Management von Handekzemen Leitlinie ICD-10-Ziffer: L20. L23. L24. L25. L30.

Abstract

© Dt. Dermatologische Gesellschaft u. a. • Journal compilation © Blackwell Verlag GmbH, Berlin • JDDG • 1610-0379/2009/Suppl 3 – S1–S15 JDDG | Supplement 3 2009 (Volume 7) 1 Preamble Hand eczema (HE), also known as hand dermatitis [note 1], is one of the most common diseases of the skin. Eczema of the hands is not a homogenous disease entity, but instead occurs in various forms, and comprehensive differential diagnosis is often necessary. The disease can range in severity from very mild to chronic severe disease that can even prevent the patient from working for extend ed periods of time and may be refractory to treatment. Chronic hand eczema is very costly and involves significant impairment of the quality of life of the patient. Several therapy options are avail able, but the treatment of chronic hand eczema is often difficult and unsatisfactory. Therapy is complex and requires multimodal management. Large, highquality, randomized controlled clinical studies on the effectiveness of even estab lished therapy options are lacking. The following guideline provides a starting point for an evidence-based approach to hand eczema, presenting the classification, diagnosis, prevention, therapy, and rehabilitation of this disease. Other relevant guidelines are also mentioned for further reference. 2 Objectives The diagnosis and treatment of hand eczema is difficult. Dermatologists in particular face a challenge, as affected patients usually seek the advice of a dermatologist who is then charged with performing appropriate testing and overseeing treatment. The goal of this guideline, which is primarily aimed at dermatologists, is to outline the classification, diagnosis, therapy, and advising of patients with hand eczema and to make recommendations for a standard ized approach to the disease (Figure 1). Guideline on the Management of Hand Eczema