Hyperkeratotic hand eczema compared to other subgroups of hand eczema – a retrospective study with a follow‐up questionnaire

Heiden, Janique van der; Agner, Tove; Rustemeyer, Thomas; Clemmensen, Kim Katrine Bjerring

doi:10.1111/cod.12945

Cited by 15 publications

(19 citation statements)

References 27 publications

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“…For ACD, there may be an overlap between working life and leisure time regarding exposure to allergens such as biocides and fragrances. 50 There appears to be no difference in skin barrier susceptibility or stratum corneum lipids between hyperkeratotic HE and ICD/ACD on the hands. 34 Protein contact dermatitis is often caused by natural rubber latex gloves, although the number of patients clinically allergic to natural rubber latex has been significantly declining 45 or by exposure to foods.…”

Section: Occupational Hementioning

confidence: 92%

“…48 It is more often combined with eczema on the feet than other sub-diagnoses, 49 occurs more frequently in males; tobacco smoking is more frequent among patients with hyperkeratotic HE, and the eczema is often severe requiring systemic treatment. 50 There appears to be no difference in skin barrier susceptibility or stratum corneum lipids between hyperkeratotic HE and ICD/ACD on the hands. 51 The sub-diagnosis of acute recurrent vesicular HE is not very well understood.…”

Section: Classificationmentioning

confidence: 92%

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Hand eczema: epidemiology, prognosis and prevention

Agner

Elsner

2019

Acad Dermatol Venereol

103

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Hand eczema (HE) is a heterogeneous and often chronic disease located to the hands and wrist, and frequently associated with eczema on the feet. The aetiology is diverse, and the eczema may present with a variety of clinical symptoms. Acute and chronic stages appear; severity varies from mild to moderate and severe, and flares may be frequently recurrent or rare. The divergent aetiology and varied morphology of HE is sometimes tricky and may be challenging to the dermatologist. This review has focus on epidemiology, prognosis and prevention of HE, and intends to point towards some practical advice on how to diagnose, inform and guide HE patients.

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Section: Occupational Hementioning

confidence: 92%

Section: Classificationmentioning

confidence: 92%

Hand eczema: epidemiology, prognosis and prevention

Agner

Elsner

2019

Acad Dermatol Venereol

103

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“…132 Hyperkeratotic HE is not attributable to the other categories, it is more common in men than in women, and an association with tobacco smoking has been indicated that seems to be stronger than for the other subtypes. 135,136 Acute recurrent vesicular HE (previously called dyshidrotic endogenous eczema or pompholyx) has been described as a separate entity in most proposed classifications, 25,126,132 and poses challenges with regard to diagnosis and treatment. The term acute recurrent vesicular HE describes the clinical course and morphology but not the aetiology and may, therefore, be observed in the context of several aetiologies.…”

Section: Scrutiny Of Ingredient Labels and Safety Data Sheetsmentioning

confidence: 99%

Guidelines for diagnosis, prevention, and treatment of hand eczema

et al. 2022

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Funding informationNo support was given by any medical company for development of this document. All meetings were virtual meetings, therefore there were no costs. All participants in the working group filled in a structured form to declare financial or non-financial interests. Disclosures are given in the Supporting information. The Guidelines were approved by the executive committee of the ESCD in

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“…If there was no response, a reminder was sent up to two times. The questionnaire covered the following items: atopy, patch testing, QoL, improvement/deterioration of HE, educational level, current occupational status and knowledge of skin protection, 21 and whether they had actually participated in the guided talk. Information on atopic dermatitis was assessed with a validated question on previous or current atopic dermatitis, 22 and a question on whether the patients had one or more positive patch test reactions was also included, as well as the DLQI questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Hand eczema patients’ knowledge of skin protection following a guided talk—A retrospective study with a follow‐up questionnaire

et al. 2019

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Background: Several studies have assessed the effect of patient education regarding hand eczema (HE) severity and quality of life. Few studies, however, have evaluated patients' knowledge.Objectives: To examine knowledge of skin protection in HE patients following a guided talk, and to identify variables associated with knowledge. Methods: HE patients referred to the outpatient dermatological clinic, BispebjergHospital, between January 2013 and July 2014 were offered a guided talk on HE prevention. HE severity and the Dermatology Life Quality Index (DLQI) score were assessed. A questionnaire comprising 10 questions about skin protection was sent 1 to 2.5 years later.Results: One hundred and twenty patients responded to the questionnaire (response 53.5%). The mean percentage of correct answers was 74.7%. Sixty per cent responded correctly to at least eight questions. Male sex, older age and education for >5 years were associated with a low level of knowledge. Education for 3 to 4 years (P = 0.045) was associated with a higher level of knowledge. No significant impact of previous/current atopic dermatitis, HE severity or previous information on skin protection was found with respect to level of knowledge.Conclusions: Females and patients with education for 3 to 4 years showed the highest level of knowledge, whereas males, older patients and patients with education for >5 years should be brought more into focus in skin protection programmes. K E Y W O R D S education, hand eczema, knowledge, prevention

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Hyperkeratotic hand eczema compared to other subgroups of hand eczema – a retrospective study with a follow‐up questionnaire

Abstract: Studies evaluating the subdiagnoses of hand eczema are needed, to further validate the classification system, and to provide more detailed information about demographic factors, severity and possible risk factors for different subgroups of hand eczema.

Cited by 15 publications

References 27 publications

Hand eczema: epidemiology, prognosis and prevention

Hand eczema: epidemiology, prognosis and prevention

Guidelines for diagnosis, prevention, and treatment of hand eczema

Hand eczema patients’ knowledge of skin protection following a guided talk—A retrospective study with a follow‐up questionnaire

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