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About three-quarters of cases of contact eczema are of the irritant type, which is the most common occupational skin disease. Contact eczema is curable, provided the offending substance can be avoided and its traces removed from one's environment. (ICD-10 L23; L24; L56.1; L56.0)
When both hands are affected, the rash looks different on each hand, with palmer creases appearing whitish if the infection has been present for a long time. [5] It can be itchy and look slightly raised. [5] Nails may also be affected. [5] The most common cause is Trichophyton rubrum. [2]
Erythroderma is generalized exfoliative dermatitis, which involves 90% or more of the patient's skin. [3] The most common cause of erythroderma is exacerbation of an underlying skin disease, such as Harlequin-type ichthyosis, psoriasis, contact dermatitis, seborrheic dermatitis, lichen planus, pityriasis rubra pilaris or a drug reaction, such as the use of topical steroids. [4]
The skin weighs an average of four kilograms, covers an area of two square metres, and is made of three distinct layers: the epidermis, dermis, and subcutaneous tissue. [1] The two main types of human skin are: glabrous skin, the hairless skin on the palms and soles (also referred to as the "palmoplantar" surfaces), and hair-bearing skin. [3]
Pain can also be present. Dermatitis can occur anywhere on the skin, but is most common on the hands (22% of people), scattered across the body (18%), or on the face (17%). [5] The rash and other symptoms typically occur 24 to 48 hours after the exposure; in some cases, the rash may persist for weeks. [2]
Other symptoms to note: Drug rashes can be a side effect of or a reaction to a new medication; almost any medication can cause a drug rash, but antibiotics and NSAIDs are the most common culprits ...
Hand eczema is a common condition: study data indicates a one-year prevalence of up to 10% in the general population. [18] It is estimated that only 50–70% of people affected consult a doctor. [ 18 ] [ 19 ] The frequency of severe, chronic and recurrent forms of hand eczema is estimated at 5–7%.
Athlete's foot is the most common fungal disease, with possibly more than 50% of the population affected at some time. [2] [4] Tinea manuum accounts for less than 2% of all superficial fungal infections. [2] Tinea manuum is rare in both hands. [2] Scenarios with one foot and two hands, and one foot and one hand, have been described. [15]