Dermatology
Atopic Dermatitis (Hand Eczema)
Itching and lesions on the hands and palms with scratch marks; treated with a steroid-emollient mix, an antihistamine, and avoidance of harsh soaps and detergents.
- ICD-10
- —
- Source
- OPD handbook p.109
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Itching and lesion on the hands and palms
Diagnosis
- Scratch marks over the palm
Treatment
Step 1 of 3
1. Steroid ointment with emollient
- Betaderm ointment mixed with plain Vaseline in equal quantity, applied on the affected area (2 weeks in the sample)
Prescription
Betamethasone ointmentTopical steroid
DoseMix equal quantity with plain Vaseline; apply to the affected area
Brand Betaderm ointment
2 weeks
Plain Vaseline (petroleum jelly)Emollient
DoseEqual quantity with Betaderm
Brands Generic / hospital supply
Step 2 of 3
2. Antihistamine
Prescription
CetirizineAntihistamine
Dose1 at night
Brand Tab Rigix 10 mg
1 week (sample)
Also sold as Rigix, Sedil, Antial, Neo-Antial, Cetrix, Zyrtec
Step 3 of 3
3. Counselling
- Protect the hands from Safeguard, Dettol and Lifebuoy soaps
- Wear gloves when washing dishes and clothes (Urdu note)
- Avoid all antibacterial soaps
- No use of Surf Excel etc. for laundry