Allergic Contact Dermatitis
AllergyPresenting Complaints & History
- Severe redness, swelling, and itching of hands and fingers
- Tiny fluid-filled vesicles (blisters) on palms
- Dry, thickened, leathery skin (lichenification) on chronic exposure
- Burning pain in fingers
Clinical Assessment
A 39-year-old construction worker from Chavakkad coastal belt presenting with severe allergic contact dermatitis on his hands. Caused by handling wet cement and chemical additives. Wore gloves, but moisture and chemicals still penetrated, forcing him to take frequent sick leave.
Homeopathic Therapeutics & Management
Rhus Tox was chosen for intense redness, vesicles, and burning itching, while Graphites targeted the dry, thick, cracked skin on palms.
Lifestyle & Nutritional Support
Use protective barrier creams; wash hands immediately after work with pH-neutral soap; wear cotton-lined heavy-duty gloves.
Clinical Outcome
Follow-up Period: 8 months- Vesicles dried up and skin redness reduced within 2 weeks
- Pruritus (itching) resolved, and skin thickness reduced by Month 2
- Hands fully healed; able to resume work without flares after 4 months
- Asymptomatic and stable skin barrier at 8-month follow-up