ABSTRACT
The nail apparatus is extremely sensitive to allergic or irritant hazards and eczema in this region is frequent. Atopic dermatitis is an important factor for hand eczema. The high frequency of hand eczema in women, in comparison with men is caused by environmental and not genetic factors. Atopic dermatitis is the most prevalent among primary skin diseases in children. Pruritus, a major criterion for diagnosis and infection, with Staphylococcus aureus, a major complication, are directly responsible for nail diseases in this disorder. Application of paraben—free topical corticosteroids three times daily to the surrounding soft tissues is considered as the first line therapy in the treatment of eczema. The choice of steroid potency is influenced by factors such as eczema severity and morphology. Drug delivery is enhanced with an ointment vehicle as well as with occlusion. Double nitrile gloves provide up 60 minutes of protection, but thicker, 4H plastic polymer gloves offer complete protection.
