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Dry SkinAka: Xerotic Eczema, Dyshidrotic Eczema, Xerosis, Asteatotic Eczema, Eczema craquele, Pompholyx

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  1. Epidemiology
    1. Incidence increases with age (common in elderly)
  2. Pathophysiology
    1. Related to abnormal keratin production
    2. Elderly have decreased skin fatty acids
      1. Results in decreased skin barrier and hydration
  3. Symptoms
    1. Pruritus without rash
      1. Itching may be intense
      2. Sporadic occurrence
    2. Common Areas involved
      1. Anterolateral lower legs (most commonly affected)
      2. Back and Flanks
      3. Abdomen and waist
      4. Arms
    3. Areas spared
      1. Axilla
      2. Groin
      3. Face and scalp
    4. Provocative factors
      1. Worse with cold, dry weather
      2. Examples: Winter or air conditioning exposure
    5. Palliative factors
      1. Improves with warm, humid weather
  4. Signs
    1. Mild changes
      1. Faint reticulate pinkness
      2. Fine scale or cracks seen with tangential light
      3. Often affects legs (especially shins)
    2. Moderate to severe changes
      1. Dramatic deep redness and cracking
        1. May appear as cracked porcelain (eczema craquele)
      2. Nummular eczema type lesions
  5. Management: General Measures
    1. See Dry Skin Management
  6. Management: Topical Agents
    1. Alpha-Hydroxy acid Moisturizers (e.g. Eucerin Plus)
      1. Apply after warm water soaks
    2. Steroid ointment (triamcinolone for 4-5 days)
      1. Indications: Visible pink or red dermatitis
  7. Management: Dyshidrotic Eczema of hands
    1. Apply Moisturizing Lotions to hands 10-20 times daily
    2. Apply petroleum jelly at bedtime under over-glove
    3. Cotton liner with Vinyl over-glove for hand washing
      1. Allerderm (Hypoallergenic glove supplier)

Vesicular eczema of hands and/or feet (C0032633)

Definition (MSH)A recurrent eczematous reaction characterized by the development of vesicular eruptions on the palms and soles, particularly along the sides and between the digits. It is accompanied by pruritus, a burning sensation, and hyperhidrosis. The disease is self-limiting, lasting only a few weeks. (Dorland, 27th ed)
ConceptsDisease or Syndrome (T047)
ICD9705.81
EnglishCheiropodopompholyx, Cheiropompholyx, DISHYDROSIS, Dyshidria, Dyshidrosis, Dyshidrosis unspecified, Dyshidrotic dermatitis, Dyshidrotic Eczema, Dyshidrotic Eczemas, DYSHYDROSIS, DYSHYDROTIC ECZEMA, Dyshydrotic Eczemas, Dysidria, Dysidrosis, Pompholyx, Pompholyx eczema, Pompholyx unspecified, Vesicular eczema of hands and feet, Vesicular eczema of hands and/or feet, Vesicular Palmoplantar Eczema, Vesicular Palmoplantar Eczemas
Spanishdermatitis dishidrotica, dishidria, dishidrosis, dishidrosis no especificada, eccema dishidrotico, eccema vesicular de manos y/o pies, eczema dishidrotico, eczema vesicular de manos y/o pies, ponfolice, ponfolix, ponfolix no especificado
Parent ConceptsOther specified sweat gland disorders (C0157735), Eczema (C0013595), Skin Diseases, Vesiculobullous (C0037275), Vesicular eczema of hands and/or feet (C0032633), Ambiguous concept (C1274012), Hand and/or foot eczema (C1304330)
SourcesCOSTAR, CSP, DXP, ICD9CM, MSH, MTH, MTHICD9, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Dry skin (C0151908)

ConceptsSign or Symptom (T184)
EnglishAnhydrotic skin, Dry skin, SKIN DRY, SKIN DRYNESS
Spanishpiel seca
Parent ConceptsFunctional disorder (C0277785), Skin Disorders, General, Functional and NEC (C0549579), Finding of moistness of skin (C0574723)
SourcesCOSTAR, CST, DXP, MTH, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Xerosis (C0259817)

ConceptsDisease or Syndrome (T047)
EnglishXerosis
SourcesCOSTAR, CST, OMIM
Derived from the NIH UMLS (Unified Medical Language System)


Asteatotic eczema (C0549201)

ConceptsDisease or Syndrome (T047)
ICD9698.8, 706.8
EnglishAcquired xeroderma, Asteatosis, Asteatotic eczema, Dry skin dermatitis, Eczema craquel, Eczema craquele, Prurigo hiemalis, Pruritus hiemalis, Winter eczema, Winter itch, Xerotic eczema
Spanishdermatitis de la piel seca, dermatitis seca de la piel, eccema agrietado, eccema asteatosico, eccema craquele, eccema de invierno, eccema invernal, eccema xerotico, eczema asteatosico, eczema craquele, eczema invernal, eczema xerotico, piel ajada, prurigo invernal, prurito invernal, xeroderma adquirido
Parent ConceptsXeroderma (C0043345), Pruritus senilis (C0263351), Asteatosis cutis (C0263465), Desiccation eczema (C0549202), Ambiguous concept (C1274012), Duplicate concept (C1274013), Acquired disorder of keratinization (C1302732)
SourcesMTHICD9, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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