Hand eczema guidelines based on the Danish guidelines for the diagnosis and treatment of hand eczema

Abstract

Operational guidelines for the diagnosis and treatment of hand eczema are described.

Hand Eczema

“…19 Current treatment strategies are largely based on clinical experience and may differ from country to country. 7,8,20 Few therapies have been evaluated in randomized, controlled trials, 21 and the trials that have been conducted typically have not distinguished types of eczema. Figure 3 shows an algorithm for the management of hand eczema.…”

“…* Data are from Diepgen et al, 6 Lynde et al, 7 and Menné et al 8 The 1833 using emollients only (26%). 30 However, skin atrophy is a risk of prolonged treatment with glucocorticoids.…”

“…35 In practice, one option is to alternate the use of these agents with topical glucocorticoids. 8,34 Phototherapy Phototherapy is widely used for hand eczema, and in many clinics it is used as second-line treatment for patients in whom topical therapy has failed. In a 12-week trial involving 35 patients, photochemotherapy with psoralen and ultraviolet A (PUVA) was compared with treatment with ultraviolet B (UVB) alone, both in two study groups and within the same patient (comparing a treated hand with an untreated hand).…”

Tratamiento del eccema de manos

“…Conviene llevar los guantes durante el tiempo que sea necesario, pero tan corto como sea posible. Idealmente, se deben usar guantes de algodón debajo y cambiarlos cuando se humedezcan 7 .…”

“…Los corticoides tópicos de mediana y alta potencia son el tratamiento de elección; se utilizan cada día durante un período determinado (2-4 semanas) y luego se pueden suspender o continuar (2-3 veces/semana) 7 .…”