer due to the heat, especially when associated with excessive sweating.
How to get soothing relief
This type of eczema is often chronic (coming back several times over the course of your life). As a topical treatment, cortisone cream can help soothe flare-ups. Another thing to watch out for is a mycosis between the toes, for which the treatment may heal dyshidrosis. A preventive treatment to keep skin hydrated is often recommended. Other treatments are also available if symptoms persist.
Whatever the cause, dyshidrosis is aggravated by sweat, which is why we recommend wearing cotton socks. Smoking can also be an aggravating factor, as well as very foamy cleansing products.
“Neither atopic eczema nor contact eczema is contagious: Let’s spread the word!”
Eczema on the Hands and Feet (Causes, Symptoms, and Treatment)
What is eczema?
Eczema is a very nonspecific term. It is often used as being synonymous with dermatitis which simply means inflammation of skin. The different appearance, descriptions and distribution on the hands and feet can be confusing but also give clues about aetiology.
For further information, see the separate Contact and Occupational Dermatitis article.
Acute pompholyx (dyshidrotic) eczema
- On the palms or soles it often starts as tiny vesicles deep under the skin, described as like ‘sago’. If severe, the vesicles may coalesce to form tense bullae. In time, these burst to release exudate to the surface, with subsequent formation of erosions. Eventually, crusting occurs followed by healing or new lesions breaking out.
- Severe pompholyx around the nail folds may cause nail dystrophy, resulting in irregular ridges and chronic paronychia.
Subacute eczema on palms and soles
- This presents as erosions, crusting and some exudate; however, often the vesicles are not seen.
Chronic eczema on palms and soles
- This results in excessive scaling or keratinisation.
- Thick keratin or scale forms, which prevents easy movement of the hands and fingers, resulting in painful fissures.
Dorsum of hands or feet
- Acute or subacute eczema presents as weeping, erosions and crusting.
- Chronic eczema is dry, scaling and may show chapping with shallow erosions if contact with irritants has occurred.
Causes of eczema on the hands and feet (aetiology)
Eczema on the hands and feet may be classified as endogenous or exogenous, although the aetiology may be mixed.
Contact irritant dermatitis may result from any weak acid or alkali, including detergents, shampoos and cleaning materials. It may result from foodstuffs, oils and greases. These may affect the dorsum of the hand first; however, prolonged use over months or years leads to involvement of the palms.
Contact allergy is due to a type IV hypersensitivity reaction and may be precipitated by such substances as formaldehyde, rubber compounds and preservative in creams or cutting oils. The eczema should only occur at the site of contact. This will be the soles from rubber in shoes but all over the hands from creams.
Endogenous eczema occurs when internal factors that are usually unknown precipitate the eczema. Pompholyx eczema is usually endogenous but is more common in hot climates. Atopic individuals are susceptible to hand eczema, especially if exposed to irritants.
Treatment and management for eczema on the hands and feet
- Irrespective of the cause, continued contact with irritant substances will make any hand or foot eczema worse. This may mean taking time off work for engineers, cooks, hairdressers and others. Sometimes a change of employment has to be considered.
- Treat blisters, exudate or erosions by soaking the affected part in potassium permanganate solution four-hourly until it is dry. Potassium permanganate is available as crystals or in a 1:1,000 solution. The strong solution is purple in colour but a few drops should be put into a basin to produce a light pink colour. If the solution is too strong, brown staining will occur.
- Apply a potent steroid cream or ointment twice a day to gain control of the condition. The evidence for long-term maintenance therapy is limited and there is a risk of scarring due to inhibition of the repair system of the stratum corneum. Treatment should therefore be limited to six weeks unless necessary. A potent form is required for such tough skin, especially the palms and soles. No steroid cream will suppress the eczema if the causative agent is not removed.
- Steroid creams may be applied under occlusion. There is some doubt as to whether the usual twice-daily application of steroid creams is superior to just once-daily application. The latter may be more convenient and cheaper.
- Topical pimecrolimus and tacrolimus are licensed for the treatment of atopic eczema not controlled by maximal topical corticosteroid treatment or where corticosteroid side-effects have occurred (especially skin atrophy).
- Topical pimecrolimus is recommended for moderate atopic eczema on the face and neck of children aged 2-16 years. Topical tacrolimus can be used for moderate-to-severe atopic eczema in adults and in children aged over 2 years. They are normally prescribed under supervision from a dermatologist[6, 7].
- Hyperkeratotic plaques may be treated with 2-5% salicylic acid ointment. Polythene occlusion overnight improves effectiveness but can irritate normal skin.
- Avoid soap and detergents, and wash hands using a moisturiser such as aqueous cream or emulsifying ointment. Regularly apply a moisturiser for dry skin between steroid applications. Protect hands when doing wet work, with rubber or PVC gloves, or use cotton gloves for dry work.
- Oral alitretinoin, a retinoid, is licensed for the treatment of chronic refractory hand eczema. It is contra-indicated in uncontrolled hyperlipidaemia, uncontrolled hypothyroidism and hypervitaminosis A[9, 10].
- Systemic corticosteroids have been used in short courses for refractory eczema. Likewise, ciclosporin is occasionally used off-label for refractory hand eczema if first-line and second-line treatment have failed.
- Phototherapy with ultraviolet B (UVB) or psoralen with ultraviolet A (PUVA) can be used in refractory cases of hand eczema, although prolonged use should be avoided, as this increases the risk of skin cancer.
A Cochrane review of interventions for hand eczema found:
- Topical corticosteroids and UV phototherapy were two of the major standard treatments, but evidence is insufficient to support one specific treatment over another.
- The effect of topical calcineurin inhibitors (eg, pimecrolimus, tacrolimus) is not certain.
- Alitretinoin is more effective than placebo in controlling symptoms, but advantages over other treatments need evaluating.
Most findings were from single studies with low precision, so should be interpreted with caution.
If the offending irritant can be avoided then gradual improvement may occur over about six months but some will still have troublesome eczema.
If exposure continues then the outlook is very poor. Cement dermatitis is due to the chromium content and it produces a very nasty dermatitis that often continues even after stopping exposure.
When to refer
Most patients with eczema on the hands and feet should be patch tested to establish a cause. Diagnosis of irritant and contact dermatitis on clinical grounds alone is unreliable.
An expert opinion may also be requested when an important decision has to be taken, such as change in occupation.
Shoe Dermatitis | Consultant360
A 36-year-old active duty service member presented with an acute exacerbation of a chronic rash on the dorsal surface of both feet.
History. Four years prior, the rash initially appeared on the dorsum of his right foot without any known triggers. Although the rash always spontaneously resolved, it continually recurred during the summer months.
His current presentation was actually precipitated during the winter months, with the rash initially appearing on the dorsum of the right foot shortly before involving the left foot. He denied the use of any new soaps, lotions, or detergents as well as contact with ticks, plants, or other foreign substances. Other than pruritus at the rash site, he was asymptomatic.
The patient maintained good health and endorsed an intentional 40 lb weight loss by running more than 10 miles on a weekly basis. He denied recent antibiotic use and sexually transmitted infections.
Physical examination. The patient appeared healthy with normal vital signs. The dorsal surface of both feet demonstrated an erythematous macular rash (Figures 1-3). The affected areas were dry and notable for scaling and crusting. The skin was not warm or tender to touch and blanched with palpation. There were no bullae or vesicles and no evidence of skin necrosis. Both feet had normal motor-sensory function. Several of the toenails appeared black, but there was no involvement of the soles or interdigital spaces.
Discussion. This is classic shoe dermatitis, which is an allergic contact dermatitis due to leather and/or the dyes used to color them. While allergic contact dermatitis consists of erythematous, indurated, scaly plaques localized to the area of the skin that comes in contact with the allergen, specific involvement of the dorsal surface of the foot suggests the diagnosis of shoe dermatitis. The dorsum is involved most frequently because of its greater surface area, thin stratum corneum, and sustained interaction with the upper portion of the shoe.1
The most common symptom of allergic contact dermatitis is pruritus.1 While diagnosis of allergic contact dermatitis is primarily clinical, patch testing can unequivocally determine the presence of a true allergen.2 Treatment generally consists of avoidance of the allergen and topical corticosteroids.3
Differential diagnosis. Chronic plaque psoriasis presents with symmetrically distributed cutaneous plaques that are raised above the surrounding normal skin and display sharply demarcated borders.4 The plaques are typically asymptomatic and display a thick silvery scale. The scalp, extensor elbows, palms, soles, and nails are frequent areas of involvement.
Chronic tinea pedis begins as slowly progressive, pruritic, erythematous erosions, and scales between the toes that can extend onto the sole, sides of the foot, and in some cases the top of the foot. The margin between involved and uninvolved skin is distinctive. Onychomycosis is also an associated feature. Although history and clinical examination are characteristic, potassium hydroxide examination of scrapings from the lesions can differentiate between tinea pedis and plantar psoriasis and foot eczema.5
Dyshidrotic eczema presents as an idiopathic intensely pruritic, chronic and recurrent, vesicular dermatitis involving the palms and soles. The vesicles desquamate over a 1- to 2-week period, leaving slowly resolving erosions and fissures on the skin.6
- Matthys E, Zahir A, Ehrlich A. Shoe allergic contact dermatitis. Dermatitis. 2014;25(4):
- Bourke J, Coulson I, English J; British Association of Dermatologists. Guidelines for care of contact dermatitis. Br J Dermatol. 2001;145(6):877-885.
- Bourke J, Coulson I, English J, et al. Guidelines for the management of contact dermatitis: an update. Br J Dermatol. 2009;160(5):
- Tollefson M, Crowson C, McEvoy M, Maradit Kremers H. Incidence of psoriasis in children: a population-based study. J Am Acad Dermatol. 2010;62(6):979-987.
- Gupta A, Cooper E. Update in antifungal therapy of dermatophytosis. Mycopathologia. 2008;166(5-6):353-367.
- Guillet M, Wierzbicka E, Guillet S, et al. A 3-year causative study of pompholyx in 120 patients. Arch Dermatol. 2007;143(12):
“Toxic Sock” Syndrome – Photo Quiz
Am Fam Physician. 1998 May 1;57(9):2215-2216.
For several months, a 17-year-old male athlete noticed that his feet had an itchy, burning sensation at the heels and toes. His foot odor had become so malodorous (somewhat akin to rotting fish) that he would not remove his shoes except immediately before washing his feet. Washing made the odor somewhat milder, but only for a short time. The patient had tried an over-the-counter “athlete’s foot” powder without results. He had no other health problems and was not taking any medication. The accompanying figure shows the toes of his right foot.
Which one of the following is the most likely diagnosis given the history and physical appearance of the foot above?
A. Tinea pedis.
B. Superficial candidiasis.
C. Dyshidrotic eczema.
D. Allergic contact dermatitis related to athletic shoe rubber.
E. Pitted keratolysis.
The answer is E: Pitted keratolysis is an aptly named disorder that usually affects younger patients, especially athletes or those who spend prolonged periods in occlusive footwear.1,2 Bacterial species in the Corynebacterium and/or Micrococcus families invade the stratum corneum (the superficial “dead” part of the skin) and excrete exoenzymes (keratinase), which digest the keratin, creating the characteristic pits shown in the figure and producing a foul odor. These bacteria produce porphyrins that reveal bright coral-pink fluorescence in the pits under Wood’s light, which confirms the diagnosis. A false-negative result may occur if the patient has recently washed the feet. For this reason, a late-afternoon examination of the feet may be the most revealing. While systemic antibiotics such as clindamycin (Cleocin) or erythromycin (a 10-day course at dosages appropriate for age and weight) will satisfactorily treat the condition, most cases respond to therapy for one to two weeks with twice-daily applications of topical clindamycin or erythromycin gels and lotions. Gels seem to be somewhat more effective than lotions but may be significantly more irritating if the inflammation and pitting are particularly severe. Shoes may harbor the smell forever and will need to be replaced.
Candidiasis rarely occurs in the immunocompetent person. Other fungal infections may have bullous presentations that can leave denuded areas, although usually not pits. These infections are best diagnosed with a potassium hydroxide scraping and may be treated with any topical or systemic antifungal agents. Dyshidrotic eczema (also called dyshidrosis or pompholyx) is an intensely pruritic condition that affects the hands more often than the feet and presents with tapioca-like “bubbles” in the skin. While bubbles may appear on the palms and soles, and may be rubbed and scratched enough to leave small pits, the sides of the digits are more characteristically affected. Many cases of dyshidrotic eczema are the result of an occult allergen causing an allergic contact dermatitis.
“Shoe dermatitis” is most likely related to the rubber and elastic compounds in shoes, the elastic glues used to bind shoe components and the foam inserts used in shoe footbeds. A battery of patch tests or patch tests to parts of the suspect shoe itself may reveal that the patient is sensitive to one or more compounds found in modern footwear.3 Mid- to high-potency topical steroids may benefit patients with chronic cases as long as the offending type of footwear is avoided and a diagnosis of tinea pedis is excluded. A course of systemic steroids of no less than two weeks’ duration is required for treatment of severe, acute eczematous outbreaks.
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JEFFREY J. MEFFERT, LT COL, USAF, MC
Wilford Hall Medical Center
Brooke Army Medical Center
San Antonio, TX 78259
1. Eun HC,
Occupational pitted keratolysis. Contact Dermatitis.
2. Stanton RL,
Pitted keratolysis: a common foot problem. Am Fam Physician.
3. Marks JG, DeLeo VA. Contact and occupational dermatology. 2d ed. St. Louis: Mosby-Year Book, 1997:38–102.
Contributing editor is MARC S. BERGER, M.D., C.M., The Reading Hospital and Medical Center, Reading, Pennsylvania
The editors of AFP welcome submissions for Photo Quiz. Guidelines for preparing and submitting a Photo Quiz manuscript can be found in the Authors’ Guide at https://www.aafp.org/afp/photoquizinfo. To be considered for publication, submissions must meet these guidelines. E-mail submissions to [email protected]
Copyright © 1998 by the American Academy of Family Physicians.
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5 Natural Eczema on Feet Treatments
Do you suffer from eczema on toes, feet or
eczema on ankles and can’t find relief from both scratching and irritation?
Foot eczema can be difficult to treat due to constant use of our feet, as well
as moisture and sweat. Although there are many causes to why foot eczema
occurs, an eczema on feet treatment doesn’t need to be complicated.
Foot eczema can be easily confused with
athlete’s foot, so it’s important to differentiate the two.
Athlete’s foot, unlike foot eczema, is a
fungal infection that occurs usually between the toes. Symptoms include:
- Itching, stinging, and burning between the
toes or soles of the feet
- Blisters on feet that itch
- Cracking and peeling of skin on feet
(commonly seen between toes and on soles)
- Dry skin on soles of feet
- Discolored and thick toenails
Alternatively, eczema on toes, feet or
eczema on ankles can be caused either from external issues such as allergens and
seasonal allergies or from internal factors such as stress, hormones, an unhealthy
gut and much more.
There are also different types of eczema,
which are characterized by different symptoms. These are:
—characterized by oval plaques on feet and is usually
caused by stress, climate changes, and occupational hazards.
—appears swollen, red and with blisters or
cracked skin. Most cases of foot contact dermatitis are caused by allergens
found in shoes or socks.
—also known as Pompholyx Eczema and is most commonly
seen on the feet, especially among athletes. It appears in painful blisters
along the soles of the feet and is usually accompanied with severe itching.
Eczema on Feet Treatment Ideas
If you are in fact suffering from foot
eczema, then there are a variety of natural treatments you can turn to, to find
relief. As always, you want to make sure that whichever skincare you use is
gentle for your itchy skin. We recommend the following eczema on feet
Organic Manuka Skin
—this thick, creamy
“crointment” (creamy ointment) works for all types of eczema. Also contains
Manuka oil and Manuka honey, which contain anti-bacterial properties.
Bath for Eczema
—if you’re suffering
from intense redness, pain or itching on the soles of your feet and want to
soothe them with a soak, check out this oatmeal bath. Colloidal Oatmeal is a
rich source of beta-glucans, which fight skin sensitivity and diminishes
visible redness. Just sprinkle into a foot soak and enjoy immediate, calming
Dry Wrap Therapy
If your eczema on toes, feet or eczema on
ankles is very severe and you need immediate relief, try looking into
dry wrap therapy. All you need is a natural eczema cream or ointment
like those listed above, as well as a hypoallergenic sock to lock in the
Remedywear™ Socks for
Adults with Foot Eczema
and these Kids Socks for Eczema
are made to speed up the healing process of foot eczema blisters, peeling skin,
dryness and more. Using them for dry wrap therapy helps to eliminate further
irritation, as well as relieve itching and inflammation quickly and naturally.
Alternatively, we have
100% organic cotton hypoallergenic socks
that would do the trick for extra sensitive skin as well.
For foot eczema relief, make sure to check
out our entire collection of
If you are continuing to suffer from
flare-ups and the above recommendations are not helping, then we recommend
testing out an elimination diet, but only under a physician’s supervision an
direction. This process allows both you and your doctor to identify any
possible underlying food allergies that may be preventing your eczema from
healing. An elimination diet essentially means eliminating certain foods from
your diet for specific amounts of time and then reintroducing them to determine
which foods cause reactions. Many eczema suffers have found relief using this
Looking for tips to heal naturally? Check
out our other blog post:
How to Get Rid of Eczema Naturally.
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Bio: Laura is a contributor and content developer for The
Eczema Company. She is in no way a medical professional. Her comments,
suggestions, and reflections are not intended to replace any medical
advice. Always seek the help of a medical professional before
undertaking any diet or lifestyle changes.
90,000 New drugs and approaches are needed for the treatment of atopic dermatitis – Rossiyskaya Gazeta
Experts state a surge in the incidence of atopic dermatitis in the world.
At the congress of the European Academy of Dermatology and Venereology (EADV) held at the end of last year, most of the reports were devoted to this particular disease. The world’s best experts have come to the conclusion that the possibilities of traditional therapy for this disease are practically exhausted, new approaches and new drugs are needed.Deputy Director of the State Scientific Center for Immunology of the Federal Medical and Biological Agency, Doctor of Medical Sciences, Professor Natalya Ilyina told RG about this.
Natalya Ivanovna, what is the situation with the incidence of atopic dermatitis in our country? Is it growing?
Natalya Ilyina: Atopic dermatitis is an allergic skin disease that occurs in people with a hereditary predisposition to allergic diseases.Among atopic allergic diseases, in the first place in terms of prevalence is allergic rhinitis, which affects about 20-25 percent of the population. This includes hay fever, which is caused by seasonal factors – pollen of various plants, and year-round rhinitis, which occurs when you are allergic to household and epidermal allergens. In second place is bronchial asthma, which is 5-7 percent of the population. And about 3 to 5 percent are patients suffering from atopic dermatitis, the incidence of which has indeed been increasing in recent years.It is also called atopic eczema, neurodermatitis.
And among these patients there is a special group in which asthma and skin manifestations are combined, that is, the so-called dermato-respiratory syndrome is observed. There are about 10 percent of such patients, and their disease is in the most severe form and is difficult to treat.
Can atopic dermatitis be called a socially significant disease? Does it affect the family budget and overall health care costs?
Natalya Ilyina: Certainly, especially in severe forms, when the entire skin is affected.In these cases, the patient has to not only take medications, but also use a variety of skin care products in large quantities every day. These are emollients (moisturizers. – Ed.), Various creams, ointments, special dressings, etc. But there is no other way out. If such care is not carried out, then exacerbations of the disease will inevitably occur more often, and then the cost of medicines increases, and often hospitalization is required.
You said that the disease manifests itself from childhood.What age groups are most vulnerable?
Natalya Ilyina: In young children, everything starts with skin manifestations – redness, peeling, itching, weeping. But the most vulnerable group are teenagers. First, at this time they are undergoing hormonal changes, and in addition to physical suffering, unbearable itching, there are also very pronounced cosmetic disorders. Many endure them extremely hard, they develop neuroses, and sometimes suicidal moods.In addition, adolescents are not very compliant, that is, they do not want to cooperate with doctors, with their parents. Mom can persuade a small child – anoint the rash, give medicine. With adolescents, it is more and more difficult, they often resort to self-medication, do not follow medical recommendations … And as a result, the disease becomes more severe.
Atopic dermatitis is a widespread disease, it is associated with significant social and financial losses for both patients and health care in general
The main factor in the onset of the disease is genetic?
Natalya Ilyina: There is certainly a genetic predisposition.Especially if the mother suffers from atopic dermatitis, and the child has received the mother’s constitution, then the likelihood that he too will have this disease is quite high. But environmental factors are also of great importance. These are stress, and the ecology of the home, and food allergens, and various pollutants (substances that pollute the air. – Ed.). Another problem is that with a widespread process, a secondary infection very often joins – staphylococcus aureus, various fungal infections.A vicious circle is formed: since the patient is tormented by unbearable itching, scratching occurs, the epidermal barrier is violated – various allergens and chemicals enter the body, which aggravate his condition. Even when such patients simply put on woolen clothes, they also increase the itching and cause irritation.
So, atopic dermatitis is also a special way of life?
Natalya Ilyina: Certainly. Of course, there is pharmacotherapy – various ointments, in severe forms – taking glucocorticosteroids, local steroids, and if there is a fungal infection, then antifungal agents.But special skin care, hygiene measures in the morning and in the evening, the use of emollients are of great importance – there is a huge line of all these products, for different manifestations of the disease different means are required, and now we have all of them in our pharmacies. But sometimes it is difficult to follow all these procedures, both financially and organizationally. Sometimes we are faced with the fact that the doctor is wonderful, and he painted everything, but patients do not follow all the recommendations, there is simply not enough organization and thoroughness.
And if the patient does everything correctly, monitors the condition of the skin, is it possible to achieve that the remission can be long enough?
Natalya Ilyina: Unfortunately, no one can predict this. Often the provoking moment is stress, exposure to allergens, and a violation of the diet.
10 percent – the proportion of patients with the most severe forms of the disease
The prevalence of atopic dermatitis among children is greater than among adults.Does this mean that the disease itself goes away with age?
Natalya Ilyina: With age, the intensity of manifestation in a significant part of patients really decreases, since the immune system is aging and no longer responds so violently to allergic factors. As a result, the disease takes on more worn out forms. But not always. There are very serious patients when dermatitis is complicated by an infectious process, or by prolonged use of antibiotics, and then they need plasmapheresis with substitution, and the use of new immunobiological drugs, which, fortunately, have appeared in our country.We participated in clinical trials of these drugs, and in the group of the most severe patients received an excellent effect.
At the same time, for many other diseases, the newest therapy appears quite regularly, but atopic dermatitis is a completely different case, over the past decade, doctors have not received drugs for pathogenetic therapy. The situation has finally begun to change for the better, and patients with moderate to severe atopic dermatitis may have a chance.Therefore, now our task is to find economic opportunities so that such a group of patients has the opportunity to receive modern immunobiological therapy with monoclonal antibodies. We believe that they should be available to patients within the framework of the state guarantees program.
But it is also very important that parents of children who develop some kind of skin manifestations do not self-medicate, but immediately turn to specialists – a dermatologist or allergist. The same applies to adolescents and adults – this disease must be treated from the very first manifestations, and treated competently.It can also occur as a result of a stressful situation, or after a severe infection, or as a reaction to some drugs. Accurate allergy diagnostics and evidence-based therapy are the key to success in the treatment of atopic dermatitis.
Infographics “RG” / Alexander Chistov / Tatyana Bateneva
what is broken and how to treat / Habr
One of the possible manifestations of atopic dermatitis
Do you know what medical students are taught when they first get supervised for skin and venereal diseases? Correctly communicate with the patient and examine him correctly.A typical student who sees skin with unsightly crusts or redness immediately moves back one and a half meters and makes round eyes. And then, almost with a stick, he tries to poke at the patient, trying not to approach. It upsets people, especially given the fact that most of the patients there are not at all sick with something scary and infectious.
Quite unpleasant-looking chronic diseases are often encountered that are not radically treated, but can be controlled with the right approach.Psoriasis or atopic dermatitis is very difficult to treat due to two reasons:
- The underlying cause is associated with genetic defects that we cannot fix yet, despite all the success of gene therapy.
- There are a bunch of obscure factors that can trigger this process.
As a result, you can try to drive the disease into permanent remission. Today we will talk:
- What kind of pathology is this that about 20% of people face.
- What breaks down in the body of atopics.
- How is it related to allergies.
- What is better to smear on the skin.
- Why antidepressants can help a lot.
There will be several photos of damaged skin under the cut, but not horror-horror, as you asked.
What is atopic dermatitis?
Unfortunately, this disease is one of the most common skin lesions in developed countries. Not that this type of dermatitis was absent in the poor, but other pathologies like
influence statistics there.It is such a tropical relative of syphilis, which is transmitted through everyday life. In Europe or the USA, such diseases with skin manifestations are almost impossible to meet, because they are most often treated in a couple of weeks with conventional antibiotics.
And there is still a lot of evidence that such diseases of an allergic nature are somehow connected with the level of the country’s well-being. If you live in a hut made of sticks and straw, you will most likely suffer from malaria, but atopic dermatitis and hay fever probably will not shine for you.But in developed countries, for example, in Russia, almost every tenth adult is faced with this pathology.
Atopic dermatitis in a child
Atopic dermatitis, also known as atopic eczema, or neurodermatitis, refers to immune diseases of an allergic nature. It is not contagious, but it usually looks rather unpleasant. The skin is cracked, inflamed, easily injured by scratching, and can be complicated by a bacterial infection.
Usually starts at childhood.Very often combined with bronchial asthma, allergic rhinitis and food allergies. Actually, it is the allergic component that underlies this disease.
Let’s start with genetics
Thanks to advances in medicine, we are gradually accumulating more and more negative mutations in our population. Why people have such a skin problem is not fully understood. But it is definitely clear that the hereditary factor is one of the key ones. For example, if one of a pair of twins has atopic dermatitis, then the second will show it sooner or later in
cases.Most genetic defects do not mean that you are guaranteed to get a problem. It is more like a decrease in the “strength” of the body in one form or another. If a person with an ideal genotype can lead an unhealthy lifestyle with rather impunity, then another, with congenital genome defects, risks getting sick even with minimal exposure to a damaging factor.
Atopic dermatitis is not caused by any particular mutation, but rather an unfortunate combination of them. A slightly defective skin structure, slightly more nervous and aggressive T-lymphocytes, and now a person is continuously poured with moisturizers and eats only dietary buckwheat.One of the most common groups of mutations is associated with a violation of filaggrin synthesis.
The epidermis is so flat in the upper layers because of filaggrin
Filaggrin is a key structural protein in the skin, whose task is to bind another structural protein – keratin. Filaggrin in the form of a monomer binds to it into a single structure, stitching individual fibers together into a strong framework. As a result, the cell flattens and turns into a kind of shield, with which the body covers the tasty and nutritious deep layers of the skin from hungry bacteria and fungi.It is filaggrin that largely ensures the protective function of the upper, stratum corneum of the epidermis. Sometimes a defect occurs in the first pair of chromosomes, for example, mutations R501X or 2284del4, which are carried by about 10% of Caucasians. As a result, the protein is synthesized, but not correctly. The mutation is not fatal and is successfully passed on to children in the next generation. Due to the improper structure of filaggrin, the protective barrier is defective, contributing to light damage to the skin from the most common factors, for example, from bleach in a pool or a rough washcloth.Also, this mutant form of this protein, apparently, leads to a violation of the structure of the lung tissue. So, studies show a significant increase in the risk of developing bronchial asthma in carriers of this mutation and its more severe course.
In addition, in patients with atopic dermatitis, the amount of ceramides in the stratum corneum of the epidermis is reduced. Ceramides are fats from the sphingolipid class. They are an essential component of the cell membrane in all cells. The skin contains special varieties of these molecules that play a key role in the formation of a protective layer.Violation of their synthesis and quantitative ratio is an additional factor for the onset of atopic dermatitis.
It is not enough just to break the skin. This is unpleasant, she will be prone to injury, but a real combo is obtained in a situation where a person has genetic defects associated with the immune system. Normally, the body should react to the spores of mold, bacteria and other pathogens that have flown in, which only sleep and see how to grow mycelium somewhere in your warm and moist maxillary sinus.Normally, this does not happen due to the fact that immune responses actively resist such invasions. This is a very complex mechanism, which involves a huge number of different immunocompetent cells, chemical markers and other mechanisms. And everything is fine exactly until something breaks down in the immune balance. If the immune reactions are not strong enough, then we get an immunodeficiency with the same mycelium, which begins to grow vigorously somewhere in the lungs, and the most severe course of any infectious disease.But there is also the opposite option, when the body looks like a nervous psychopath with a large-caliber weapon. And then with a cry: “The pollen has fallen!” – a whole troop of immune cells is landed, the release of histamines, immunoglobulins of class E begins, and as a result, a bunch of uncomplicated cells and tissues are shot that were unlucky enough to be next to a particle of pollen that sat on the epithelium. Then a condition occurs, which is called an allergy.
In the scientific classification, this type of reaction refers to immediate type (type I) hypersensitivity.It is closely tied to the already mentioned IgE, which immediately binds to a foreign antigen and causes the release of many inflammatory mediators into the blood. This is the type of allergic asthma, atopic dermatitis, food allergy and hay fever. Unfortunately, more dangerous forms like angioedema and anaphylactic shock are of the same nature.
EMSY – a protein associated with high risks of allergic reactions
The key factor is still the same – the accumulation of genetic defects and abnormalities.Where a sickly teenager would have been eaten by hyenas, we get an adult who constantly takes antihistamines, has quite successfully had children, and passed on anomalies further. The 11th chromosome has the C11orf30 locus. In the case of an increase in the expression of this region, for example, with the C11orf30-rs2155219 mutation, the synthesis of the EMSY protein is increased. This ultimately doubles the risks of polysensitization. In the severe version, people with a “life allergy” are obtained, who cannot use cosmetics, almost all types of gloves, must wear only certain types of fabrics, and when washing are forced to rinse the laundry repeatedly before wearing.In addition to this gene, STAT6, SLC25A46, HLA-DQB1, IL1RL1 / IL18R1, TLR1 / TLR6 / TLR10, LPP, MYC / PVT1, IL2 / ADAD1, HLA-B / MICA were also noted, although C11orf30 is a key one.
Complex set of reasons
As a result, atopic dermatitis is a disease that occurs at the junction of three factors: genetic defects, immunological problems and an unfriendly environment. For example, if you wash your skin every day with a hard washcloth and bars of laundry soap, the box of which has been stored on the mezzanine since the times of the USSR, then the skin will not thank you for breaking the protective lipid layer.Similar negative factors will be contact with bleach, aggressive detergents, synthetic underwear in which you constantly sweat, and the like. There may be less obvious factors, such as drinking hard water with an increased concentration of calcium carbonate. The reason is not clear, but
. Moreover, in different countries where the study was conducted: Japan, Great Britain and Spain.
What to do with the skin?
Patients with atopic dermatitis cannot live normally without
(emollients).This is a type of gels and creams, the task of which is to saturate the skin with moisture and soften it. Patients need many of these drugs to provide the level of protection they need. So many. The flow rate of
600 grams per week for an adult during an exacerbation. In remission, the amount may decrease slightly, but still, the drugs must be applied at least twice a day.
First of all, you need to protect the areas of the body that are prone to damage. The exposed areas of the body – the hands and face – are most affected, since they are more exposed to weather factors than others.In addition, the hands still suffer from washing. It is necessary from a hygienic point of view, but the skin of atopics does not tolerate any detergents that wash off its protective layer. Therefore, the general treatment should be immediately after normal bathing in the shower with gentle agents, before swimming in pools with chlorinated water and after every hand washing. If necessary, the frequency of application can be increased up to seven times a day.
Naturally, we could not pass by such a market, especially since humidification and transdermal transport are the specialties of our laboratory.We had both a moisturizer and an Intensive Regeneration healing agent, which we once wanted to put almost in the ISS medicine cabinet. But “Intensive-Regeneration” turned out to be relatively expensive, and we were looking for other market niches. And there are such procedures that are aggressive to the skin, such as chemical peels. In the first phase, the task is to remove the inflammatory process and “feed” the skin cells to help the regeneration process. The skin requires hyaluronic acid salts for normal epithelialization and hydrophilic compounds.Any hydrophobic oil textures will only interfere here.
Salts of hyaluronic acid bring bound moisture on their huge molecules. Somewhere on the third or fifth day after aggressive peeling, the skin becomes epithelialized, but begins to resemble a cracked desert.
Clayy saline desert with characteristic cracking.
At the same time, people begin to itch, and most often they are far from sterile nails. Against the background of such procedures, Staphylococcus aureus can fly.The skin needs to be somehow moistened, the crusts softened and covered with a protective layer. If everything is done correctly, then after a while the crusts fall off, and under them there will be new pretty skin, which we wanted to get after the peeling. If you send the patient just to spray D-panthenol in the face, then there is a great risk that he will comb everything anyway, and as a result, he will receive minor defects in the form of scars and age spots. Remember how it was forbidden to peel off the crusts with chickenpox? Here is something similar.
We have developed the Ceramide SkinSaver formula especially for this business.The most important thing is the complete absence of water in the composition. Instead of water – a stable emulsion of low molecular weight silicone and lipids. Ceramides – sphingolipids, which are important for the formation of a protective layer, act as a lipid fraction. We added them together with fatty acids and phytosterols.
As a result of research, it suddenly turned out that this composition just perfectly fits the problem of atopic dermatitis, although we developed it for other purposes. But first, I’ll tell you what makes it different from other emollients.
What we put inside
As I said before, skin with genetic defects initially has an inadequate barrier function and needs continuous protection. First-generation emollients solved this by creating a hydrophobic film based on petroleum jelly, paraffins and waxes, which in fact tries to mimic a natural barrier so as not to release moisture outside and keep evil bacteria inside. The problem with using such drugs, especially on the face, is that they clog the ducts of the sebaceous glands and provoke the formation of comedones.As a result, we seem to be solving one problem, but at the same time we get massive reproduction of anaerobic Cutibacterium acnes, which are only happy with the lack of oxygen and can cause acne if they multiply strongly in the ducts of the sebaceous glands.
We avoided this problem due to the fact that we took two polysiloxanes as a base – cyclopentasiloxane and dimethiconol. The first, due to the small size of the molecule, is quite volatile and can evaporate, and the second forms a gas-permeable protective barrier, acting as a texturizer.In this case, dimethiconol allows the skin to breathe, but reduces the loss of moisture. As a result, when applied, the product has a characteristic oily sheen, but very quickly the main part of the silicone base evaporates, and the skin becomes matte without a greasy feeling. Cutibacterium acnes also do not try to multiply beyond reasonable limits, as oxygen continues to penetrate and inhibits their reproduction and the formation of comedones. The bonus of such a light texture was the low consumption. Instead of 600 grams per week for people with atopic dermatitis, dosages 2–2.5 times lower are enough.
In addition, we did not add urea, which is contained in many products for atopic skin, since with frequent use it loosens the epidermis and, conversely, provokes itching.
In addition to phytosterols and ceramides, which are key in the product and are needed to restore the protective layer, we have added bisabolol. It is terpene, which is abundant in flowers from the chamomile genus. In its pure form, it smells very pleasantly of something floral, but the smell is weak.But for us, it is not its perfumery properties that are important, but its anti-inflammatory and antimicrobial properties. Thanks to him, itching and inflammation go away.
Vitamin E – alpha-tocopherol
We also added calendula oil extract, which was stabilized with vitamin E, so that it would not oxidize. Vitamin C is usually the traditional antioxidant in formulations, but this time it was impossible to put it in. Ascorbic acid and its salts are insoluble in oils and silicones. Therefore, we used fat-soluble vitamin E, which perfectly protects delicate organic components from oxidation.At the same time, together with vitamin A, it covers the damaged skin from free radical damage, inhibiting lipid peroxidation of cell membranes.
In addition, the composition contains squalane, a hydrocarbon of the triterpene series, its own analogue of which is synthesized by the skin. It also has anti-inflammatory effects and helps to form a protective layer.
Well, for the sake of perfectionism, we added a complex of polyunsaturated fatty acids, which is sometimes called “vitamin F”.Although somewhere since 1930, it was transferred from vitamins to the group of essential fats and fatty acids. This group is better known as Omega-3 and Omega-6 unsaturated acids. In our case, their source is a complex of natural vegetable oils, which at the same time improve the structural properties of the product.
And some antidepressants
Finally, I would like to share an interesting observation in the treatment of atopic dermatitis. I have a familiar atopic who has been suffering for 15 years from skin manifestations on the skin under the knees.The whole classic picture is inflammation, dried lichenized skin and constant itching. It so happened that a neurologist prescribed him antidepressants for the treatment of another pathology. Suddenly, after about six months, the patient noticed that the skin problems had almost completely disappeared.
I searched for scientific publications on this topic and came across an interesting article where low doses of bupropion were used in patients without clinical depression. As a result, 60% of people with atopic dermatitis experienced significant improvement.It seems that the peripheral nervous system, in particular noradrenergic neurons, can significantly influence the course of the disease. And here’s another good review article on this topic.
Important! Whatever you do with your body, be sure to first go to the doctor. Do not take antidepressants just like that and do not try to treat chronic skin lesions according to the advice from the Internet. First – the doctor, then – the rest. Well, if you would like to know a little more about the chronicles of our laboratory, visit our Telegram channel (@geltek_cosmetics).There we tell interesting things about our work.
Allergic contact dermatitis: Causes, Symptoms of acute allergic contact dermatitis, Diagnostics
The prevalence of the disease among the population is evidenced by the fact that the share of allergic dermatitis among all groups of occupational diseases is 87 percent.
As the name of the disease implies, it is based on an allergic reaction caused by various types of allergens.The main thing that distinguishes allergic contact dermatitis is the speed of the reaction. If a person first encounters an allergen, then from the moment of contact until the first signs appear, it takes up to two weeks. With repeated skin contacts with an allergen, three days are enough for the development of a pronounced clinical picture. To date, more than 3000 different allergens have been identified.
By itself, skin allergy is the body’s response to exo- or endogenous contact with sometimes completely harmless particles, which are called allergens.The mechanism of development of a pathological reaction in allergies is that at the first contact of the body with an allergenic particle, human blood cells – leukocytes, perceive it as a foreign element and try to remove it from the body.
During this process, or sensitization (as it is called), a large amount of IgE immunoglobulins is produced by leukocytes, which are nothing more than an antibody to a specific foreign substance (antigen). These substances bind to antigens and activate the release of inflammatory mediators – histamine and prostaglandin – into the vascular bed, which cause rash, itching, redness and other manifestations of allergy on the skin.That is, upon repeated contact with an allergen, the body already has antibodies formed earlier to it, and therefore, the manifestation of an allergy on the skin passes almost immediately.
Symptoms of acute allergic contact dermatitis
At the initial interaction of the skin with an allergen, the disease is considered acute; contact dermatitis on the hands is most common. With repeated interactions, it goes into a chronic phase. The intensity of the symptoms depends on the duration of the interaction, the aggressiveness of the reagent, and the susceptibility of the organism.
The main symptoms include:
- local irritation and hyperemia of the skin;
- Intense itching and weeping, with blistering.
Symptoms of chronic allergic contact dermatitis
They are somewhat different from the acute state, in a longer and more intense severity of manifestations. The epidermis in the place of constant contact with the allergen will be thickened, dry with numerous cracks and a pronounced skin pattern.
The preliminary diagnosis of contact dermatitis is made on the basis of patient complaints and during the initial examination. An accurate diagnosis is made based on tests to detect the allergen. For this purpose, the most informative method is considered to be application tests or (patch-tests). They are very simple, test plates are purchased at the pharmacy, various types of allergens are applied to them, and there can be more than ten of them on one plate.
Methodology for conducting application tests
Test strips are glued onto clean and dry skin of the back for two days. After 48 hours, carefully peel off and carefully study the result. When characteristic symptoms appear at the site of contact, namely, hyperemia, itching, and at a high degree of intensity, blisters may be present, the doctor diagnoses contact dermatitis with high accuracy and identifies the allergen.
Treatment of allergic contact dermatitis
A dermatologist is involved in the treatment of the disease.The basis of treatment is the complete exclusion of contact with the allergen, drug treatment of contact dermatitis will depend on the stage of the disease.
For skin allergies, treatment usually includes antiallergic drugs: allergy ointment and tablets for systemic effects on the body.
Skin allergy ointment can be antipruritic. Also, a skin allergy cream may contain active ingredients that prevent the development of an allergic reaction.Most often, in the treatment of skin allergies, an ointment is used on the skin based on local corticosteroids and their combinations with each other, as well as with antiseptics, wound healing, antibacterial and other components.
Tablets for skin allergy have their effect by blocking the influence of mediators of the inflammatory and allergic reactions. A medicine for skin allergies in the form of tablets should be prescribed by a doctor, based on the strength of the reaction, the age of the patient, his activity (since some drugs cause drowsiness, which is dangerous for drivers).
Herbal compresses can be used as a remedy for skin allergies and to treat its consequences. It is important to remember that for skin allergies, treatment with alternative methods should be combined with traditional therapy.
Allergists and dermatologists believe that corticosteroid-type drugs are the best and most effective remedy for the treatment of skin diseases of allergic origin.
If the inflammation has passed into the wet stage, then you can use agents with a drying effect.
Online search for drugs for effective treatment of dermatitis can be done through DOC.ua.
Treatment of acute dermatitis
In the acute phase of dermatitis, the use of local treatment is effective; it is enough to apply lotions in places of particular irritation and wetness. The duration of the course is two weeks, during this period, the ointment should be applied at least 2 times a day to problem areas of the skin.
Treatment of chronic dermatitis
Chronic contact dermatitis is characterized by a longer course, respectively, the treatment will be complex and much more intense and longer than in the acute phase.Corticosteroid drugs are administered orally, according to an individually designed schedule by a doctor. Symptomatic treatment consists of taking antihistamines to relieve itching.
Contact dermatitis in children
In children, due to the specificity of the immune system, contact dermatitis is very common, associated with direct damage to the baby’s delicate skin with diapers or diapers. Contact dermatitis is treated quickly, it is enough to remove the irritant.
In no case is it recommended to self-medicate: all these drugs should be prescribed by a pediatrician.Treatment must necessarily be complex: that is why taking medications must be accompanied by physiotherapy.
Prevention of dermatitis
All preventive measures are aimed at eliminating contact with the allergen, if this is a production factor, then it is necessary to observe precautions and use personal protective equipment as much as possible. In case of transition of allergic contact dermatitis caused by professional activity into the chronic stage, it is necessary to change jobs in order to completely exclude contact with the allergen.
Treatment of atopic dermatitis in adults – Online appointment in Sochi
Atopic dermatitis is a chronic dermatological disease characterized by inflammation of the surface layer of the epidermis, severe itching, dryness and the presence of specific rashes. This disease is detected even in infancy in a person, after which it accompanies him throughout his life. During its course, periods of improvement are replaced by exacerbations. The disease not only affects the general health of a person, but also leads to aesthetic and psychological problems.Regular skin rashes, itching and extreme dryness create discomfort that interferes with normal life. Very often, dermatological problems affect the psychoemotional state of the patient. Usually such people withdraw into themselves, it is difficult to make contact with strangers, they are mainly suppressed by depression, they suffer from insomnia and other nervous disorders. It is impossible to completely cure it, but with the help of complex therapy, you can improve the condition.
Specificity of the course of the disease in children
In a newborn under the age of three months, a dermatological disease manifests itself, first of all, by external symptoms on the skin.Any changes in the state of the epidermis are characterized by the following stages:
- exudation – the release of a natural fluid containing protein and other cells onto the surface of the skin;
- the formation of “serous wells” – weeping affected areas of the epidermis, which open themselves and lead to the outflow of purulent contents to the surface. Usually, with strong scratching, such erosive formations can turn into a huge wound;
- Exfoliation of cells.
90,086 the appearance of crusts;
They appear mainly on the skin of the face (with the exception of the nasolabial region), on the elbows and knees. The itching of the skin can be very severe, leading to anxiety and tearfulness of the baby. And scratching the wounds aggravates the course of a dermatological disease, which leads to sleep disturbances and other neurological problems.
Atopic dermatitis in adolescents
For a child in adolescence, this form of dermatological disease is characterized by the formation of large painful papules.The upper layers of the epidermis are thick, the pattern of the blood vessels is enhanced, and the pigmentation is clearly impaired. When combing and mechanical action on the skin, hemorrhagic crusts appear mainly in the area around the eyes, corners of the mouth, chest, hands, elbows and knees. The adolescent has a stable form of light skin dermographism. Treatment at this stage is assigned to each patient by a qualified specialist on an individual basis.
Atopic dermatitis in mature patients
Therapy for this skin disease in adults has its own specifics.It usually goes away after puberty. If this does not happen, then it remains with the person for the rest of his life. In medical practice, cases of self-healing of the disease in a child during the period of his active growth have been recorded. However, the increased sensitivity of the skin may persist.
The disease in an adult combines all of the above symptoms. The superficial layer of the epidermis is very dry, the pattern of the vascular network is strongly pronounced, the pigmentation is clearly changed.With severe scratching of the skin, an infection can join, which often aggravates the course of the disease. Periods of exacerbation and improvement of the patient’s condition replace each other at regular intervals.
The emergence of complications in the course of atopic dermatitis
Basically, all complications in this disease are associated with mechanical damage to the surface layer of the epidermis, as a result of which any infection can be brought inside.In case of violation of the skin cover, the immune system also decreases, and this is a favorable environment for the reproduction of pathogens. All these factors together significantly complicate the treatment of the disease.
The most common complications of atopy are bacterial. When bacteria penetrate into the damaged area, a purulent lesion – pyoderma – can develop. The causative agents of this dermatological disease are pyogenic cocci, including streptococci, gonococci, and staphylococci.The popular symptoms of this disease are purulent eruptions on the skin of the body and face. When dried, they form yellow crusts. Other signs of pyoderma are severe fatigue, weakness, and fever.
In addition to bacterial complications, various viral lesions are often associated with atopic dermatitis. With them, a variety of rashes appear on the skin, including vesicles (formations with a transparent liquid). Mostly viral lesions are observed in the area of the skin of the face and mucous membranes.
Another common complication of this type of dermatitis, which is characteristic of childhood, is fungal infection. Very often, infants develop thrush, the causative agent of which is the candida fungus. Dermatitis in mature people, to which the fungus joins, manifests itself in various ways, including the formation of plaque in the skin folds.
Causes of atopic dermatitis
How is atopic dermatitis treated? For this, it is important to identify its root cause.As medical practice shows, it can be caused by a combination of external and internal factors. This dermatological disease is one of the genetically determined ones, therefore, children with similar symptoms are very often born to parents who suffer from it. Doctors confirmed that in patients, among whose relatives cases of atopic dermatitis were recorded, almost 50% have a predisposition to various allergic reactions. In the case when a child has both parents susceptible to atopic dermatitis, the probability of having a child with a similar dermatological disease is about 80 percent.
It is possible to identify a genetic predisposition and the presence of this disease already in the first year of life. They usually manifest as a specific allergic reaction – inflammation and the appearance of skin rashes. Signs must appear before 5-6 years of age. If allergies do not appear at school age, then parents with atopic dermatitis can be calm about the disease in their baby. However, sometimes symptoms of this disease can appear during adolescence.They can be aggravated by various factors, which include:
- decreased immune system;
- unfavorable environmental conditions;
- climate – high temperature or humidity;
- unbalanced nutrition;
- lack of vitamins and iron;
- psychological factors and others.
Basically, this type of dermatitis is accompanied by other allergic diseases – rhinitis or bronchial asthma.It cannot be completely cured, but with the help of specific procedures and medications, the condition of the skin and the quality of life can be significantly improved. With their systematic implementation, remission can be achieved.
How is atopic dermatitis treated? To answer this difficult question, it is necessary to first disassemble the classification. According to the research of doctors, several of its forms can be distinguished – the stage of exacerbation, remission and the stage preceding the aggravation. It is called incomplete remission.Complete remission means a healthy body and no symptoms. Also, the forms of the disease are classified depending on age – it is possible to distinguish infant (from 1 to 3 years), children (from 4 to 12 years), youth (13 to 18 years) and adults (after 19 years).
Also, depending on the severity of the symptoms of this disease, experts distinguish three different forms – mild, moderate and severe. This division is due to the duration of the periods of deterioration, as well as the severity of the clinical manifestations.
Signs of atopic dermatitis
The first symptoms of this disease in a child from birth to six months, but only if he has a tendency to allergic reactions. Doctors have determined that babies who are breastfed are less likely to develop allergies. Together with breast milk, antibodies are transferred to them, which help the immature body to fight allergens. Also, the first signs may appear with the introduction of complementary foods, which usually begins at the age of six months, or when switching to an adapted milk formula.
During puberty, in which there is an active production of hormones, in more than half of the patients, all the symptoms of atopy completely disappear. However, if they remain, then they will cause discomfort until the end of a person’s life. Usually, the primary forms of atopy pass into the adult, the symptoms of which are more pronounced.
According to the characteristics of the course of the disease, doctors distinguish two stages – acute and chronic. Each of them has its own symptomatology and severity of clinical symptoms.In the first variant, there is a change in shade in the affected areas, hyperemia and severe edema. In some other cases, the course of the disease can be aggravated by numerous rashes in the form of nodules, erosive formations, dryness and increased desquamation. The most characteristic sign of atopy is the secretion of a natural fluid containing protein and other cells on the surface of the skin. This leads to the formation of weeping wounds and ulcers. With constant combing of these formations, a viral or bacterial infection can join dermatitis, which will lead to various complications and aggravation of the course of the disease.The most dangerous of these is the appearance of papules and pustules.
For the chronic form of the course of this disease, thickening of the skin and the appearance of a noticeable pattern on it is characteristic. It is also characterized by the following symptoms:
- numerous wrinkles in the lower eyelids of a child;
- the skin on the feet is edematous with many small cracks;
- alopecia in the occiput.
In mature people, other symptoms of the course of the disease can be distinguished.A characteristic feature of this dermatological ailment for different forms is severe itching. Other symptoms can vary depending on the age of the person.
Atopic dermatitis therapy
If signs of atopy were found in a child, adolescent or adult and the diagnosis was confirmed, then it is important to start comprehensive treatment in a timely manner. It is aimed at achieving specific objectives, including:
- removal of toxins and allergens from the body;
- reducing the severity of allergy symptoms;
- Reducing the body’s hypersensitivity to certain allergic substances;
- relief of severe itching;
- therapy of secondary associated infections;
- prevention of exacerbation of the disease.
Atopy, the causes of which can vary depending on the age and health of the patient, cannot be completely cured. But drug and non-drug therapy can significantly alleviate the patient’s condition. For this, it is important for the patient to follow all the recommendations of a specialist.
Balanced nutrition in case of illness
To prevent relapse and alleviate the patient’s health during the period of exacerbation of the course of the disease, it is necessary to choose the diet correctly.It should not include foods that are high in allergens. Especially it is necessary to treat him carefully when feeding infants, in this case all restrictions are imposed on the mother. From her diet, it is necessary to exclude all foods to which the baby has an increased sensitivity. These typically include dairy products and chicken eggs.
Also, the diet should not include fatty, fried and salty foods, smoked sausages, fish and meat with a high content of fat, strongly colored foods.Also, do not eat sweet foods, citrus fruits, nuts, as well as fish caviar and mushrooms, as they have a strong effect on the gastrointestinal tract.
When preparing food, the patient should reduce the amount of salt; also, pickled and salted canned foods should not be consumed. Fat pills can be taken to meet the nutrient needs of some prohibited foods. For more information on developing a balanced diet, you should seek the advice of a dietitian.He will be able to choose an individual meal plan.
Drug treatment for atopic dermatitis
When treating this disease, the primary goal is to eliminate uncomfortable itching. It leads to constant scratching, which can infect the affected area and lead to other more dangerous complications. To combat this unpleasant symptom of atopy, doctors prescribe special medications.
Antihistamines are good at eliminating itching of the skin, but they also remove excessive edema on the mucous membranes.This allows you to prevent common complications of the course of dermatological disease. It is important to take into account that the regular use of most of these drugs can cause the body to develop a lack of susceptibility to them in the future. This will cause the medication to stop working. To avoid this, experts recommend not taking antihistamines for more than a week. Also, many such drugs (Suprastin, Diazolin, as well as Tavigil and others) have a slight relaxing effect, which is important to consider for those people whose work is associated with high attention.
There are several hormone-based allergy medications. Their reception is possible only for a short period of time with a gradual decrease in the amount. It is used only in the presence of severe itching, as well as in the absence of effect from the use of other medicines and medicines.
In the presence of symptoms of intoxication, the doctor may prescribe an additional intake of sorbing substances. They bind allergens and remove them from the body.Enterosorbents are suitable for the child, which include coal, polysorb, enterosgel and others.
Intensive treatment of atopy is carried out with severe symptoms using droppers for the introduction of certain medications inside, including saline. In very difficult situations, blood purification may be prescribed. Depending on how you feel, this procedure is performed every day or several times a week.
Of great importance in the treatment of many dermatological diseases is the use of special preparations for external action – ointments, creams, gels and other cosmetics.Dermatologists often use corticosteroids for therapy. The most common is Elidel. The main advantage of this medication is that it can be used to treat young children from birth to 3 months.
If the patient’s skin has weeping wounds and ulcers, then they need to be dried. For this, special cosmetic preparations are used. The selection of medicines depends on the location of the lesions, the stage of the disease and the characteristics of the patient.
When a secondary viral or bacterial infection is attached, antibiotic therapy is prescribed to patients. The selection of drugs in this case should be based on the results of analyzes carried out to determine the pathogen. With antibiotics, a drug can be prescribed simultaneously to strengthen the immune system and prevent the development of intestinal dysbiosis.
Atopy therapy can only be prescribed by a qualified specialist after a thorough diagnosis of the patient’s condition.To achieve the maximum effect, the treatment program is selected individually.
Prevention of atopic dermatitis
Therapy of this disease in people of mature age requires adherence to preventive measures. Today, this dermatological disease cannot be completely cured, since it occurs in the presence of factors that do not depend on the person. But with a competent approach to treatment, any patient can ease the course of the disease, improve well-being and reduce the symptoms of exacerbation.For this, it is important to avoid certain factors in order to prevent relapse.
All activities carried out within the framework of prevention can be divided into primary and secondary. The first group includes, first of all, the careful management of a woman during preparation for childbirth. It is important to prevent the development of severe toxicosis and the use of potent medications. A pregnant woman should eat a balanced diet and avoid certain foods that can lead to allergies.
A newborn baby should be breastfed for as long as possible. It is not recommended to introduce complementary foods early and transfer the baby to an adapted milk formula. A nursing mother should also carefully monitor her diet and exclude highly allergenic foods from it, be careful about eating vegetables and fruits. You should not take strong medications with hepatitis B.
Secondary preventive measures are aimed at preventing the effects of external factors that provoke the appearance of allergies.It is important to carefully approach your skin care and not to use cosmetics that contain hazardous chemical dyes, fragrances and other aggressive ingredients.
It is also worth giving up wearing tight-fitting underwear, using hard washcloths, hot water. It is important to carry out comprehensive skin care that includes hydration, nutrition and protection from adverse external factors.
Patients with atopy should carefully approach the choice of professional activity.It should not be associated with concentration and contact with chemicals, dust, oils.
What vitamin is missing when peeling dry skin of hands
If you have this problem, there may be two reasons. Either you did not take good care of your skin and did not take care of it, or you have dermatitis. How to distinguish one from the other? And what to do to make the handles velvet again?
If you have this problem, there may be two reasons.Either you looked after your skin poorly and did not take care of it, or you
dermatitis. How to distinguish one from the other? And what to do to make the handles velvet again?
After winter, it’s scary to look at my hands – they are red and rough. Can not understand:
it’s just that the skin has dried out or a disease has already arisen. Is it possible externally, without tests, to distinguish ordinary dryness
skin of hands from dermatitis?
If a person does not have dry skin of his hands by nature, then many external
Firstly, play a role climatic conditions – frost, wind, ultraviolet rays. If
do not wear gloves in the cold, and in the summer neglect sunscreens, you can encounter this
Second, dryness and flaking
the skin can be observed after certain procedures (for example, after biorevitalization, with
which uses drugs based on hyaluronic acid).While in the dermis, hyaluronic
acid attracts water from all layers of the skin. This is due to the dryness of the hands in the first time after
Thirdly, the reason for this unpleasant phenomenon can also be the wrong selection of cosmetic
skin care products. Or misuse. For example, if it’s cold outside, you can’t
apply hand cream before leaving the house. Wrong and cream wet hands – first
dry them with a soft towel.
Dermatitis is not related to weather or skin care.
This disease occurs as a result of skin reaction to contact with irritants (either internal,
or external). It’s just that dry skin does not cause painful sensations (only its external
view), but with dermatitis, the discomfort is very significant. Yes, and to achieve a decent look of the hands at the same time
the disease is not easy, and even a very good cosmetic cream will not help.
What are the signs of atopic dermatitis? What is it
What analyzes can confirm this diagnosis? Who treats – an allergist or
The main symptoms of atopic dermatitis are excessive dryness and itching of the skin.At
exacerbation of the disease, swelling and redness may appear. If treatment is not started on time, there is
the risk of ulceration (erosion of the skin), and with the introduction of infection – abscesses. Cause
disease allergens that enter the body along with food or through the respiratory tract.
For each patient, tests are prescribed on an individual basis.
Often, in order to confirm the diagnosis of atopic dermatitis, there is
an external examination and collection of anamnesis is sufficient.It is necessary to treat such a disease to a dermatologist.
What types of dermatitis can manifest as peeling of the skin? What are the reasons for these
Scaling is usually a sign of dry dermatitis. Its occurrence may be due to
heredity, exposure to cold air, stress and even overwork.
However, if not all the skin is peeling, but only individual zones, then this
can be characteristic of both allergic and contact dermatitis.The latter can provoke
household chemicals, as well as physical factors such as reaction to cold.
Which vitamin deficiency can cause dry hands? And how to eliminate
this deficiency is taking vitamins internally or changing the diet, making vitamin masks or
any salon treatments?
Vitamin A deficiency is one of the causes of dry hands. It is he who is responsible for the level
moisture and elasticity of the skin.
However, you should consult your doctor before taking vitamin A
and take a blood test for trace elements. This procedure is needed in order to eliminate the risk of hypervitaminosis.
An excess of fat-soluble vitamin A, which can be deposited in the liver, is even more dangerous than a deficiency. Risk
to get hypervitaminosis from food is much lower, unless, of course, drinking carrot juice with cream in liters.
Vitamin A is found in animal products (for example, butter, liver and fat
fish, egg yolks, whole milk), some fruits and herbs (in avocados, spinach, carrots).To
vitamin A was well absorbed from plant products, fat must be added to them (sour cream, cream,
Of course, it is very important to find a good hand cream, and in addition, you can pamper your hands with masks (for example, from mashed
boiled potatoes with sour cream, bananas with honey, boiled oatmeal with olive oil,
sea buckthorn and burdock oils, oil solutions of vitamins A and E).
If we are talking about salon methods of dealing with dry hands, then the most famous are
paraffin therapy, biorevitalization and plasma therapy.However, paraffin therapy has only a short-term effect. But the other two methods give a good and prolonged
the result, helping to permanently eliminate dry skin. See your dermatologist to find the right care for you.
Read also on topic
Doctor dermatologist mycologist – make an appointment, prices.
Dermatologist-mycologist is a doctor who diagnoses and treats fungal diseases of the skin and nails (microsporia, athlete’s foot, candidiasis, onychomycosis, mycosis of the feet and others).
A dermatologist-mycologist should be consulted if one or more of the following symptoms are present.
Main signs of fungal skin diseases:
- redness, itching of the skin
- hyperkeratosis – hardened, hardened skin
- The appearance of flaky spots
Main signs of fungal infections of nails:
- discoloration, dullness
- yellowish gray spots
- Appearance of white plaque
- structural change – thickening, delamination, deformation of the nail plates
- increased fragility
One of the most common types of fungal infections is fungal infections of the skin of the feet (mycoses of the feet) and nails (onychomycosis).These diseases must be treated by a specialist, since the effectiveness of treatment depends on determining the type of causative agent of the fungal infection. An approximate diagnosis for the presence of a fungus is made by inspection with a Wood lamp. Clarification of the diagnosis and determination of the type of fungus is carried out by microscopy and sowing of the affected areas of the skin or nail plates. All diagnostic methods can be performed during the appointment. To do this, it is necessary not to use cosmetic or medicinal creams and ointments for a week before treatment, do not apply (or remove) varnish a week before treatment.Based on the test results, an individual antifungal treatment is prescribed.
Antifungal treatment depends on the location, the area of the lesion, the type of pathogen. Treatment should be comprehensive: systemic antifungal drugs, external treatment (varnishes, ointments, creams, sprays), hardware treatment (pedicure).
The most important component of the treatment is a medical apparatus pedicure. In this case, a special apparatus removes the layers of the nail plate affected by the fungus to a healthy nail, which reduces the area and volume of the lesion, reduces the need for drugs, increases their effectiveness, and reduces the duration of treatment.This procedure should be carried out only in a medical institution, as it requires special training of a specialist, strict conditions for sterilizing the instrument and processing the room. During the first procedure, it is possible to take material for analysis using the apparatus.
APPARATUS MEDICAL PEDICURE (PROFESSIONAL, MEDICAL PEDICURE)
Pedicure in French means “foot care”. This is a special treatment for feet, nails and toes. This pleasant procedure, carried out by a professional, has not only an aesthetic, but also a healing effect.Medical pedicure is indicated for both women and men for prophylactic purposes. Even with healthy nails and skin of the feet, it is recommended to carry out a professional pedicure once every 1-1.5 months.
Hardware pedicure solves the following tasks:
- therapeutic – an essential component in the treatment of fungal infection
- prophylactic – prevention of diseases of nails and skin of the feet – the formation of calluses, ingrown nails and other
- cosmetic – legs get a healthy, well-groomed look
- psychological – a person with well-groomed feet feels more confident in open shoes, on the beach, at a doctor’s appointment and in other situations
- Indications for medical pedicure:
- nail and foot skin fungus
- core and root calluses
- ingrown nail
- avian nail (onychogryphosis)
- painful cracked foot
- hyperkeratosis (hardening of the skin of the feet in places of increased friction)
- “diabetic foot”
APPARATUS PROCESSING OF NAILS AND SKIN OF HANDS (APPARATUS MANICURE)
Somewhat less often than on the legs, fungal infection occurs on the nails of the hands.This most often occurs when the nails on the hands are exposed to chemical attack, in particular the permanent nail coating (varnish, shilak, nail extensions, acrylic nails). Also, an indication for medical hardware manicure is dystrophy of the nail plates on the hands, which occurs with various metabolic disorders (diabetes mellitus, etc.)
Externally, the fungus and dystrophic changes may be similar – thinning, discoloration, striation.
In search of a wart removal service, I came across an offer from the MEDIS clinic, it seemed to me the most profitable of all the ones presented on the site, and so, partly by accident, I ended up at the appointment with Dr. Sosnovchik Olesya Pavlovna.I can say that I really liked the doctor, her approach to the patient, how she behaves during work. The procedure was painless. Olesya Pavlovna told me everything about how and what would happen. Fully prepared me for manipulation. She explained almost every step she took, so that I was no longer scared, and I was not worried about anything. Sensitivity and attentive attitude to me were ensured throughout the entire reception. The removal went well, at the highest level, everything healed pretty quickly (after 3-4 weeks).The doctor gave me detailed advice on how to care for my skin after surgery. I am very pleased that I did the procedure at her place and in this clinic, because all the staff I encountered were friendly and welcoming. I still have extremely positive emotions after talking with Olesya Pavlovna. Recommend!
I have known the doctor for a long time. I contacted her when she was still working in another clinic. I will not trade this specialist for anyone else.I found my doctor. My son 6 years ago had an ingrown toenail problem. She saved his big toe in 3 steps. Now he does not even remember his problem, everything is gone for him. The doctor then followed some system of his own. I was looking for clinics where laser procedures are performed. So the son got to her for the first time for an appointment in the near future for him. Then her husband turned to her. He had a wart on his forehead, which began to grow rapidly. Olesya Pavlovna removed it, and so that not even a trace remained.It so happened that I also needed to remove the papilloma, and I went to the doctor’s colleague, because Sosnovchik O.P. was then on the course. I still have a trace. I regretted not waiting for my doctor. Then I developed a keratoma, a slight elevation above the skin. I don’t even know how I noticed her. In a month I will go to the doctor again. She has an appointment for a month in advance. It’s not just that. I think that says a lot. She is attentive, knowledgeable and quite literate. Sees the essence of the problem. She’s a big smart girl! I am very happy with her.Tells everything clearly. Well done! The husband periodically has dermatitis – red peeling. She prescribed a series for him to use, prescribed medications. She told me what to treat the skin with. For a long time I still went to the doctor for a medical pedicure in another clinic. I really liked how she made it. Then she said that it was her hobby. Maybe she was having so much fun, but she did it very well. I would recommend it to everyone, definitely. She recommended me a beautician. I like that if something is not within her competence, then she does not take on too much.Does not say: “I can!” – when: “I can not.” I know that she took a lot of courses. She is seeking and purposeful. Tries to find out information and apply it in practice. She’s smart! I did electrocautery very carefully, although the procedure is not very pleasant, I have something to compare with. It’s just nice to see her. We, patients, always want the doctor to let our problems pass through himself, show concern, sympathize. Olesya Pavlovna is a pleasant person. This is really true.
It is very difficult to find words to describe the work of Olesya Pavlovna.She works wonders with seemingly hopeless cases. Other doctors, and I visited them quite a few, either refused to help me, or said that it would be better if it did, then 2% no more … But! Olesya Pavlovna immediately said that she knows where and what needs to be cut off so that my deformed nails become beautiful (onychodystrophy of the nail plates on the big toes). The brace was installed. Growing beauty. Great happiness that I met her!
I would like to note the effective work of Dr. Sosnovchik O.P. I have been visiting her for almost six months. Benevolence, professionalism, efficiency and interest in the patient – these are the qualities of this doctor. I am very happy that I got to O.P. Sosnovchik. and I will continue treatment with her.