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There is usually an itch, with generalised dry flaky thick skin of the palm of a hand. [3] Frequently, one hand is affected, but it can be in both. [3] If the back of the hand is affected, it may appear as reddish circles like in ringworm. [3] Sometimes there are no symptoms. [3] The feet may be affected as in two feet-one hand syndrome. [2]
Hand eczema is widely prevalent and, as it is a very visible condition associated with severe itching or pain, has serious consequences for the affected person including a high psychological impact. Different disease patterns can be identified according to the course of the illness, appearance of symptoms, degree of severity, or catalysts.
Two feet-one hand syndrome (TFOHS), is a long-term fungal condition where athlete's foot or fungal toe nail infections in both feet is associated with tinea manuum in one hand. [ 3 ] [ 7 ] Often the feet are affected for several years before symptoms of a diffuse scaling rash on the palm of one hand appear, which is when most affected people ...
The symptoms of seborrhoeic dermatitis, on the other hand, tend to appear gradually, from dry or greasy scaling of the scalp to scaling of facial areas, sometimes with itching, but without hair loss. [22] In newborns, the condition causes a thick and yellowish scalp rash, often accompanied by a diaper rash.
The diagnosis is frequently made by treating the initial triggering skin problem and observing the improvement in the eczematous rash. Both the initial skin problem and the id reaction must be observed to make the diagnosis. [5] [6] Not all dyshidrotic rashes are id reactions, but id reactions are often dyshidrotic-like. [2]
Grover's disease is mainly seen in males over the age of forty. [13] Grover's disease affects chiefly white adults in the fifth decade or later, and appears to be around 1.6 to 2.1 times more common in men than in women. Grover's disease appears less commonly in darker-skinned individuals. [citation needed] [9]