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What is this and how to treat

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hand eczema treatment

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American Academy Dermatology hand eczema contact dermatitis self care treatment when seek care

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https://www.aad.org/public/diseases/eczema/types/contact-der…

This looks most consistent with hand eczema / contact dermatitis: dry, rough, mildly inflamed skin, often caused or worsened by frequent washing, sanitizer, detergents, wet work, gloves, metals such as watches or bracelets, or friction. A photo cannot confirm the diagnosis. A fungal rash is another possibility if it becomes a sharply edged, enlarging ring with a scaly border.
What to do now
  1. Use a thick, fragrance-free moisturizer or petroleum jelly at least 3 to 4 times daily, especially after washing.
  2. Wash gently with lukewarm water and a mild fragrance-free cleanser. Avoid scrubbing and fragranced creams.
  3. Avoid irritants for 1 to 2 weeks: detergents, cleaning products, sanitizer when soap and water is not needed, perfumes, and watch/bracelet contact over that area.
  4. For wet work, use cotton liners under waterproof gloves and remove gloves when finished. Water and household cleaners commonly aggravate hand eczema.
  5. If it is itchy, red, or inflamed, a pharmacist or clinician may advise a short course of a mild topical corticosteroid such as 1% hydrocortisone. Use only a thin layer as directed, and do not use it on broken or infected skin. The main treatment for contact dermatitis is identifying and avoiding the trigger, as described by the American Academy of Dermatology.
Get examined promptly if it is painful, warm, rapidly spreading, oozing pus, developing yellow crusts, associated with fever, or if your hand is swelling. Arrange a clinician or dermatologist visit if it does not clearly improve after 1 to 2 weeks of careful skin protection, keeps recurring, or spreads. They may check for allergy triggers with patch testing or test for fungus before prescribing stronger medication.
Hand eczema is common and often related to irritants or occupational exposure. Andrews' Diseases of the Skin: Clinical Dermatology, “Hand Eczema.”
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