
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.
Clinic and treatment images
Tap to enlargeDo 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
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
How we treat it
A glove-and-emollient strategy: a protective barrier plan with regular moisturising
Cortisone-free relief: calcineurin and PDE-4 inhibitors to settle the itch and redness
Patch testing where suspected, then identifying and cutting off wet-work triggers
Hand-and-foot targeted NB-UVB phototherapy and a systemic review for stubborn cases
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.
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.
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.
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.
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.
Other conditions
Atopic DermatitisAtopic dermatitis is a chronic form of eczema in which a weakened skin barrier drives itch and redness; it runs in flares and remissions and often settles in the body's flexures.
Learn more
Contact EczemaContact eczema is inflammation triggered when a substance touching the skin acts as an allergen or irritant; it appears as sharply bordered redness and itch at the site of contact.
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Seborrheic DermatitisSeborrhoeic dermatitis is a chronic reaction to Malassezia yeast in oil-rich areas, causing flaking and redness across the scalp, brows and the folds of the face.
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NB-UVB PhototherapyNarrowband UVB at 311 nm calms inflammation in psoriasis and eczema without cortisone. Sessions run two to three times a week, with a typical course of 20–30 and PASI/EASI tracking.
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Biologic TreatmentsBiologic drugs selectively block targets such as IL-17 and IL-23 in psoriasis and IL-4/13 in eczema. They are considered in moderate-to-severe, resistant disease after screening.
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Cortisone-Free Topical PlanA cortisone-free topical plan combines calcineurin inhibitors, PDE-4 inhibitors and ceramide barrier repair to control inflammation without steroid side effects.
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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
