In order to successfully estimate what to use for atopic eczema on the hands, it is necessary to know the trigger of the problem. Although it is a congenital skin signalling disorder, it can manifest itself a little differently in everyone. There are two stages of atopic eczema. Quiescent and acute.
In the resting period, atopic skin is very dry. This also makes it more easily irritated and itchy. It is therefore necessary to moisturise the skin of the hands frequently. The mistake is to wash your hands frequently. On the contrary, chlorinated and treated water dries hands even more. If we already shower or wash our hands, gels and soaps that are fragrance-free, neutral to the PH of the skin and preferably containing oils or urea are suitable. There are not many on the market that meet these conditions. The CeraVe, Uriage, Feel Eco or Protopan product lines are worthy of attention.
After washing, hands should be lubricated, several times a day. The same rules apply as for washing and shower gels. Only use oily creams if they also contain a moisturising ingredient. The above product lines can be extended to include Epaderm, Dr. Konrad and Dermaguard. Often recommended lard can be a source of irritation for atopics. Atopic eczema on the hands is usually triggered by contact with an irritant, and the animal protein in lard is such an irritant. Similarly, atopic eczema on the hand is triggered by contact with dust, soil, hair, household chemicals, plant and animal juices, jewellery metal, etc. Irritant reactions to cosmetic creams and hand soaps are not uncommon. Most often the skin reacts to perfumes and certain herbal or animal ingredients, especially chamomile and lanolin.
Since avoiding every irritant in daily contact is almost impossible for atopics, doctors recommend using barrier creams. Some create a greasy layer that, although it doesn't let the allergen through, leaves greasy imprints on the hands. Zinc ones, on the other hand, create a thin layer that is quickly washed off or wiped off. A good solution is Dermaguard barrier cream. It lasts up to 6 hours and does not need to be reapplied after each wash.
Atopic eczema on the hands in the acute phase
We distinguish between two basic manifestations and choose treatment accordingly. Dry or wet deposits. A dry deposit is red, itchy, the skin scales, pimples form on it or layers of keratinised skin that crack. Lubricate the skin 2-3 times a day with zinc ointment or zinc oil.
Eczema that becomes wet needs to be dried. To do this, use lukewarm hand baths in very dilute hypermanganese, black tea, sea salt, decoction of burdock or oak bark. Do this several times a day for about 10 minutes. Finally, apply ichthamol ointment to dry hands and put on clean cotton gloves.
Keep treating until the deposits begin to fade. Only then can you start to re-hydrate and lubricate them.
If the symptoms of eczema do not subside, it is better to ask the doctor to apply corticosteroid ointments.
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