Understanding Eczema on Hands: Causes, Treatments and Prevention

atopic dermatitis, symptoms of hand eczema, more than dry skin

Dealing with eczema on your hands can be more than just a physical discomfort; it’s often a daily challenge that affects your life in many ways. Hand dermatitis, as it’s scientifically known, is not just a common skin issue but a personal journey for many. Whether you’re experiencing mild dryness and redness or grappling with severe itching, cracking, and sometimes even bleeding, effective strategies and treatments are available to manage symptoms.

This comprehensive guide explores the ins and outs of hand eczema. We dive into its causes, symptoms, and effective treatment options. This article is your go-to resource whether you’re facing occasional flare-ups or managing chronic conditions. From practical tips for everyday care to professional medical advice, you’ll find everything you need to understand and combat eczema on your hands.

Hand Eczema: Understanding the Basics

Hand eczema, also known as hand dermatitis, is a common skin condition characterised by dry skin, itchy skin, and inflamed skin. It’s a form of atopic dermatitis that specifically affects the hands and can range from mild chapped skin to more severe symptoms like itchy blisters and cracked skin. This condition can be chronic, known as chronic hand dermatitis, and often fluctuates in severity.

Various forms of eczema can affect the hands, including dyshidrotic eczema, characterised by small, itchy blisters, and irritant contact dermatitis, where the skin reacts to harsh substances. Allergic contact dermatitis is another type, resulting from allergic reactions to substances like latex, often exacerbated by the use of latex gloves. Alternatively, wearing cotton gloves can help protect the skin in some cases.

The development of hand eczema involves both genetic and environmental factors, weakening the skin barrier and making it more susceptible to irritants and skin infections. Recognising the symptoms of hand eczema early is essential for effective treatment.

atopic dermatitis, symptoms of hand eczema, more than dry skin

Identifying Triggers: What Causes Eczema on Your Hands?

Identifying triggers for eczema on your hands is essential in managing this condition. Eczema, also known as hand dermatitis or hand eczema, can be caused or aggravated by various factors, including:


Common allergens such as pollen, pet dander, or certain foods can trigger eczema flare-ups.


Frequent hand washing and exposure to cleaning agents, detergents, soaps, and other harsh chemicals can irritate the skin and exacerbate eczema.

Weather Conditions

Extreme hot or cold temperatures and dry air can lead to skin dryness and trigger eczema.


Emotional stress doesn’t directly cause eczema but can worsen the symptoms.

Water Exposure

Prolonged or frequent exposure to water can strip the skin of its natural oils, leading to dryness and irritation.

Metals, Particularly Nickel

Contact with certain metals, like nickel, found in jewellery and tools, can trigger eczema in some people.

Genetic Factors

A family history of eczema, allergies, or asthma can increase the likelihood of developing eczema.

Fragrances and Dyes

Products containing fragrances and dyes can irritate sensitive skin and may lead to eczema flare-ups.

Rubber Gloves

Wearing latex gloves can cause allergic reactions in some people, leading to eczema.

Understanding and identifying the specific triggers that affect you can be vital to treat eczema effectively. It often involves a process of trial and error. It may require the assistance of a healthcare professional, such as a dermatologist, who can help identify triggers and recommend appropriate treatment and preventive measures.

type of eczema, bacterial infection, hand eczema

Nutritional Deficiencies Linked to Hand Eczema

The questions, “What deficiency causes eczema?” or “What is my body lacking if I have eczema?” may have crossed your mind. These questions highlight nutrition’s significant role in managing and possibly exacerbating hand eczema. While eczema is primarily an inflammatory skin condition, certain nutritional deficiencies can contribute to its severity and frequency of flare-ups.

Research suggests that deficiencies in essential fatty acids, particularly omega-3 fatty acids, can impact skin health and exacerbate eczema symptoms. Omega-3s are known for their anti-inflammatory properties, and a lack thereof can lead to increased inflammation, potentially worsening eczema.

Vitamin D deficiency is another factor to consider in the context of eczema. This vitamin plays a key role in skin health and immune function. Low vitamin D levels have been associated with more severe eczema symptoms, particularly in the winter when natural sunlight is reduced.

Zinc is another nutrient closely linked to skin health. It plays a vital role in maintaining the integrity of the skin barrier and has anti-inflammatory properties. A zinc deficiency can lead to impaired wound healing and increased susceptibility to skin infections, which can aggravate hand eczema.

Additionally, a lack of certain B vitamins, particularly vitamin B6, has been observed in some individuals with eczema. B vitamins are essential for healthy skin, and a deficiency can contribute to skin dryness and irritation.

It’s important to note that while addressing these nutritional deficiencies can help manage eczema symptoms, it is not a standalone cure. A holistic approach, including proper skincare, avoidance of triggers, and possibly medical treatment for eczema, is necessary for effectively managing hand eczema. Consulting with a healthcare professional for a tailored nutritional and treatment plan is advisable for individuals with persistent or severe eczema.

Is Hand Eczema Stress Related?

If you’re dealing with hand eczema, you might have noticed that stressful periods in your life can make symptoms worse. This isn’t just a coincidence. When stressed, the body reacts in ways that can aggravate conditions like eczema. Stress affects our immune system, leading to more inflammation and worsening the redness and itching of your hands. 

It’s like a double challenge – not only are you dealing with the stress itself, but stress-related eczema on your hands might flare up, too. This happens because stress can also weaken your skin’s natural barrier, making it more sensitive to irritants. Remember, everyone’s eczema is unique, and stress is just one of many factors that can play a role. It’s all about finding balance and understanding what affects your skin. Learning ways to manage stress may also help.

What is the Best Treatment for Eczema on Hands?

Treating hand eczema effectively requires a multifaceted approach tailored to the severity and type of eczema, as well as the individual’s lifestyle and skin sensitivity. Here are some of the most effective ways to treat hand eczema symptoms:

Moisturiser and Barrier Repair Cream

Regular use of moisturisers is essential for treating hand eczema. Thick, fragrance-free creams are often recommended, as they help restore the skin’s barrier and lock in moisture. Barrier repair creams specifically designed for eczema can be particularly beneficial.

Topical Steroids

For flare-ups characterised by inflammation and itchy skin, topical corticosteroids are often prescribed. These reduce inflammation and ease symptoms. It’s important to use them as directed by a healthcare professional to avoid potential side effects.

Avoiding Irritants and Triggers

Identifying and avoiding triggers is essential. This may include wearing protective gloves when using cleaning agents, avoiding certain foods, or managing stress.

Wet Wrap Therapy

For severe cases, wet wrap therapy can be effective. This involves applying a damp layer of bandages over a topical steroid and then covering it with a dry bandage. This method helps the medication penetrate more effectively and increases moisture in the skin.


In cases where topical treatments are ineffective, phototherapy (controlled exposure to specific types of light) can be beneficial. This treatment is usually done under medical supervision.

Oral Medications and Biologics

For severe hand eczema that doesn’t respond to topical treatments, oral medications for eczema or biologics that modify the immune system may be prescribed.

Lifestyle and Dietary Changes

Incorporating anti-inflammatory foods into your diet and maintaining a healthy lifestyle can support skin health and reduce eczema symptoms.

Allergy Testing

In suspected allergic contact dermatitis cases, allergy testing can identify specific allergens to avoid.

Remember, the best treatment plan is one that’s personalised. Consulting a doctor or dermatologist to develop a tailored approach based on your specific condition is vital for effectively managing hand eczema.

atopic dermatitis, developing hand eczema, painful hands

Will Hand Eczema Ever Go Away?

Hand eczema can be a long-term condition, and whether it goes away completely varies from person to person. For many, with the right treatment and care, eczema symptoms can improve a lot or even clear up for a while. However, hand eczema often comes back from time to time, so ongoing management and understanding your triggers are important. Some people might see a significant reduction in their symptoms, but it’s hard to predict if it will go away completely for everyone. The key is consistent care and working with a healthcare professional for the best approach.

Preventive Measures and Daily Care Tips

Incorporating daily care and preventive strategies into your routine is essential to prevent flare-ups and maintain healthy skin when dealing with hand eczema. Here are some effective tips:

  • Moisturise Regularly: Keep your hands well-moisturised throughout the day, especially after washing. Use a thick, fragrance-free moisturiser or a barrier cream to help protect your skin.

  • Gentle Skin Care: Use mild, fragrance-free soaps and avoid hot water when washing hands. Pat your hands dry gently, don’t rub them, and apply moisturiser immediately afterwards.

  • Protect Your Hands: Wear gloves when doing tasks that could irritate your skin, like washing dishes or cleaning. Opt for cotton gloves under rubber or nitrile gloves for added protection.

  • Avoid Known Triggers: Identify and steer clear of triggers that worsen your eczema. This could include certain foods, stress, or environmental factors like dust and pollen.

  • Maintain a Healthy Diet: Eating a balanced diet rich in omega-3 fatty acids, vitamins, and minerals can support skin health and potentially reduce eczema flare-ups.

  • Manage Stress: Stress can trigger eczema, so incorporating stress-reduction techniques like meditation, yoga, or regular exercise into your routine can be beneficial.

  • Care for Wet Hands: If your hands are frequently wet, like in certain professions, make sure to dry them thoroughly and moisturise them afterwards.

  • Avoid Scratching: Scratching can worsen eczema and lead to infections. Keeping nails short and using anti-itch creams can help manage the itch.

  • Regular Skin Checks: Regularly check your skin for signs of infection, like increased redness, swelling, or pus. If you notice these signs, consult a healthcare provider.

  • Stay Hydrated: Keeping your body well-hydrated helps maintain skin moisture levels, which can benefit eczema.

Implementing these daily care and preventive measures can significantly help in managing hand eczema, reducing the frequency and severity of flare-ups, and improving overall skin health.

When to Seek Professional Help

You should see a dermatologist for hand eczema if your symptoms don’t get better with basic care or if they get worse. This includes more redness, a lot of itching, pain, or signs of infection like swelling or pus. It’s also important to get professional advice if eczema makes it hard to do everyday things or get a good night’s rest. Dermatologists can give you a proper diagnosis and stronger treatments and help determine what triggers your eczema. Getting help early can stop eczema from becoming a bigger problem and help you take better care of your skin.

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