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Frictional hyperkeratotic hand dermatitis responding to Grenz ray therapy
Hobart W Walling1, Brian L Swick, Francis J Storrs
1Department of Dermatology, University of Iowa, Iowa City, IA 52242, USA. hobartwalling@yahoo.com
Contact Dermatitis
|December 25, 2007
Summary
Frictional hyperkeratotic hand dermatitis (FHHD) is a chronic eczema caused by friction. Grenz ray therapy offers a safe and effective treatment for this condition, with no recurrence observed for over four years.
Area of Science:
- Dermatology
- Occupational Medicine
Background:
- Frictional hyperkeratotic hand dermatitis (FHHD) is a rare, chronic eczema subtype.
- It results from repeated mechanical stress and is often occupationally induced.
- FHHD typically presents as recalcitrant to standard therapeutic interventions.
Observation:
- A 48-year-old dermatologic surgeon presented with severe FHHD.
- The patient's eruption was resistant to topical treatments and protective measures.
- Previous therapies failed to resolve the chronic hand dermatitis.
Findings:
- Grenz ray (GR) therapy was administered in 6 sessions.
- Complete resolution of the FHHD eruption was achieved post-treatment.
- No recurrence of the dermatitis was observed for over 4 years following therapy.
Implications:
- Grenz ray therapy is a potentially safe and effective treatment modality for recalcitrant FHHD.
- This case highlights a successful therapeutic option for a challenging occupational skin condition.
- Further research into low-energy X-ray applications for chronic hand eczema is warranted.
