I have been experiencing severe dyshidrotic eczema for the last two days, and I can barely sleep. It started with itching on the face, and the texture is rough and scaly. Then I had it on my hands and feet with tiny blisters. Previously also, I had this, but not that bad. I have used some medicated creams to relieve the itching, but it has not helped so much.
As per the history and image provided (attachments removed to protect the patient's identity), dyshidrotic eczema is an allergic reaction against particular or multiple allergens. It may also develop in case of changes in climatic conditions. Therefore, it may be on and off throughout the years, and managing them each time they develop is the mainstay of treatment. It may be very challenging, but with the proper medications, it may be managed. I would suggest you (consult with your doctor, discuss with them, and take the medications with their consent) to use. Mometasone ointment to be applied once daily at night only in a very thin layer, using a tiny quantity only on the affected area. To be continued for three weeks. And take a break of three weeks, after which the same medication may be used for the next three weeks again in case the lesions persist. Each time these lesions develop, you may apply the same but do not use it for more than three weeks each time and give breaks in between as it is a highly potent medication. Tablet Cetirizine 10 mg one hour before going to sleep at night to be taken after food daily for three weeks. It helps reduce the itching and helps in better healing of the lesions. Please do not go out or drive after consuming the medication at night since it can cause sedation. Avoid any allergens in the form of detergents or soaps which causes excess drying. Try to use gloves while using any harsh chemicals. Soaking hands for five minutes daily in lukewarm salt water will help reduce itching and heal better. Do not scratch the area, which may be quite difficult to avoid but scratching may lead to abrasions and secondary infections. You can use Novasoft cream (Liquid paraffin + White soft paraffin) on your palms multiple times daily. It is a moisturizer that would keep the area well hydrated.
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