What is pompholyx (dyshidrotic eczema)?
A subtype of eczema characterized by recurrent crops of small, intensely itchy blisters (vesicles) on the palms, sides of the fingers, and sometimes soles of the feet; may last 2–3 weeks per episode
What are typical symptoms of pompholyx?
Itching, burning or prickling sensation before the eruption, followed by blister formation; may lead to pain, soreness, and fissuring
What are possible triggers for pompholyx (dyshidrotic ezcema)?
Irritants (detergents, soaps), contact allergens (nickel, cobalt), hyperhidrosis, stress, and frequent wetting of hands
What is the first-line management for pompholyx according to NICE?
- Regular use of emollients (medical moisturisers) for moisturising and washing; avoid known triggers and irritants
- compress with Potassium permanganate soaks
Which topical agents are used in acute flares of pompholyx?
Betamethasone (Potent topical steroids) for adults
Clobatasone / Hydrocortisone (moderately potent) for children, used for short bursts (usually 2 weeks)
What is second line of treatment for pompholyx?
Oral steroids/UV light
