Atopic hand dermatitis L20.8

Minus variant of atopic eczema in adults. Dyshidrotic skin lesions on the backs of hands and fingers, less frequently on the palms.

The clinical picture of atopic hand dermatitis (syn. atopic hand eczema) (the same applies to atopic foot dermatitis) depends decisively on the degree of acuteity of the inflammatory reaction. This varies between minimal variations up to weeping or pyodermic maximum variations. On the basis of an atopic diathesis or a latent atopic hand (foot) dermatitis, severe hand (foot) dermatitis can occur due to superimposed external influences (cumulative toxic damage or contact sensitization), which considerably impairs daily activities.

Minus variants of hand (foot) dermatitis are:

• Dyshidrosis lamellosa sicca (hands and feet, hands preferred)
• Mild dyshidrotic hand (foot) eczema
• Atopic winter feet (atopic winter hands)
• sicky arthritis

Classical (fully developed acute, sub-acute or chronic) clinical variants are:

• Fully developed dyshidrotic hand (foot) dermatitis
• Cheiro/Podopompholyx (acute maximum variant of dyshidrotic hand (foot) dermatitis
• Cumulative toxic hand (foot) dermatitis at the bottom of an atopic dermatitis
• Hyperkeratotic-rhagadiform hand (foot) dermatitis at the base of atopic dermatitis
• Contact allergic hand (foot) dermatitis at the base of atopic dermatitis

According to the recommendations for hand dermatitis Hand dermatitis . S.a.u. Dermatitis, atopic.