Management of hand dermatitis.

Ill-defined endogenous factors are important in many cases of hand dermatitis; however, these factors are difficult to identify, and, ultimately, there is little the physician can do to alter a patient's constitution. Because of this, therapy of hand dermatitis focuses on identifying exogenous factors and avoiding these where possible. Steroids are invaluable, but gentle skin care remains the basis of treating hand dermatitis. Recalcitrant hand dermatitis, especially potential occupational cases, requires the involvement of a dermatologist.