Ring-Finger Dermatitis: A Review of Etiology, Clinical Features, and Treatment
Abstract
Ring-finger dermatitis is a common condition that presents with a distinctive annular erythema and/or scaling lesion on the fourth or fifth finger. This condition is strongly associated with contact dermatitis, often caused by the application of topical agents such as soaps, detergents, and other skin care products. This review article provides a comprehensive overview of ring-finger dermatitis, including its etiology, clinical features, and treatment.
Introduction
Ring-finger dermatitis is a common skin condition that presents with a distinctive annular erythema and/or scaling lesion on the fourth or fifth finger. It is a type of contact dermatitis, which is an inflammatory skin reaction caused by contact with allergens or irritants. Ring-finger dermatitis is strongly associated with soaps, detergents, and other skin care products, although other causes can include jewelry, hair products, and topical medications. This review article provides a comprehensive overview of ring-finger dermatitis, including its etiology, clinical features, and treatment.
Etiology
The etiology of ring-finger dermatitis is varied and complex. It is generally classified as either irritant contact dermatitis or allergic contact dermatitis. Irritant contact dermatitis is caused by the direct action of chemicals on the skin, such as soaps, detergents, or other skin care products. Allergic contact dermatitis is caused by an immune reaction to an allergen, such as nickel, which is commonly found in jewelry. Other causes can include hair products, topical medications, and occupational exposures.
Clinical Features
The clinical features of ring-finger dermatitis vary depending on the cause. In general, the affected area appears as an annular erythematous lesion with scaling. It may also be accompanied by pruritus, burning, and/or stinging. The lesion is typically localized to the fourth or fifth finger, although it can affect other fingers or even the palm. The lesion may be unilateral or bilateral.
Treatment
The treatment of ring-finger dermatitis is aimed at relieving the symptoms and eliminating the cause. Treatment may include the use of topical corticosteroids or topical calcineurin inhibitors, such as tacrolimus or pimecrolimus. In cases of allergic contact dermatitis, the offending allergen should be identified and avoided. In cases of irritant contact dermatitis, the irritant should be avoided and the affected area should be cleaned and moisturized. Systemic corticosteroids or antihistamines may be used in cases of severe symptoms.
Conclusion
Ring-finger dermatitis is a common condition that presents with a distinctive annular erythema and/or scaling lesion on the fourth or fifth finger. This condition is strongly associated with contact dermatitis, often caused by the application of topical agents such as soaps, detergents, and other skin care products. This review article provided a comprehensive overview of ring-finger dermatitis, including its etiology, clinical features, and treatment.
References
Barbaud, A., & Lapidus, C. (2015). Contact dermatitis. In E. Berth-Jones, & J. J. G. Savin (Eds.), Rook’s Textbook of Dermatology (9th ed., pp. 85-128). John Wiley & Sons Ltd.
Gonzalez-Gallego, J., & Mascaró, J. M. (2006). Ring-finger dermatitis. Dermatology Online Journal, 12(4), 1-5.
Gonzalez-Gallego, J., & Mascaró, J. M. (2007). Contact dermatitis of the fingers: A clinical review. Dermatologic Therapy, 20(3), 210-215.
Lebwohl, M., Heymann, W. R., Berth-Jones, J., Coulson, I., & Griffiths, C. E. M. (2017). Treatment of contact dermatitis. In Rook’s Textbook of Dermatology (9th ed., pp. 98-116). John Wiley & Sons Ltd.