Diagnosis: Hand Eczema (Contact Dermatitis)
Hand eczema case in a software developer with compromised skin lipid barrier due to constant handwashing.
Developer presented with bilateral hand eczema involving both palmar and dorsal surfaces. Skin lipid barrier significantly compromised.
Software developer with hand eczema and compromised skin lipid barrier. Constant handwashing and lack of barrier protection identified as primary aggravating factors.
Barrier repair and moisturization protocol. Education on reducing hand washing frequency and proper barrier protection.
• Psoriasis • Contact dermatitis • Scabies • Tinea corporis • Seborrheic dermatitis • Mycosis fungoides • Drug eruption
• "Eczema" is a clinical pattern, not a single diagnosis — encompasses multiple subtypes • Impaired skin barrier function is central to pathogenesis • Spongiosis (intercellular edema in epidermis) is the histological hallmark • Acute: vesicles, weeping. Subacute: erythema, scale. Chronic: lichenification, fissuring • Superinfection with S. aureus is common and may cause flares
Tags: hand eczema, contact dermatitis, occupational dermatitis, barrier dysfunction, eczema