Home remedies for dyshidrotic eczema

Dyshidrotic eczema, also called pompholyx, causes small, deep-seated, itchy blisters on the palms, sides of fingers or soles. The skin can become tender, dry and cracked after the blisters settle. Heat, sweating, stress, metal sensitivity and frequent contact with water or irritants may aggravate flares, although a single trigger is not always clear. Blisters on the feet can make walking uncomfortable; see more about [Itchy Feet](/symptoms/foot-itching/) and [Skin Blisters](/symptoms/skin-blisters/).

Wash with lukewarm water and a fragrance-free cleanser, then pat dry rather than rubbing. Apply a thick, bland moisturiser after washing and whenever the skin feels tight. Keep hands cool and dry, change damp socks, and use breathable footwear. Wear cotton-lined protective gloves for wet work; avoid direct contact with detergents, solvents and fragranced products. Do not puncture blisters or apply vinegar, essential oils or harsh antiseptics, which can irritate broken skin. A cool compress wrapped in clean cloth may ease itching for a short time. If these measures do not control a flare, a clinician may discuss [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) or other options such as [Narrowband UVB Phototherapy](/treatments/medical-dermatology/narrowband-uvb-phototherapy/).

Arrange a medical review if the rash keeps returning, affects sleep or walking, spreads, or does not settle with gentle care. Seek prompt help for increasing pain, warmth, swelling, pus, yellow crusting, fever or red streaks, because these can indicate infection. Urgent assessment is sensible if swelling is sudden, the skin is extensively raw, or you cannot use the affected hand or foot normally.

Could this be dyshidrotic eczema or another blistering problem? Which moisturiser and prescription treatment suit my skin? Should I be checked for contact triggers or infection? How should I protect open areas during work, exercise or bathing?