Talk:Dyshidrosis

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[edit] Quality of Article

The overall quality of this article is extremely poor, and there simply aren't citations for many of the claims in the article, which don't appear to be substantiated with medical studies. This article needs a clean-up and a removal of most of the information without cites. This is supposed to be near-professional quality health information, not random alt-health anecdotes.

If you wish to include your personal opinions or theories about the etiology of diseases that is not substantiated by science, this is not the correct manner in which you should do so. There is a difference between random brotelligence from a Yahoo group discussing dyshidrosis and medical research, and much of the content of this article seems ignorant of that fact.

Regardless, I'm not about to try to sort through and research the myriad of questionable claims nor get into edit wars. However, I certainly hope someone does. —Preceding unsigned comment added by 69.144.19.70 (talk) 23:01, 14 April 2008 (UTC)

[edit] Sourcing

Sourcing needed for this, but one facet of dyshidrosis that bears mentioning is that it is often misdiagnosed as garden variety eczema, and often even dermatologists will need to have it suggested to them before they will research the disease and make a determination as to whether a case is dyshidrosis or not. The feature that most sufferers go by when making an off-the-cuff call as to whether someone else has it is the size/depth of the vesicles which are tiny and deeply seated during the early stage compared to regular eczema, and the tendency to form only on the sides and near-nail area of fingers, but nowhere else on the body save the feet. (71.233.165.69 07:11, 13 April 2006 (UTC))

The last external link contains a link to a yahoo group. That's a very useful support resource with a good number of members, growing relatively rapidly, sharing their experiences dealing with the symptoms of both severe and mild cases. Though a disclaimer about taking medical advice from nonlicensed netizens is probably in order, it might bear more prominent placement directly in the wiki. (71.233.165.69 07:11, 13 April 2006 (UTC))


Under 'Causes' I'd like to add some items, but would like feedback on the correct way to organise these. There are a bunch of related conditions that may (or may not) cause Dishydrosis that are all related to the Gut, these include: Irritable Bowel Syndrome (IBS), Crohn's, Ulcerative colitis, intestinal yeast infection and Leaky Gut Syndrome. In effect, the theory is that hydrosis is caused by problems with the immune system, the source of which can be found with problems in the gut. My problem is in correctly defining these conditions as I believe IBS includes Crohn's and Ulcerative colitis, and LGS and intestinal yeast infections are not generally accepted medical conditions. I'd love to hear what others think in terms of which of these conditions should be included as possible causes and how they should be listed. Dbnull 20:24, 2 August 2006 (UTC)

Not sure about the first part of your comment, but "I believe IBS includes Crohn's and Ulcerative colitis," is not true - I think you have Inflammatory Bowel Disease (IBD) which includes Crohns & Ulverative Collitis and will have raised infalmmatory blood tests results for ESR & CRP and clear abnormalities seen on biopsy histology, mixed with Irritable Bowel Syndrome (IBS) in which all tests are normal. As for Dyshidrosis and bowel disorders - sorry, unable to comment. David Ruben Talk 23:54, 2 August 2006 (UTC)
Thanks David, my error. I'm confusing IBS with IBD.
If you're going to include things which are "not generally accepted medical conditions" you should probably add something to the article making it clear that they're not recognized by "real" (if you will) medicine. Lone wanderer (talk) 00:20, 6 April 2008 (UTC)

[edit] Sunlight

i have had the described condition my entire life. i believe this article may be describing either two different aspects of the same condition or perhaps two conditions. A) it is true about the sunlight causing symptoms, it causes symptoms for me on the back of my hands and tops of toes. B) the palms suffer in the winter/colder months with no sunlight as a causative. in the climate of the deep south, my palms would dry, crack, and bleed during the winter, annually. in the southern california climate, my hands are nearly normal year round. sufferers beware, i cannot determine if climate, foliage, or 'other' environmental factors are responsible. when visiting the southern-winter climate the process begins immediately to deteriorate my palms. and yes, sunlight tremendously lessons the symptoms of the cracking palms. if a sufferer cannot change their environment by relocation, one can utilize a tanning bed about two times weekly for 10 minutes per visit. my own symptoms were relieved dramatically (by tanning) over many seasons before relocation to california. however, the "sunlight" rash on the backs of my hands, is treated with a moisturizer and cotton socks on my hands during the night. (cotton gloves are not readily available and have caused sweating which seems to worsen the outbreak.) —Preceding unsigned comment added by 75.40.109.62 (talk) 20:06, 20 May 2008 (UTC)

"Sunlight is thought to bring on attacks, some patients link outbreaks to prolonged exposure to strong sunlight from late spring through to early autumn."

Got a source? All I've heard and read indicates the opposite, that outbreaks occur most during the Winter months, and that "some patients" have found sunlight to the palms to be a good preventative. Unfortunately, I do not myself have a link ready. It may be worth removing. 24.255.11.232 01:59, 7 February 2007 (UTC)

My wife had treatment for Dishydrosis using light therapy - Grenz Rays (BTW, the picture in the article are her hands). I'm certainly skeptical but was astounded at the almost immediate impact that this therapy had. Unfortunately the resulting improvements proved temporary as it treats only the symptoms and not the root cause. I have no information regarding sunlight having any affect on Dishydrosis, but from personal experience I can attest that positive benefits can occur from light therapy. Dbnull 15:01, 11 June 2007 (UTC)

I suffer from Dishydrosis year round, but only on my left foot(sole, big toe, middle toe only), however during summer it spreads to my hands and occasionaly (1 year in 4) my right foot. It is only during summer that it affects my hands. I also suffer from hayfever during summer (mid to late) and had always assumed that pollen was causing the condition rather than sunlight. Masterplan79th - 15:28, 19 February 2008 (UTC) - would just like to add that it has appeared on my right hand in 3 places, thumb index and ring fingers, for the first time this year, starting about 2 weeks ago. 14:42, 11 April 2008 (UTC)

I have suffered from Dishydrosis for three years now, and I have recorded a direct and immediate correlation between exposure to sun light and symptoms. I assumed that perhaps the symptoms were being exasberated by the excess vitamin D produced as a result of sunlight exposure, and I so far believe this to be the case. To verify this I have in the last year recorded a direct correlation between my consumption of fish oils (rich in Vitamin D) and the symptoms. Sylba (talk) 14:33, 8 May 2008 (UTC)—Preceding unsigned

[edit] Causes, treatments

Research needs to be done and citations needed, for the fact that the 'Causes' of dyshidrosis lists 'sweat retention'. Although dyshidrosis was previously thought to be a sweating disease, this is a long discarded theory, and while 'humidity' is posited as a trigger, it is not considered a causative. Further, all the triggers/causes of dyshidrosis should also list everything within atopic eczema and contact dermatitis - this condition is thoroughly irritated by things like detergents AND fruit juices, and there do tend to be underlying allergies as with contact dermatitis, however, the list of causes on this page completely ignores this part, rather treating the page as an adjunct to eczema.

Also of note is the fact that while immunomodulators such as Protopic and Elidel are being used for dyshidrosis, they've not been researched or tested for use specifically in this condition.

I have textbook Dyshidrosis. I get it in summer, and its definitely corrolated with sweat for me. Keeping my hands dry before it starts is the best thing for me, so I wear sandles as much as I can in summer, and keep my hands as sweat free as possible. also, i pop the bubbles as soon as i can; this makes them move on to the dry stage and eventually disapear quicker. This works well for me: these days it's mild every year, though the first year I had it as a child, it was so bad on my feet that walking was painful, because I'd been wearing socks and shoes in summer. I discovered what worked for me well before i'd even heard the name for the disease. I live in Melbourne, Australia, if you'd like to know to know the summer climate. —Preceding unsigned comment added by 220.245.158.108 (talk) 03:14, 1 March 2008 (UTC)

Edit- On a personal note, I have found that washing with a 'orange' dish washing detergent and cold water a few times a day( whenever it starts to sweat/ooze) has been helping lately. Of course as soon as I contact dirt/ synthetic ski gloves etc etc. it worsens. I did have this for years on my hands feet, now in adult years , just on hands. It comes and goes, but for the moment , only my left hand is affected.

My body reacts initially to creams etc, but long term will develop immunity to the treatment. I have a very mild form of dyshidrosis if my self-diagnosis is correct, and I have most sympathy/empathy for all those with this condition. —Preceding unsigned comment added by 86.193.136.176 (talk) 07:44, 5 January 2008 (UTC)

[edit] Best Doctors / Institutions

My wife suffers from what has been diagnosed as eczema on her hands. We do not think it really is that however. Reading about dyshidrosis - it sounds a lot more like her symptoms.

Does anyone have any recommendations about the top doctors in this area, or top clinics / hospitals? We really need someone who will look beyond the simple diagnosis.

Thank you. —Preceding unsigned comment added by Wmstrahan (talk • contribs) 21:18, August 27, 2007 (UTC)

Please ask questions at the Wikipedia:Reference_desk, however see Wikipedia:Medical disclaimer . Dyshidrosis is a form of eczema, as it says in the introduction to the article. Clappingsimon talk 22:00, 27 August 2007 (UTC)

Sorry my bad. I apologize.Wmstrahan 02:21, 28 August 2007 (UTC)Bill Strahan

[edit] External links

External links on Wikipedia are supposed to be "encyclopedic in nature" and useful to a worldwide audience. Please read the external links policy (and perhaps the specific rules for medicine-related articles) before adding more external links.

The following kinds of links are inappropriate:

  • Online discussion groups or chat forums
  • Personal webpages and blogs
  • Multiple links to the same website
  • Fundraising events or groups
  • Websites that are recruiting for clinical trials
  • Websites that are selling things (e.g., books or memberships)

I realize that some links are helpful to certain users, but they still do not comply with Wikipedia policy, and therefore must not be included in the article. WhatamIdoing (talk) 06:19, 17 January 2008 (UTC)