
Q I am in my 50s and have been running a raw fish restaurant in Hwapyeong-dong, Dong-gu, Incheon for 15 years. I keep my hands in cold water while working, and small blisters keep appearing on the sides of my fingers, oozing, and then peeling off. Why does this happen?
A Small transparent blisters appearing in clusters on the sides of fingers or palms and soles, accompanied by itching, is a type of eczema called dyshidrotic eczema (pompholyx). It commonly occurs in people whose skin barrier is damaged and irritants accumulate from repeated exposure to water and detergents. Acute phase presents with oozing and swelling, while chronic phase shows peeling and thickening of skin.
Detailed Answer
Eczema is a skin condition where red papules and blisters appear due to external irritation or an internal immune response. Small, itchy, transparent blisters clustering on the sides of fingers and palms and soles is called dyshidrotic eczema (pompholyx), which is very common in occupational groups whose hands are repeatedly exposed to water, detergents, and cold water. In the acute phase, red spots, oozing, and swelling appear; as it becomes chronic, the skin becomes dry and develops prominent lichenification, becoming thick like leather.
Traditional Korean Medicine Perspective
Dongjeedang views eczema not merely as a skin problem but as a visceral organ imbalance. When the body cannot properly expel toxins and the immune system overreacts, it erupts through the skin. In particular, when the digestive (spleen-stomach) function weakens from working in cold water and in front of heat, accumulated waste and heat intertwine to form damp-heat (濕熱), which surfaces on the skin of the hands and feet as blisters and oozing.
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