Success story 

A 42 year old female presented with irritant contact dermatitis associated cellulitis on the right hand following repeated hand washing with some powder to reduce erythema of hand but after using powder (Anonymous) started pain, swelling. She had no history of DM, HTN, no respiratory, digestive symptoms and no family and past history of atopy and  The patient reported in OPD of Amraze Jild wa Tazeeniyat In NIUM, on Clinical Examination revealed  erythematous, eczematous plaques, fissures with pus formation on ventral and dorsal aspect of hand ( Figure 1).Rest of the skin, mucosa and nails are normal. With these complaints patient admitted under Prof. M. A Quamri in NIUM hospital and at the time of admission the condition was very severe. After hospitalization advised to patient hand wash with normal saline and apply Marham safaid kafoori for local application and Habbe Gule aakh twice a day orally. After third day patient condition was improved with no new complaints and at the time of discharge i.e., eighth day lesion was almost clear with no swelling and pain.(Figure 2)

Introduction: Eczema is the most frequent hand disorder, as well as the most common occupational skin disease (OSD). Only severe cases of hand dermatitis are detected in dermatology outpatient departments, as patients rarely present with early hand dermatitis. Only during occupational screening are mild types detected. Even after avoiding contact with the incriminated allergen / irritant, hand eczema (HE) might develop into a chronic illness with persistent disease. Atopy (particularly dermatitis), wet work, and contact allergy are all key risk factors for hand eczema. In most studies, women have a higher incidence than men due to environmental variables, and this is particularly true of younger women in their twenties. Preventive measures are crucial in therapy because they allow those who are impacted to stay healthy.

 

 

 

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