II. Epidemiology
- Incidence increases with age (common in elderly)
III. Pathophysiology
- Related to abnormal keratin production
- Elderly have decreased skin Fatty Acids
- Results in decreased skin barrier and hydration
IV. Symptoms
-
Pruritus without rash
- Itching may be intense
- Sporadic occurrence
- Common Areas involved
- Anterolateral lower legs (most commonly affected)
- Nummular lesions are common on the legs in the elderly (and often very pruritic)
- Back and Flanks
- Abdomen and waist
- Arms
- Anterolateral lower legs (most commonly affected)
- Areas spared
- Axilla
- Groin
- Face and scalp
- Provocative factors
- Worse with cold, dry weather
- Examples: Winter or air conditioning exposure
- Palliative factors
- Improves with warm, humid weather
V. Signs
- Mild changes
- Faint reticulate pinkness
- Fine scale or cracks seen with tangential light
- Often affects legs (especially shins)
- Moderate to severe changes
- Dramatic deep redness and cracking
- May appear as cracked porcelain (Eczema Craquele)
- Nummular Eczema type lesions
- Dramatic deep redness and cracking
VI. Management
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Related Studies
| Definition (SCTSPA) | Erupción autolimitada de palmas y plantas |
| Definition (SNOMEDCT_US) | Self-limited vesicular eruption of palms and soles |
| Definition (SNOMEDCT_US) | Self -limited vesicular eruption of palms and soles |
| Definition (MSH) | A recurrent eczematous reaction characterized by the development of vesicular eruptions on the palms and soles, particularly along the sides and between the digits. It is accompanied by pruritus, a burning sensation, and hyperhidrosis. The disease is self-limiting, lasting only a few weeks. (Dorland, 27th ed) |
| Concepts | Disease or Syndrome (T047) |
| MSH | D011146 |
| ICD9 | 705.81 |
| SnomedCT | 25560004, 156416008, 201202007, 201199002, 274946003, 201200004, 201198005, 267865000, 156417004, 267866004, 402567004 |
| English | DYSHYDROSIS, DYSHYDROTIC ECZEMA, Dyshidrotic Eczemas, Dyshydrotic Eczemas, Eczema, Dyshidrotic, Eczema, Dyshydrotic, Eczema, Vesicular Palmoplantar, Eczemas, Dyshidrotic, Eczemas, Dyshydrotic, Eczemas, Vesicular Palmoplantar, Palmoplantar Eczema, Vesicular, Palmoplantar Eczemas, Vesicular, Pompholyx, Vesicular Palmoplantar Eczema, Vesicular Palmoplantar Eczemas, Dyshidrotic Eczema, Dyshydrotic Eczema, Dyshidrosis NOS, Vesic eczema of hands and feet, Dyshidrosis unspecified, Pompholyx unspecified, POMPHOLYX, dyshidrosis (diagnosis), dyshidrosis, Eczema, Dyshidrotic [Disease/Finding], vesicular eczema of hands and/or feet, eczema dyshidrotic, eczema dyshidrotic (diagnosis), dyshydrosis, pompholyx eczema, dyshidrotic hand eczema, dyshidrotic dermatitis, dishydrosis, dyshidrotic eczema, cheiropompholyx, Dyshidrosis, Dysidria, Dyshidrosis NOS (disorder), Dyshidrosis unspecified (disorder), Pompholyx (finding), Pompholyx unspecified (disorder), Dyshidrosis (disorder), Dysidrosis, Vesicular eczema of hands and/or feet (disorder), pompholyx, dyshydrotic; eczema, eczema; dyshydrotic, Dyshidrotic dermatitis, NOS, Dyshidrotic dermatitis, Dyshidrotic eczema, Dyshidria, Cheiropodopompholyx, Pompholyx eczema, Vesicular eczema of hands and feet, Cheiropompholyx, Vesicular eczema of hands and/or feet, dyshydrotic eczema, Eczema;dyshidrotic |
| Swedish | Eksem, dyshidrotiskt |
| Czech | ekzém dyshidrotický, pomfolyx, Dyshidrotický ekzém, Dyshidróza |
| Finnish | Dyshidroosi |
| Italian | Pompholyx, Eczema vesicolare palmoplantare, Ponfolice, Disidrosi, Eczema disidrosico, Disidrosi eczematosa, Eczema disidrotico |
| Russian | EKZEMA VEZIKULIARNAIA LADONNO-PODOSHVENNAIA, VEZIKULIARNAIA LADONNO-PODOSHVENNAIA EKZEMA, EKZEMA DISGIDROTICHESKAIA, DISGIDROZ, ВЕЗИКУЛЯРНАЯ ЛАДОННО-ПОДОШВЕННАЯ ЭКЗЕМА, ДИСГИДРОЗ, ЭКЗЕМА ВЕЗИКУЛЯРНАЯ ЛАДОННО-ПОДОШВЕННАЯ, ЭКЗЕМА ДИСГИДРОТИЧЕСКАЯ |
| Portuguese | DESIDROSE, Desidrose, Eczema desidrótico, Eczema Disidrótico, Eczema Vesicular Palmar e Plantar, Ponfolix |
| French | DYSIDROSE, Dyshidrose bulleuse, Eczéma dyshidrotique, Eczéma dyshidrosique, Dyshidrose, Pompholyx, Dysidrose |
| Polish | Potnica, Wyprysk potnicowy |
| Japanese | 湿疹-汗疱状, 異汗性湿疹, ｲｶﾝｾｲｼｯｼﾝ, ｶﾝﾎﾟｳ, 汗疱性湿疹, ｶﾝﾎﾟｳｾｲｼｯｼﾝ, 汗疱, 汗疱状湿疹, 胞状掌蹠湿疹, 湿疹-胞状掌蹠 |
| Norwegian | Dyshidrotisk eksem, Pompholyx |
| Dutch | dyshidrotisch eczeem, pompholyx eczeem, dyshidrose, pompholyx, dyshidrotisch; eczeem, eczeem; dyshidrotisch, Dyshidrotisch eczeem, Eczeem, dyshidrotisch, Eczeem, vesiculair palmoplantair, Pompholyx, Vesiculair palmoplantair eczeem |
| German | dyshidrotisches Ekzem, Pompholyx eczema, Ekzem, dyshidrotisches, Cheiropompholyx, Dyshidrose, Dyshidrosis, Dyshidrotisches Ekzem, Podopompholyx, Pompholyx, Ekzem, vesikuläres, palmoplantares, Vesikuläres palmoplantares Ekzem |
| Hungarian | Dyshidrosis, Pompholyx, Dyshidroticus eczema, Pompholyx eczema |
| Spanish | Dishidrosis, Eczema ponfólix, Ezcema dishidrótico, dishidrosis, SAI, ponfólix no especificado (trastorno), dishidrosis, SAI (trastorno), dishidrosis (trastorno), dishidrosis no especificada, eccema dishidrótico, dermatitis dishidrótica, dishidria, ponfólice, dishidrosis no especificada (trastorno), ponfólix, eczema dishidrótico, ponfólix no especificado, dishidrosis, eccema vesicular de manos y/o pies (trastorno), eccema vesicular de manos y/o pies, eczema vesicular de manos y/o pies, Eccema Dishidrótico, Eccema Vesicular Palmoplantar, Ponfólix |
Ontology: Dry skin (C0151908)
| Definition (NCI_CTCAE) | A disorder characterized by flaky and dull skin; the pores are generally fine, the texture is a papery thin texture. |
| Definition (NCI) | The pores are generally fine with a papery thin texture that feels dry to the touch. Usually flaky and dull looking. |
| Definition (NCI_CDISC) | The pores are generally fine with a papery thin texture that feels dry to the touch. Usually flaky and dull looking. |
| Concepts | Sign or Symptom (T184) |
| SnomedCT | 16386004 |
| LNC | LA17199-3 |
| English | SKIN DRY, Dry skin, dry skin, dry skin (physical finding), dry skin (symptom), Dry Skin, skin dryness, Dry;skin, Skin dry, DRY, Dry, Anhydrotic skin, Dry skin (finding) |
| Italian | Cute secca, Pelle secca |
| French | Peau sèche, SECHERESSE CUTANEE, Sécheresse cutanée |
| German | Haut trocken, HAUTTROCKENHEIT, trockene Haut |
| Portuguese | Pele seca, PELE SECA, Xerose cutânea |
| Japanese | 皮膚乾燥, ﾋﾌｶﾝｿｳ |
| Spanish | PIEL SECA, piel seca (hallazgo), piel seca, Piel seca |
| Czech | Suchá kůže |
| Hungarian | Bőr száraz, Száraz bőr |
| Dutch | droge huid |
Ontology: Xerosis (C0259817)
| Concepts | Disease or Syndrome (T047) |
| English | XEROSIS, Xerosis, xerosis |
| Italian | Xerosi |
| Japanese | 乾燥症, ｶﾝｿｳｼｮｳ |
| French | XEROSE, Xérose |
| Portuguese | XEROSE, Xerose |
| German | XEROSIS, Xerose |
| Spanish | XEROSIS, Xerosis |
| Czech | Xeróza |
| Hungarian | Xerosis |
| Dutch | xerose |
Ontology: Asteatotic eczema (C0549201)
| Concepts | Disease or Syndrome (T047) |
| ICD10 | L85.3 |
| SnomedCT | 201077008, 261852004, 238596006, 260956008, 201064004, 7867008, 238595005, 260046006, 201025002, 400051008 |
| English | Xerotic eczema, Prurigo hiemalis, ECZEMA ASTEATOTIC, winter itch, winter itch (diagnosis), Eczema asteatotic, eczema asteatotic, winter eczema, asteatosis, eczema xerotic, pruritus hiemalis, eczema craquele, asteatotic eczema, dry skin dermatitis, xerotic eczema, Eczema craquel, Prurigo hiemalis (disorder), Pruritus hiemalis (disorder), Dry skin dermatitis, Winter itch, Asteatotic eczema, Eczema craquele, Pruritus hiemalis, Acquired xeroderma, Winter eczema, Dry skin dermatitis (disorder), Eczema craquelé, Asteatotic eczema (disorder), Winter itch (disorder), dry skin; eczema, eczema; dry skin, itch; winter, acquired; xeroderma, winter; itch, xeroderma; acquired, Pruritus hiemalis (disorder) [Ambiguous], Asteatotic eczema [Ambiguous], Asteatosis, Pruritus, hiemalis |
| Dutch | asteatose, xerotisch eczeem, winterjeuk, craquelé-eczeem, droge huid; eczeem, eczeem; droge huid, jeuk; winter, verworven; xerodermie, winter; jeuk, xerodermie; verworven, asteatotisch eczeem |
| French | Astéatose, Prurit hivernal, Eczéma xérodermique, Eczéma astéatotique, ECZEMA SEC, Eczéma craquelé |
| Italian | Asteatosi, Eczema asteatotico, Prurito invernale, Eczema asteatosico, Eczema escoriato, Eczema xerotico |
| Portuguese | Asteatose, Prurido de Inverno, Eczema asteatótico, Eczema xerótico, ECZEMA ASTEATOTICO, Eczema esteatótico |
| Spanish | Asteatosis, Eczema invernal, Eczema en craquelé, Eczema xerótico, eccema asteatósico, eccema craquelé, eccema asteatótico, eccema xerótico, eccema agrietado, eccema invernal, eczema xerótico, eczema xerótico (trastorno), piel ajada, prurigo invernal, eczema invernal, eccema de invierno, eccema agrietado (trastorno), eczema asteatósico, dermatitis seca de la piel, prurigo invernal (trastorno), dermatitis de la piel seca (trastorno), dermatitis de la piel seca, eccema craquelé (trastorno), eczema craquelé, prurito invernal (concepto no activo), prurito invernal (trastorno), prurito invernal, xeroderma adquirido, Eczema esteatósico |
| German | asteatotisches Ekzem, Winterjucken, xerotisches Ekzem, Eczema craquele, EKZEM ASTEATOTISCH, Ekzem asteatotisch, Asteatose |
| Japanese | 皮脂欠乏性湿疹, 皮脂欠乏症, 乾燥性湿疹, 亀裂性湿疹, 冬期そう痒, ｷﾚﾂｾｲｼｯｼﾝ, ﾋｼｹﾂﾎﾞｳｾｲｼｯｼﾝ, ﾋｼｹﾂﾎﾞｳｼｮｳ, ﾄｳｷｿｳﾖｳ, ｶﾝｿｳｾｲｼｯｼﾝ |
| Czech | Ekzém v chladném prostředí, Eczema craquele, Asteatotický ekzém, Xerotický ekzém, Asteatóza |
| Hungarian | Téli viszketés, Eczema craquele, eczema, asteatoticus, Asteatotikus eczema, Asteatosis, Asteatoticus eczema |
