Journal of Nippon Medical School
Online ISSN : 1884-0108
Print ISSN : 0048-0444
ISSN-L : 0048-0444
Hand eczema
The clinical classification of the roles of exogenous and endogenous factors in each type
Yumiko Tamiya
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1994 Volume 61 Issue 4 Pages 286-294

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Abstract
Hand eczema is one of the most common dermatological disorders. Although it is a general term referring to eczematous dermatitis of the hands, it actually covers a wide range of diseases. The classification of hand eczema is controversial even now, as definitions of individual diseases have not yet been established. It is well-known that exogenous factors, such as chemicals or water, are associated with the occurrence of hand eczema.
In this study, we focused on endogenous factors, especially personal or family history of atopy as a causative factor in hand eczema. According to exogenous and endogenous factors, we classified hand eczema into three types: atopic dermatitis, contact dermatitis and dysidrosis. This classification is useful because it makes the definition of each disease clear. Skin-humidity and sebum mesurement are simple and rapid methods of determining personal atopy, skin condition and the effect of treatment on hand eczema patients.
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© Medical Association of Nippon Medical School
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