Hand dermatitis, or hand eczema, is a common yet painful skin condition that can become chronic, leading to “constant discomfort, embarrassment, and difficulty performing daily tasks.”

Causes
There’s no single cause, but a mix of triggers. Harsh soaps, detergents, and disinfectants “strip away the skin’s natural oils.” Jobs with frequent handwashing—such as healthcare or food service—also weaken the skin barrier. Allergies to nickel, latex, or fragrances, as well as conditions like atopic eczema or psoriasis, increase risk. Cold, dry weather or humidity can worsen flare-ups.

Symptoms
Typical signs include “red, swollen, and irritated skin,” dryness, peeling, painful cracks, and relentless itching or burning. In long-term cases, skin becomes thick and rough. Untreated dermatitis may lead to infection, with warning signs like pus, swelling, or severe tenderness.

Treatment
Relief often requires medical care and lifestyle changes. Doctors recommend “applying thick, fragrance-free moisturizers,” wearing gloves for cleaning, and using gentle cleansers. Prescription creams such as corticosteroids may help, while severe cases may need light therapy or oral medication.

When to See a Doctor
Seek help if the condition disrupts daily life, wounds develop, infection signs appear, or OTC remedies fail. Dermatologists can run patch tests to identify allergens and design treatment.

Outlook
Though frustrating, with consistent care “many people can manage flare-ups successfully and protect their skin from lasting damage.”