• Heart Failure
  • Cardiovascular Clinical Consult
  • Adult Immunization
  • Hepatic Disease
  • Rare Disorders
  • Pediatric Immunization
  • Implementing The Topcon Ocular Telehealth Platform
  • Weight Management
  • Monkeypox
  • Guidelines
  • Men's Health
  • Psychiatry
  • Allergy
  • Nutrition
  • Women's Health
  • Cardiology
  • Substance Use
  • Pediatrics
  • Kidney Disease
  • Genetics
  • Complimentary & Alternative Medicine
  • Dermatology
  • Endocrinology
  • Oral Medicine
  • Otorhinolaryngologic Diseases
  • Pain
  • Gastrointestinal Disorders
  • Geriatrics
  • Infection
  • Musculoskeletal Disorders
  • Obesity
  • Rheumatology
  • Technology
  • Cancer
  • Nephrology
  • Anemia
  • Neurology
  • Pulmonology

A Solution for Dyshidrosis


Is soaking the feet in an aluminum salt solution an effective therapy fordyshidrosis?

Is soaking the feet in an aluminum salt solution an effective therapy for dyshidrosis?
-John Mosby, MD
  Corpus Christi, Tex

The first objective in the treatment of dyshidrosis is to establish the cause. A number of factors can cause or exacerbate dyshidrosiform eruptions on the hands and/or feet. Primary irritants, as well as contact dermatitis, can provoke a vesicular reaction. Ingested metals- such as nickel, chromium, and cobalt-may have a causative role. Fungal infections (particularly dermatophyte infections) and bacterial infections elsewhere in the body have been implicated. The role of stress has been difficult to determine; however, some patients believe that recurrences are associated with stressful life events. If the underlying causes of dyshidrosis are not addressed, no symptomatic treatment will be effective.
Astringent soaks still have a role during the acute phase in cases in which no obvious cause can be found.1 Aluminum salt solution is available under the trade names Bluboro's, Domeboro's, and Burow's. Alternatively, a compounding pharmacy can make up a 10% solution of aluminum subacetate. Other astringents that can be used include Castellani paint (either clear or gentian violet) and potassium permanganate solution (1:8000 dilution); however, these are not as cosmetically acceptable.
-David L. Kaplan, MD
  Clinical Assistant Professor of Dermatology
  University of Kansas School of Medicine
  Kansas City
  University of Missouri Kansas City School of Medicine




Rook A, Wilkinson DS, Ebling FJG, et al. Textbook of Dermatology. Cambridge, Mass: Blackwell ScientificPublications; 1992:560.

Related Videos
Infectious disease specialist talks about COVID-19 vaccine development
COVID 19 impact on healthcare provider mental health
Physician mental health expert discusses impact of COVID-19 on health care workers
Related Content
© 2024 MJH Life Sciences

All rights reserved.