Hello! Beautiful people of the Steem blockchain. Hope that you are doing great. I am fine, Alhamdulillah. Today I am going to start a new series of posts. In this series, I will try to discuss a case history of a patient in short at first. Then, I will try to highlight some take-home messages from the case topic. Hope that you will get some useful information from this post.

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Today's case history

The patient was an Omani Lady of 37 years of age. She came with a severe form of itchy skin condition. She was suffering from the condition for the last several years. I saw the lesions in her both hands but according to her, it was over most of her body parts.

The skin was thickened (it is called lichenification). There was redness, mild swelling/oedema on the hands and wrists. The rashes were quite bad with cracked skin, some bleeding spots due to vigorous scratching. She also had pain.

It was a clear-cut case of contact dermatitis (skin allergy).

For this condition, he went to several doctors over the last few years. However, with the treatments, every time she got some temporary relief. After finishing the treatment course given by a doctor, the skin lesions came back every time. So far, the exact cause of her condition wasn’t found out.

I gave a tablet, ointment and injection to give her some relief from the current episodes. I strongly urged her to see a dermatologist ASAP.

hand-skin allergy or dermatitis | image source

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Today's take-home messages

Contact dermatitis or skin allergy:

It occurs due to the exposure to an exogenous agent. Means, something precipitates the allergy.

Contact dermatitis is divided into two:

1. Irritant contact dermatitis: Precipitating agents are: chemicals, detergents etc.
2. Allergic contact dermatitis: Precipitating agents are: cement, nickel, chrome, rubber etc.

The best management option is the identification of the allergen or irritant which is responsible for dermatitis. There are several special tests for that.

Management of the hand-skin allergy:

The image is taken from the Oxford Handbook of general practice; page: 609

Information: Oxford Handbook of general practice; page: 609

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This is all about today. If you have any question on this topic or any suggestion, please let me know in the comment section. I will try to answer according to my knowledge.

Have a wonderful day!
Until Next Time
Dr Hafiz

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