How to reconcile chronic hand eczema and work life?

Comment concilier eczéma chronique des mains et vie professionnelle ?

Hand eczema is a chronic skin disease characterized by inflammatory flare-ups with the appearance of red plaques alternated with calmer periods, during which skin becomes drier and sometimes cracked. Pain and itching often accompany these symptoms and can be a real handicap in daily life, especially at work. Whether caused by repeated contact with allergenic substances (nickel, chrome, dyes, perfumes, etc.) and/or irritants (chemical products, friction, humid environments, etc.), solutions exist for preventing, relieving and living better with hand eczema at work.

5 simple daily rituals

  • Do not hesitate

    to contact your occupational health services

    Why?

    To assess occupational risks and take preventive and protective measures whenever possible

    How?

    It may be necessary to adapt your workstation or activity to limit the impact of hand eczema while at work (personal protective equipment, substitution of allergenic or irritating substances, etc.). Regular monitoring is necessary to evaluate these measures.

  • Identify factors that make eczema worse

    and look for alternatives to avoid them if possible

    Why?

    A complete allergy assessment is necessary to detect the products responsible for the reactions and to identify the aggravating factors for your eczema

    How?

    Your general practitioner or occupational physician will refer you to an allergist specialized in skin conditions.

  • Protect your hands

    to limit contact with irritating and/or allergenic substances

    Why?

    Contact with detergents, degreasers, metals, chemicals, irritants and allergens can make eczema worse

    How?

    • Wear gloves, but for not longer than 15 minutes at a time to avoid perspiration and maceration which can make eczema worse
    • Use barrier creams, which leave a protective film on the skin, like an invisible glove
  • Pay particular attention

    to hand washing

    Why?

    Washing hands too frequently and/or with unsuitable products tends to worsen the skin condition

    How?

    • Use products formulated specifically for hand eczema (cleansing oil, dermatological bar) 
    • Choose fragrance- and soap-free products
    • Use hand sanitizer as an alternative to washing hands too frequently, which can make eczema worse
    • Avoid using dishwashing liquid to wash your hands: its degreasing action will dry out your already fragile skin
  • Avoid scratching

    lesions

    Why?

    To avoid making the itching worse: scratching increases the desire to scratch, it’s a vicious circle

    How?

    • Place something cold on the itchy area (cold pack, refrigerated stones, thermal spring water, etc.) or a moisturizer (try to always have a cream at hand)
    • Keep your mind busy so you don’t have to think about the itching

Which professions are most exposed to the eczema at work? ​

  • Hairdressers 
  • Health care staff 
  • Builders 
  • Cleaning staff
  • Metallurgists
  • Food industry staff
  • Florists and gardeners 
  • Farmers 
  • Veterinarians 

5 steps for preventing new hand eczema flare-ups at work

Eczéma Chronique des mains - 01

Step 1

Wash your hands with a mild cleansing gel or hand sanitizer

Eczéma Chronique des mains - 02

Step 2

Dry your hands if necessary, without rubbing

Eczéma Chronique des mains - 03

Step 3

Protect your skin from morning to night with a barrier cream

Eczéma Chronique des mains - 04

Step 4

Wear gloves if handling irritants

Eczéma Chronique des mains - 05

Step 5

Talk to your doctor to receive appropriate treatment

Good to know

Some hospitals organize therapeutic education programs for small groups or individuals. They give you a chance to talk with specialized caregivers and with other patients, to better understand the mechanisms at work in hand eczema and its treatments. Treatment demonstrations and tips on choosing and working with gloves will help you learn how to live daily with hand eczema, including at work. Ask your dermatologist for advice.

What causes hand eczema?

There are 3 main causes of hand eczema, and they are sometimes combined:

  • Irritation, caused by direct contact with an irritating substance (chemicals, detergents, chronic humidity, etc.). It triggers redness, swelling and onset of scabs, with sometimes very uncomfortable pain and itching.

  • Allergy, induced by direct contact with an allergenic substance (nickel, dyes, cosmetic ingredients, perfumes, etc.). Redness and dryness appear, and itching begins 1 to 2 days after contact. It often starts between the fingers, where skin is thinner

  • Atopic dermatitis, linked to skin damage. Skin no longer plays its role as a barrier and allows external agents to penetrate, triggering inflammation. It can affect several parts of the body, including the hands.

Related products

1.

Cleanse

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DEXYANE
Protective cleansing oil

1.

Cleanse

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DEXYANE
Ultra-rich cleansing gel

2.

Care and treat

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DEXYANE MED
Soothing repair cream

3.

Protect

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DEXYANE
Insulating barrier cream
A-DERMA
Avène

Discover our medical tip sheets to help you provide precise recommendations to your patients. These comprehensive resources provide clear, concise information on a variety of dermatological conditions to help your patients in their daily lives.