When an outbreak of dyshidrotic eczema occurs, treatment includes keeping skin dry and cool. Heat, sweating, and moisture can make symptoms worse. Treatment options include:
A diet low in nickel or cobalt may be considered. However, these diets are hard to follow, and their effectiveness has not been proven. Nickel levels are high in canned foods and foods cooked in nickel-plated utensils. Nickel is also found in a variety of fruits and vegetables, tea, cocoa, chocolate, and baking powder. Cobalt is found in a variety of fruits, vegetables, and spices. It is also high in cocoa, chocolate, and coffee.
Long-term use of steroid creams can cause thinning of the skin. Antibiotics may cause rash, stomach upset, or other allergic reactions .
Dyshidrotic eczema usually heals completely with treatment, but it may reoccur. Careful management may decrease the number of outbreaks. Biofeedback therapy for stress reduction has been successful in limiting outbreaks in some individuals.
Any new or worsening symptoms should be reported to the healthcare provider.