What is the recommended treatment for dyshidrosis?

• A. Antifungal therapy
• B. High-strength topical steroids and cold compresses; systemic steroids
• C. Phototherapy
• D. Oral antibiotics

Answer: (B)

Dyshidrosis is an inflammatory vesicular hand dermatitis, so the goal is to rapidly quell inflammation and relieve symptoms. The most effective approach is a potent topical corticosteroid applied to the affected skin to reduce inflammation and vesicle formation, often used in combination with cold compresses or wet dressings to soothe itching, reduce swelling, and help the skin dry. In more extensive or severe cases, a short course of systemic steroids may be added to speed up improvement. Along with this, good skin care and barrier protection are important, including moisturizers and avoiding irritants or trauma to the hands.

Antifungal therapy isn’t appropriate here because the process isn’t caused by a fungal infection. Phototherapy can be considered for some chronic or refractory eczema but isn’t the first-line treatment for an acute dyshidrosis flare. Oral antibiotics are reserved for secondary bacterial infection, not for dyshidrosis itself.