title: [Chronic hand eczema, conventional and new treatments].
abstract: Chronic hand eczema is a frequent cause of consultation. In Europe and Switzerland, it's one of the main reasons for patients to interrupt their profession. The etiology is pluri-factorial. Atopic patients are more likely predisposed. Pruritus, associated to pain and bleeding, is intense. Psychosocial consequences are huge, making this illness to an important public health problem. Topical treatment and UV-light are the main therapeutical strategy but the results are often disappointing. Recently, alitretinoine (9-cis retinoic acid) became the treatment of second choice with good response, allowing patients to preserve a good quality of life and their job.
authors.affiliation: Service de dermatologie, CHUV, 1011 Lausanne. philipp.spring@chuv.ch
authors.forename: Philipp
authors.initials: P
authors.lastname: Spring
authors.forename: Paul
authors.initials: P
authors.lastname: Bigliardi
mesh_terms: D000465:Algorithms; D000077556:Alitretinoin; D003879:Dermatologic Agents / Q000627:therapeutic use; D004485:Eczema / Q000628:therapy*; D006229:Hand Dermatoses / Q000628:therapy*; D006801:Humans; D010789:Phototherapy; D011878:Radiotherapy; D014212:Tretinoin / Q000627:therapeutic use
chemical_list: D003879:Dermatologic Agents; D000077556:Alitretinoin; D014212:Tretinoin