RESUMO
Frictional hyperkeratotic hand dermatitis (FHHD) is an unusual form of chronic eczema relating to repeated frictional trauma. This form of hand eczema is often occupationally related and recalcitrant to therapy. We describe the case of FHHD in a 48-year-old dermatologic surgeon. The eruption was resistant to all topical and protective modalities, but responded completely to 6 sessions of Grenz ray treatment. No recurrence has been noted for over 4 years since completion of therapy. We suggest that Grenz ray treatment is a safe and effective option in treating this form of chronic hand dermatitis.
Assuntos
Acrodermatite/radioterapia , Dermatite Ocupacional/radioterapia , Terapia por Raios X , Acrodermatite/etiologia , Acrodermatite/patologia , Dermatite Ocupacional/etiologia , Dermatite Ocupacional/patologia , Fricção , Cirurgia Geral , Humanos , Masculino , Pessoa de Meia-Idade , Doses de Radiação , Terapia por Raios X/instrumentação , Terapia por Raios X/métodosRESUMO
Hand dermatitis is a common skin condition that may be chronic, debilitating, and costly for patients, insurers, and employers. The epidemiology, clinical features, occupational issues, and long-term outcomes of hand dermatitis are summarized in this review. Therapeutic options are also discussed in detail, focusing on treatment of recalcitrant hand dermatitis.
