Talk:Dyshidrosis/Archive 2

References for Gut related causes
Looking at the section on causes and there are a lot of citation needed links. That's fine, except the ones that have been there for over three years - this should be cleaned up soon. What I'm looking at is the currently referenced text "or alternatively, it can be the cause of secondary effects of problems in the gut". The issue here, is regarding reference 5 from the Vol. 140 No. 12, December 2004 Archives of Dermatology. I've had a quick read & search of the Full text of this referenced article but can find nothing actually backing up the text ahead of reference 5. If anyone else is able to confirm this as well that would the good, the reference should be corrected or removed. Lantrix // Talk // Contrib // 12:14, 5 December 2011 (UTC)
 * I'm just going to remove this. It reeks of woo and has been there for long enough. The sources that were cited are studies on the efficacy of Alitretinoin, and I'll move them to the appropriate place where the drug is mentioned (under treatment). Silvermael (talk) 21:54, 27 July 2013 (UTC)

WP:Medical disclaimer
I think that the treatment section is stretching the medical disclaimer a bit, it is giving advice on how this disease can be treated. This breaks the rules; can it please be removed?  Rcsprinter  (converse)  21:11, 6 February 2012 (UTC)
 * I've cut this section down to referenced information on treatments only. —  Scott  •  talk  18:07, 21 April 2012 (UTC)

Edit request on 2 March 2013
Spelling error:

Please correct the line in the last bullet of treatment that reads

"This includes avoiding high nickel foods like oatmeal and chocolate, canned foods (especially acidic foods like pineapple and tomato that leach metal from the can), and using vitamins the do not contain nickel."

The last "the" should be changed to "that"

Thank You

63.224.60.139 (talk) 11:18, 2 March 2013 (UTC)
 * ✅ Thanks for catching the mistake. - Camyoung54   talk  15:14, 2 March 2013 (UTC)

My picture contribution
Some time ago, I uploaded a nice, clear picture of a localized, chemically-induced, dyshidrotic eczema. It shows what is described in the article as "many deep-seated pruritic, clear vesicles". In my opinion, my picture http://commons.wikimedia.org/wiki/File:Finger_Pompholyx_1.tif shows these vesicles more clearly and with more detail, so I suggest adding it to the article. --Maslesha (talk) 07:51, 18 July 2013 (UTC) Incidentally, you can link to an image on Commons like this: File:Finger Pompholyx 1.tif (note the ":" at the start). —  Scott  •  talk  11:18, 18 July 2013 (UTC)
 * Thank you, that is a good photograph. I've set it as the main image at the start of the article.

I have this, just diagnosed, it started on my right foot sole, only this foot. Then on palm of both hands I can take pics if you like. Damiswife2004 (talk) 20:52, 19 March 2019 (UTC)

Edit request on 14 April 2014
Could we include the pronunciation for dyshidrosis? I've actually had a difficult time determining it. NCBI and the Mayo Clinic are mute on the subject. Merriam-Webster:dyshidrosis offers this as the correct pronunciation: \ˌdis-ˌhī-ˈdrō-səs, -hə-\. — Preceding unsigned comment added by 66.68.191.166 (talk) 08:25, 14 April 2014 (UTC)
 * ✅ Good suggestion. Thank you! —  Scott  •  talk  13:50, 14 April 2014 (UTC)

Semi-protected edit request on 17 March 2015
This article states "Dapsone (diamino-diphenyl sulfone) is an antibacterial sulfonamide." The chemical compound Dapsone does not contain the sulfonamide moiety. A sulfonamide by definition is a sulfonyl and amino group with a direct sulfur-nitrogen single bond, e.g. -SO2NH2,or -SO2NHR or -SO2NRR'. Please visit the Wikipedia page concerning sulfonamides to verify.

67.8.190.157 (talk) 02:14, 17 March 2015 (UTC)
 * ✅ Changed. Thanks. —  Scott  •  talk  15:36, 19 April 2016 (UTC)

Dermatophyte material
I've just removed the following addition that you made to this article: "*The most common cause is the Id reaction. The Dermatophyid reaction. This is the histamine reaction to a dermatophyte infection or colonization at a distant site. In dyshidrosis the most common dermatophyte is Candida in the lower bowel.(13) http://www.dermnetnz.org/fungal/ide.html This is also known as 'non-differentiated candidiasis' and 'polysystemic candidiasis'.(The Causes of Intestinal Dysbiosis: A Review Jason A. Hawrelak, BNat (Hons), PhD Candidate and Stephen P. Myers, PhD, BMed, ND http://www.altmedrev.com/publications/9/2/180.pdf)"

Firstly, you did not provide a reference for this claim: The most common cause is the Id reaction. The Dermatophyid reaction.: the first reference you gave is a definition of dermatophytide reactions. The second link does not even mention eczema or dyshidrosis at all.

You've been trying to push your personal theory about this into this article for over four years. This needs to stop.  —  Scott  •  talk  10:03, 5 October 2015 (UTC)

Blackjack disease
You've just added something about "blackjack disease", which is stated to be a form of contact dermatitis. That's a different condition. Is it definitively stated in your sources that it relates to dyshidrosis? I'm likewise about to remove the earlier material about nickel. —  Scott  •  talk  14:47, 15 April 2016 (UTC)
 * As you've not replied I've now done this. See below. —  Scott  •  talk  15:30, 19 April 2016 (UTC)

Removed material relating to contact dermatitis
I've removed the following material from the article, which is only shown as relating to a different condition, contact dermatitis. If quotations in the referenced texts can be produced that explicitly relate them to dyshidrosis, please then put it back. —  Scott  •  talk  15:30, 19 April 2016 (UTC)


 * Allergic reactions of various kinds, including allergies to nickel which is present in many foods and vitamins (e.g., oatmeal, canned foods).


 * In the case of a nickel allergy or sensitivity a low nickel diet may lead to improvement. This includes avoiding high nickel foods like oatmeal and chocolate, canned foods (especially acidic foods like pineapple and tomato that leach metal from the can), and using vitamins that do not contain nickel. In this situation avoiding excessive exposure to environmental nickel may also be helpful, such as not using stainless steel pots and silverware.


 * It can be caused by the salts of chromium used to dye green baize and so is an occupational disease of gamblers and card players, when it is known as Blackjack disease.

Time for name change?
I was under the impression that the term "dyshidrosis" was deprecated for this condition, for the very reason cited in the article: the dyshidrotic hypothesis is unproven at best, and there's evidence to the contrary, and that is why medicine has moved towards adopting "pompholyx" as the new term for it.

Doing some googling, I see that the Mayo Clinic is still using the term "dyshidrotic eczema" and many other sources point to that, but that "pompholyx" is the term being used by the National Eczema Society in the US, and the NHS in England, and is well represented in resent research in MedLine. http://emedicine.medscape.com/article/1122527-overview recommends adoption of "pompholyx" (though it also says observes there's a movement toward "acute and recurrent vesicular hand dermatitis"). — Preceding unsigned comment added by 24.61.41.34 (talk) 06:23, 7 May 2016 (UTC)
 * Regarding the last comment, that site says Some believe the terms pompholyx and dyshidrosis are obsolete and favor a new term, such as "acute and recurrent vesicular hand dermatitis." Without any explanation of who "some" are I'm loth to include it in this article, but apart from that I fully agree with you. Here's a book cite saying that Most authorities agree that the term dyshidrosis is a misnomer, which is admittedly a similarly vague statement, but one that can be coroborrated easily. I'll dig around for a few good sources and make the move soon unless someone objects. Also, mainly for my later reference, here's a nice historic reference from 1844 on pompholyx, showing that the term has been in use for quite some time. Hopefully it'll be possible to find out more on that front. —  Scott  •  talk  12:58, 7 May 2016 (UTC)

Too early IMO. ICD10 uses Dyshidrosis So does MESH We have lots of terms that are historical in medicine and yet we still use them. Emedicine still uses Dyhidrotic eczema  Doc James  (talk · contribs · email) 16:48, 11 August 2016 (UTC)

Issue of Pompholyx
Can I add 'Identified by several different names, dyshidrosis is most commonly known as 'pompholyx', a term originating from the Greek word for 'bubble'. It explains one in five cases of hand dermatitis. Id reaction and irritant contact dermatitis are possible causes.' Whispyhistory (talk) 08:36, 25 November 2017 (UTC)
 * Clinical key is to the inside net of your institution. Can you use the ISBN and page numbers for books?
 * What part of the article do you want to put it in?
 * Does not belong in the first sentence but could definitely go somewhere. Doc James  (talk · contribs · email) 00:27, 26 November 2017 (UTC)

My edit regarding localization
Wanted to explain my edit here, just in case another editor has issue. The first sentence currently states that breakouts happen on "the palms of the hands and bottoms of the feet". The source given does not support, or even mention palms or soles. Second, having suffered this condition for decades, I can verify that is not the case - in fact, breakouts on the "friction skin" of palms and soles is much less frequent than on "normal" skin. My OR: much like the current picture, the condition primarily affects fingers and toes, "top" of hands and feet, and less frequently palms or soles, and even more rarely creeps toward elbows and knees. Angryredplanet (talk) 03:00, 12 February 2018 (UTC)
 * Ref says "Dyshidrotic eczema. The skin on the palms of hands and soles of the feet is irritated and has clear, deep blisters that itch and burn."
 * So will restore unless you have refs. Doc James  (talk · contribs · email) 09:39, 12 February 2018 (UTC)


 * Doc James, I finally found the reference that was referred to. As much as I (anecdotally) disagree, I understand WP's stance on medical information (WP:MEDRS).  Honestly, the info was buried a bit.  Struggling with this for 40+ years, including 20 years of misdiagnosis as a fungal infection, has made me a little defensive and passionate about it.  However, I believe in WP's goal of objectivity, and the strict nature of WP:MEDRS is a perfect example.  As a note to anyone reading, I had this from approx. age 6-28 before I ever saw a blister associated with it, and still rarely see them.  It was several years later that an extremely helpful doc took a look at it and diagnosed it.  I guess this (my initial objection and its associated edit) can be chalked up to human variation.Angryredplanet (talk) 09:14, 5 September 2019 (UTC)

Indepth description of a study
We generally just provide the conclusions. If people want to find "randomized, blinded, placebo-controlled cross-over study by the University Medical Center Groningen" they can look at the ref itself. Doc James (talk · contribs · email) 19:37, 11 July 2019 (UTC)