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What is Dyshidrotic Eczema?
A skin condition that causes itchy, fluid-filled bumps on the palms of the hands and soles of the feet
This is also known as acute palmoplantar eczema or pompholyx.
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Images from The Full Spectrum of Dermatology: A Diverse and Inclusive Atlas | Images from DermNet |
What causes Dyshidrotic Eczema?
The cause is not completely known.
Dry skin and irritants, such as harsh chemicals, make the symptoms worse.
One theory is that a problem with proteins in the skin leads to water loss from the skin layers.
What are the symptoms of Dyshidrotic Eczema?
Itchy, fluid-filled bumps on the palms of the hands and soles of the feet
How is Dyshidrotic Eczema diagnosed?
In most cases, primary care providers diagnose dyshidrotic eczema by carefully examining the skin, especially the hands and feet.
In some cases, the diagnosis may be made by a specialist, such as a specialist in skin conditions (dermatologist) or a specialist in allergic conditions (allergist).
How can I prevent Dyshidrotic Eczema?
Use lukewarm (not hot) water when washing hands.
Dry hands well after washing.
Immediately after drying hands, apply moisturizer.
Wear gloves when outside in cold weather, and when working in water.
Avoid direct skin contact with irritants, such as harsh chemicals, hair dyes, and acidic foods like citrus fruit.
How is this treated?
Moisturize affected areas frequently throughout the day.
Your clinician may prescribe topical treatments, such as creams or ointments.
When to call your healthcare team:
The rash is not improving with the treatment plan.
Your child is getting worse
You have other questions or concerns
This publication was adapted from information from UpToDate (“Acute palmoplantar eczema (dyshidrotic eczema)”). Authors: Denis Sasseville, MD, FRCPC, Marie-Claude Houle, MDCM. June 2024.
Reviewed by: JW, MD, Patient Education Committee | 06/2025