Article: Patch testing in hand eczema at a tertiary care center

Sir,

Hand eczema is a descriptive diagnosis for dermatitis largely confined to the hands, and it does not make any presumption about the etiology. [1] It may be endogenous or exogenous (allergic or irritants) in origin. [1] Most of the cases of hand eczema have a multifactorial etiology, [1] wherein the eczema is caused and perpetuated by exogenous factors in individuals who are susceptible to such processes due to endogenous factors. [1],[2] Understandably, identification and avoidance of the external contactants is of paramount importance in appropriate management of hand eczema. As clinical differentiation between chronic allergic and irritant hand eczemas is often impossible, patch ...

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