Thelansis

 Chronic Hand Eczema (CHE) encompasses either a persistent, recurring manifestation of hand eczema (HE) enduring beyond three months or HE resistant to conventional treatment with emollients and topical corticosteroids, characterized by symptoms recurring twice yearly despite intervention. Clinical manifestations of CHE include typical eczema features localized to the hands and fingers, such as dryness, redness, swelling, thickening of the skin, flaking, hardening, roughness, blistering, cracking, itching, and discomfort. Hand eczema can be broadly classified into three primary etiological categories: irritant contact dermatitis (ICD), allergic contact dermatitis (ACD), and atopic hand eczema, constituting more than half of all cases. Eczema and dermatitis are used interchangeably to denote a specific inflammatory condition affecting the epidermis and dermis of the skin. Acute and subacute HE denotes eczematous changes confined to the hands, persisting for less than three months an...

  Chronic Hand Eczema (CHE) is defined as either a long-term, relapsing course of HE or HE that is unresponsive to standard treatment with emollients and topical corticosteroids for more than three months or recurrence of symptoms twice within a year despite treatment. Clinical signs and symptoms of Chronic Hand Eczema comprise classic features of eczema localized to the hands and fingers, including dryness, erythema, edema, hyperkeratosis, scaling, lichenification, vesiculation/ blistering, fissures, pruritus, and pain. Eczema and dermatitis are used as synonyms. Both terms are used interchangeably to describe a particular type of inflammatory disorder of the skin that targets the epidermis and the dermis. Acute and subacute HE can be defined as eczema, localized to the hands, that lasts for less than three months and does not occur more than once per year. In the acute stage, vesicles will be present in most cases, although not always in irritant HE. Erythema, representing inflam...