Hand Eczema: Causes, Symptoms, and Effective Treatment Options

Hand Eczema: Causes, Symptoms, and Effective Treatment Options

Managing your daily tasks with dry, itchy hands can be frustrating, and we understand exactly how challenging it feels. Dryness and itchiness aren’t always just seasonal; sometimes they can be signs of an underlying medical condition, such as Hand Eczema. Hand eczema, also known as dermatitis, is one of the most common forms of Eczema. Hand eczema mostly affects the palms but can also involve other areas of the hand. The initial symptoms that often appear are dryness and itchiness. Other signs can include cracking, soreness, and sometimes bleeding. In more severe cases, small blisters may develop. The skin often becomes dry, scaly, and thickened, and during flare-ups, the fingers may even swell, making everyday tasks uncomfortable.

In the US, Hand eczema affects around 10 % of the population. Hand eczema is a non-contagious disease, which means you can’t get or transmit it to others. As hand eczema affects such a visible and functional part of the body, its symptoms can lower a person’s self-esteem and make daily tasks or job responsibilities more difficult to manage. But you don’t need to worry! Fortunately, we’re living in an era full of helpful resources. From proper medical treatment and dermatologist consultations to patient support groups and trusted educational tools, now there is plenty of support to help you manage hand eczema more effectively. So when you choose the right habits, you can make things easier.

Understanding Hand Eczema 

Hand eczema is a form of dermatitis that specifically affects the hands and fingers. Because our hands are frequently exposed to water, soap, and changing weather conditions, they are more likely to develop Eczema. Hand eczema is actually one of the most common work-related skin conditions, especially for people who do a lot of ‘wet work’, like health care workers, food handlers, and hairdressers. Many people face medical expenses, time away from work, reduced productivity, or even job changes because of it. And when symptoms get severe, hand eczema can also impact your confidence, social life, and overall sense of well-being. Sometimes hand eczema lasts only for a short period, while other times it can persist and become a chronic condition.

Causes of Hand Eczema

Causes of Hand Eczema

There are many causes of Hand Eczema, but the exact cause of hand eczema is not fully understood. Some researchers believe that the cause might be a combination of genetic and environmental factors. However, there are some triggers that can worsen the condition or bring on flare-ups.

1. Chemicals and Irritants

Harsh chemicals and irritants are the most common cause of hand eczema. Exposure to some substances, such as solvents, detergents, and even heat, can damage the skin barrier. Those individuals who work in industries like healthcare, hairdressing, cleaning, construction, or manufacturing are at higher risk.

2. Frequent Hand Washing

Washing hands frequently with water and soap removes natural skin’s oil and make your hands dry. Sometimes soap also act as irritant. Always choose gentle soap Luke warm water for hand washing. As too much hot water in winters can also aggravate the condition. Another major risk associated with frequent handwashing is that constant exposure to water can weaken the skin barrier, making it easier for allergens to penetrate, which may lead to allergic contact dermatitis.

3. Stress

Another triggering factor for Eczema is stress. As in stress there is an increase in hormones like cortisol and epinephrine, which suppress the immune system and cause skin inflammation. High stress levels may even lead to dyshidrotic Eczema, a form that causes itchy blisters on the hands.

4. Cold Temperatures and Dehydration

In winter, there is more dryness in the air than in summer. Changes in temperature causes skin dehydration and trigger flare-ups.

Understanding these triggers and how they affect your skin is an important step toward managing hand eczema and preventing flare-ups.

Symptoms of Eczema

Symptoms of Eczema

Hand eczema appears differently, as compared to the presentation of Eczema on other body parts. According to the American Academy of Dermatology, dry, chapped skin is often the first noticeable sign of the condition.

Other common symptoms may include:

  • Dryness and rough patches
  • Itchiness and burning sensations
  • Redness, inflammation, or swelling
  • Cracks, bleeding, or oozing from breaks in the skin
  • Pain

Above mentioned symptoms vary from person to person and can make everyday activities very uncomfortable. Your simple tasks like cooking, cleaning, or typing may become uncomfortable or even painful. Having prior knowledge and awareness helps you recognize symptoms early and manage flare-ups more effectively.

Types of Hand Eczema

There are several types of hand eczema, and identifying which one you have can help guide treatment. Atopic dermatitis often affects people with allergies or sensitive skin. Irritant contact dermatitis occurs when repeated exposure to chemicals or water damages the skin barrier. Allergic contact dermatitis results from a delayed allergic reaction to certain substances. Some people may experience more than one type, making diagnosis and treatment more complex. A dermatologist can help determine your specific type and recommend the most effective plan for relief.

Atopic Dermatitis

Atopic hand dermatitis occurs due to an impaired skin barrier and is often triggered by exposure to irritants. It typically affects the backs of the hands and the areas around the wrists. The Eczema may appear in a discoid (round patches) or vesicular (small blisters) pattern. People with atopic hand dermatitis often show signs of atopic dermatitis on other parts of the body as well, especially in the flexural areas like the elbows or behind the knees.

Irritant Contact Dermatitis

This type results from skin damage caused by exposure to irritants. It is among the most common conditions leading to hand Eczema. Irritant contact dermatitis may be associated with wet-working conditions, cold weather, and glove usage for prolonged periods, exposure to detergents, soaps or disinfectants. This is more common in women.

Allergic Contact Dermatitis

Allergic contact dermatitis (ACD) occurs when the skin triggers a delayed immune reaction after coming into contact with an allergenic substance. Common triggers include dyes, metals such as nickel in jewelry, certain fragrances, and plants like poison ivy.

Hand Eczema Treatment Options

Hand Eczema Treatment Options

For every medical condition, first line of management starts with identifying the root cause. Similarly, in Hand Eczema, the management starts with identifying the triggers. So that’s why it’s important to consult your healthcare provider, as they help in identifying the triggers. Effective management of hand eczema involves keeping the hands well-moisturized, protecting them from irritants, and using targeted treatments as needed. The first step is keeping your skin hydrated with a thick, fragrance-free moisturizer applied several times a day, especially after washing your hands. Applying creams to slightly damp skin locks in moisture and helps restore the skin’s natural barrier. You can prevent flare-ups by avoiding irritants, wearing cotton-lined gloves during chores, and using gentle, soap-free cleansers.

At Soteri Skin, we have various products to ease your symptoms. For active flare-ups, Soteri Skin’s Our Active Flare-Up Eczema Relief Cream soothes inflammation, calms itching, and reduces active flare-ups. For long-term care, we have Long-Term Eczema Relief Cream, which supports skin barrier repair and hydration, reducing the risk of future flare-ups. To manage Eczema, these creams show effective results.

For a complete, all-in-one solution, the Soteri Skin Eczema Relief Kit offers everything you need in one convenient package, perfect for tackling symptoms, protecting your hands, and keeping Eczema under control. With consistent use and proper hand care, these products can make a noticeable difference in comfort, healing, and everyday life.

When to see a dermatologist for Eczema on Hands

When to see a dermatologist for Eczema on Hands

If your symptoms for Eczema persist for more than a few weeks, even after following the recommended treatment plan, then it’s time to seek help from your healthcare provider or dermatologist. There are some important signs for which you should seek help immediately. These signs include infection, which manifests as swelling or warmth, blistering, severe cracking, and even bleeding. Similarly, professional consultation becomes important when you are unable to carry out your daily routine activities.  A Dermatologist can help identify your eczema type and triggers through a detailed evaluation.

Tips for Living with Hand Eczema

As with advancement in medicine, now hand eczema doesn’t have to feel overwhelming. Some tips are shared below for those who are suffering from Eczema, to reduce further flare-ups.

  • Limit wet work: Don’t wash your hands frequently, as water and soap, when combined, remove the skin's natural oil and make your hands dry. In winter, don’t use hot water; use lukewarm water.
  • Use gloves: Use gloves while cooking, as they can protect your skin from irritants like fruit juices, raw meat.  Also, use gloves while applying hair products. When shampooing or hair styling, use gloves to prevent exposure to potential irritants.
  • Don’t Scratch: It may be tempting, but scratching can make Eczema worse and lead to cracks or infection. Applying a cold compress can help reduce itching, and keeping nails short adds protection.
  • Identify triggers: If you know certain substances irritate your skin, do your best to avoid them. While this isn’t always possible, especially at work, using barrier creams, gloves, and practicing glove hygiene can help.
  • Moisturize often: Regularly applying emollients or a thick barrier cream restores the skin’s protective barrier. Apply before work, after washing, and whenever your skin feels dry.

Following these simple steps can make a big difference in keeping hand eczema manageable and helping your skin heal faster.

Conclusion

Hand eczema is a very frustrating condition, but with right approach and guidance it is manageable. It’s important to understand your triggers to reduce flare ups. We suggest you to follow a consistent skincare routine, and choose products that support your skin barrier. If Hand Eczema is making your everyday task difficult, we recommend you to seek early medical help. At Soteri Skin, we have a good range of products to treat Eczema, which are gentle and provide support to your healing journey. Our products provide soothing effects to your skin and reduce flare-ups. With the right habits and trusted products, you can keep hand eczema under control and enjoy healthier, more comfortable skin.

FAQs

Can hand Eczema spread to other parts of the body?

Hand eczema itself does not spread by touch, but the underlying condition can affect other areas if your skin barrier is weak or exposed to irritants. Flare-ups may appear elsewhere if triggers are present, but it is not contagious.

Is hand eczema contagious?

No, hand eczema is not contagious. You cannot catch it from someone else, and you cannot pass it to others. The symptoms are caused by inflammation, irritants, allergies, or genetics—not infection.

How long does it take for hand eczema to heal?

Mild hand eczema may improve in a few days with proper care, while chronic or severe cases can take weeks to months. Consistent moisturizing, trigger avoidance, and dermatologist-guided treatment speed up the healing process.

What are the best creams for Eczema on hands?

Dermatologists recommend fragrance-free, thick creams with ceramides, petrolatum, shea butter, or urea. Popular options include barrier repair creams, ointments, and prescription-strength moisturizers. The best cream depends on your skin’s sensitivity and eczema type.

Revision History

Updated publication: December 11, 2025
Author: Lama Mansour,
Fact Checker: Dr. Rafal Pielak
Original Publication: December 11, 2025
Author: Lama Mansour,
Fact Checker: Dr. Rafal Pielak
Lama Mansour

Author: Lama Mansour

Lama Mansour is a skincare consumer-health entrepreneur who takes a research-first, rigorous approach. At Soteri Skin , she assisted in the progress of better, barrier-oriented formulas and worked with leading scientists to make skincare science accessible to everyday readers. She holds an MBA from Harvard Business School and a BSc in Economics from the London School of Economics andPolitical Science (LSE).

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Dr. Rafal Pielak

Fact Checker: Dr. Rafal Pielak

Dr.Rafal Pielak, PhD , is the Scientific Founder and CEO of Soteri Skin , a biotech-driven skincare company developing non-steroidal solutions for eczema and barrier repair. He earned his PhD in Biomedical Sciences from Harvard Medical School and completed postdoctoral training in Chemistry at UC Berkeley. Previously a founding member of L’Oréal’s Tech Incubator, he helped advance innovations for major dermatology brands. His research informs Soteri’s pH/LOCK™ technology, and he frequently shares expertise publicly, including with the National Eczema Association.

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