ConditionsDistinguishing featuresMethod for diagnosisTreatment principles
Atopic dermatitisMore widespread than contact dermatitis and follows a certain distribution involving flexor surfacesHistory and clinical appearance, skin biopsy when uncertainTopical steroids and emollients
Dyshidrotic eczemaOccurs on the hands and feet with clear, deep-seated vesicles resembling tapioca; erythema; and scalingHistory and clinical appearance, skin biopsy when uncertainTopical steroids and emollients
Inverse psoriasisWell-demarcated erythema in intertriginous areasHistory and clinical appearance, skin biopsy when uncertainTopical steroids and topical calcineurin inhibitors
Latex allergyErythema, pruritus, and possibly a systemic reactionHistory and clinical appearance, allergy testing when uncertainAvoidance of latex
Palmoplantar psoriasisPlaques and pustules on the palms and solesHistory and clinical appearance, skin biopsy when uncertainPotent topical steroids and oral retinoids
ScabiesBurrows and typical distribution on hands, feet, waist, axilla, or groinHistory and clinical appearance, skin scraping when uncertainOvernight therapy with permethrin (Elimite)
Tinea pedisUsually occurs between toes, on the soles, and on the sides of the feet; whereas contact dermatitis is more common on the dorsum of the footHistory and clinical appearance, potassium hydroxide testing when uncertainTopical and/or oral antifungal medications