Inside Out Medicine — we treat skin from the inside out Health in Türkiye
Eczema

Hand & Foot Eczema

Hand and foot eczema brings dryness, itch and cracking to the palms, fingers and soles; it recurs and worsens with wet work and damp, sweaty footwear.

Cortisone-free protocol Same-day callback Consultation in five languages

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Cortisone-free protocol Same-day callback Consultation in five languages Written treatment plan
Signs and symptoms

Do you recognise these signs?

If one or more of these applies to you, we recommend a dermatological assessment.

  • Itchy dryness, redness and scaling across the palms and the sides of the fingers
  • Painful cracks (fissures) between the toes and on the heels, at times bleeding
  • Small itchy, fluid-filled blisters along the sides of the hands (dyshidrotic rash)
  • Thickened, hardened skin and nail changes from constant contact and rubbing
Assess my condition

Causes and triggers

  • Wet work: frequent washing, detergents, solvents and sweat inside gloves harm the barrier
  • An added allergic basis in trades exposed to nickel, rubber and chemicals
  • Sweaty, poorly ventilated shoes and fungal infection acting as triggers
  • A chronic course flared by a weak barrier, cold dry weather and stress
Cortisone-free protocol

How we treat it

01

A glove-and-emollient strategy: a protective barrier plan with regular moisturising

02

Cortisone-free relief: calcineurin and PDE-4 inhibitors to settle the itch and redness

03

Patch testing where suspected, then identifying and cutting off wet-work triggers

04

Hand-and-foot targeted NB-UVB phototherapy and a systemic review for stubborn cases

The Inside Out Approach

Why Clinovia?

Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.

01

The Gut–Skin Relationship

We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.

02

Cortisone-Free Protocol

First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.

03

Systemic Repair

Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.

04

Measurable Follow-up

PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.

Hands meet water, soap and chemicals all day, so the barrier is damaged again and again and healing stalls. Lasting recovery needs the trigger identified plus a habit of gloves and heavy moisturising. Without that protection, no cream on its own will be enough to hold the skin.

Painful cracks signal that the barrier has dried out severely. Rich ceramide ointments, overnight occlusive care and gloves for wet tasks help the fissures close. At Clinovia we combine cortisone-free anti-inflammatory treatment with barrier repair to reduce how often new cracks form.

Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.

Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.

Appointment

Let's build the right plan for your skin today

Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.

  • Same-day callback
  • Consultation in five languages
  • Written treatment plan
  • Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
  • Mon–Sat: 09:00 – 19:00

Request a same-day callback

Leave your details and our coordinator will call you to arrange the right doctor and time.

This form does not replace a medical diagnosis.

Request received. We will call you shortly.
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Cortisone-free protocol Cortisone-free treatment protocolsGut–skin axis approach12 years of psoriasis & eczema expertiseNB-UVB phototherapy unitConsultation in five languagesSame-day appointment callback