Is hand eczema ointment effective?

It is actually quite common to have rashes on the back of the hands, because eczema itself is a systemic skin disease that can occur. For the treatment of eczema, some ointments can be used, but it depends on whether the condition shows signs of improvement. If not, other treatment methods need to be used, or medical treatment should be sought for timely diagnosis and treatment to avoid large-area damage to the skin.

Detailed treatment of eczema:

1. General treatment

(1) Take a detailed medical history, conduct necessary systemic examinations, and try to identify possible causes and eliminate them.

(2) Let patients understand the occurrence, development, prevention and treatment of eczema, actively cooperate with treatment and keep their skin clean.

(3 ) Avoid various external stimuli (such as scratching, hot water washing, soap scrubbing) and allergic and irritating foods (such as seafood, coffee, spicy food, alcohol, etc.).

2. Internal Therapy

(1) Antihistamines: chlorpheniramine, 4-8 mg, 3 times a day; or ketotifen 1 mg, 3 times a day; or cyproheptadine, 2 mg, 3 times a day; or deschlorohydroxyzine, 25 mg, 3 times a day. You can also choose drugs without central nervous system sedation side effects, such as astemizole, 10 mg, once a day; or terfenadine, 60 mg, twice a day; or mizolastine 10 mg, once a day; or loratadine, 10 mg, once a day; or cetirizine, 10 mg, once a day. If necessary, use both together or alternately.

(2) Nonspecific desensitization therapy: 10 mL of 10% calcium gluconate or 10 mL of 10% sodium thiosulfate plus 20 mL of 5% to 10% glucose, plus 1.0 to 2.0 mg of vitamin C, intravenously injected once a day.

(3) Glucocorticoids: They are generally not recommended, but can be taken for a short period of time for patients with acute, widespread, or severe illnesses who do not respond to general treatment. For example, prednisone is 20 to 40 mg per day, and the dosage can be gradually reduced as appropriate after the effect is seen.

(4) Cyclosporine, cyclophosphamide or azathioprine: They can be tried for very severe chronic eczema when systemic corticosteroids are ineffective or intolerant, and have a certain therapeutic effect.

3. For local therapy, appropriate dosage forms and drugs should be selected according to the morphological characteristics of the skin lesions.

1. In the acute phase, if there is no exudation or the exudation is not much, zinc oxide oil can be used. If there is a lot of exudation, 3% boric acid solution can be used as a wet compress. When the exudation decreases, glucocorticoid cream can be used alternately with oil.

2. In the subacute phase, glucocorticoid emulsions and pastes are used. Antibiotics can be added to prevent and control secondary infections.

3. In the chronic stage, ointments, plasters, and film coatings can be used. For stubborn localized hypertrophic lesions, glucocorticoids can be injected locally intradermally once a week, with 4 to 6 times as a course of treatment.