Dyshidrosis

Abstract

Dyshidrosis, also known as pompholyx or dyshidrotic eczema, is a vesicular type of dermatitis that commonly affects the palms, fingers, and soles. Although not life-threatening, this condition often leads to significant discomfort, recurrent episodes, and impaired quality of life. The etiology is multifactorial, involving genetic predisposition, environmental triggers, stress, and hypersensitivity reactions. We report a case of an 18-year-old female presenting with multiple vesicular lesions on both palms associated with itching and burning sensation for four days. The vesicles were grouped, clear, and non-rupturing, with pain on palpation. The patient had no history of atopy, allergies, or systemic illness. Physical examination revealed multiple tapioca-like vesicles measuring 1–3 mm on an erythematous base. Vital signs were stable, and no systemic abnormalities were detected. The patient was treated with topical corticosteroids (betamethasone cream), topical antibiotic (gentamicin cream), oral corticosteroid (methylprednisolone), and vitamin C supplementation. Supportive measures such as hand hygiene, moisturization, and avoidance of excessive sweating were emphasized. The patient showed gradual improvement with reduction in itching and lesion healing. This case highlights the clinical features and management of dyshidrosis in a young adult. Early recognition and appropriate treatment are essential to relieve symptoms, prevent complications, and improve quality of life. Patient education regarding hygiene and lifestyle modifications plays a crucial role in preventing recurrence.