Contact Dermatitis in a House Help With Severe Itching and Burning (Dermatology)

Medical Case Details:

A 55-year-old female working as a house help presented with severe itching and burning sensation involving both palms. Her work required frequent exposure to various detergents, cleaning agents, and household chemicals. The patient complained of intense itching that worsened at night. She also reported a burning sensation in her hands, especially when they came in contact with water. In addition to the symptoms on her palms, she experienced a generalized burning sensation over the skin. On further evaluation, she was found to be talkative, friendly, and open in nature. She had a strong desire for cold food and cold drinks. Her symptoms were notably aggravated during the night. Based on the presenting complaints and constitutional features, Phosphorus 200 was prescribed in three doses. The case highlights the importance of considering occupational exposure as a trigger for contact dermatitis and individualizing treatment according to the patient's symptom profile.