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Hand eczema is a common and distressing condition. Most of the cases of hand eczema have a multifactorial etiology. Endogenous causes of hand eczema are atopic dermatitis, discoid eczema, hyperkeratotic eczema and pompholyx. The most common external cause of hand eczema is the contact with the irritant or mild toxic agents. The diagnosis of hand dermatitis is determined by a review of patient's medical history, a physical examination including other body sites as well as the hands, and a thorough overview of patient's daily activities with emphasis on occupation and hobbies. As clinical differentiation between chronic allergic and irritant hand eczemas is often impossible, patch testing becomes an important diagnostic tool for identification of the probable allergens responsible for eczema.
About the author
El Dr. Mrinal Gupta, MBBS, MD, DNB es un dermatólogo en ejercicio con sede en Jammu, India. Está especializado en dermatología clínica y estética, con especial interés en dermatología pediátrica. Ha recibido la prestigiosa beca IADVL en Dermatología Pediátrica del CMC Vellore y la beca ACS(I) en Dermatocirugía del Venkat Charamalaya.