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two diagnostic test for scaly hands (Dr. Fisher "rule"):
Treatment:
| • | Intact vesicles – benzoyl peroxide (per Stuart Brown) |
| • | Cracked hands – glycerin (buy at whole foods) |
| • | use liquid bandage (or even superglue) for cracks |
| • | Keralac ointment and Temovate ointment BID helps (use them together) |
| • | bexarotene gel (not practical at $1600/ 60g tube) |
| • | compound: 50:50 white wax:petrolatum for hands at night |
Clinical Subtypes (per Ken Greer):
Two of many:
Hyperkeratotic dermatitis of the palms:
| • | treatment - Soriatane = drug of choice, Krazy glue the cracks |
Houseperson's eczema:
| • | = irritant vs. allergic contact dermatitis |
| • | treatment - topical steroids |
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