Pompholyx

This is a term given to eczema that typically occurs on the palms, fingers, soles and toes. It presents following severe itching as clear vesicles that are deep seated and may progress to confluent large bullae (blisters). When the bullae resolve, the skin cracks and peels and is painful and susceptible to infection (Figure 9.8) (Burns et al., 2004).

The following other forms of eczema are more likely to be seen in the older patient, although these can present in any age group.