What to do if I have dermatitis and accidentally get steroid juice on my hands?

Management of Steroid Contact on Hands with Dermatitis

If you have dermatitis and accidentally get topical steroid on your hands, wash your hands immediately with lukewarm water and mild soap, then apply a moisturizer to prevent further irritation of the compromised skin barrier. 1, 2

Immediate Actions After Steroid Contact

• Wash hands gently with lukewarm or cool water and mild soap for at least 20 seconds to remove the steroid 1
• Avoid hot water as it can further irritate dermatitis 1
• Pat dry gently rather than rubbing, which can worsen irritation 1, 2
• Apply moisturizer immediately after washing to help restore the skin barrier 1, 2
• Use two fingertip units of moisturizer for adequate hand coverage 2

Potential Risks of Steroid Contact on Dermatitis-Affected Skin

• Topical steroids on compromised skin can potentially lead to increased absorption 3
• Prolonged or frequent exposure may contribute to:
  • Skin barrier damage 1
  • Potential for developing contact allergy to the steroid itself 3, 4
  • Risk of steroid-induced damage with prolonged exposure 1

Ongoing Management of Hand Dermatitis

For Irritant Contact Dermatitis

• Identify and avoid irritants (detergents, frequent washing, hot water) 1, 2
• Use soap-free cleansers without allergenic ingredients 1
• Apply moisturizer after every hand washing 1, 2
• For severe cases, consider "soak and smear" technique: soak hands in plain water for 20 minutes followed by immediate moisturizer application nightly for up to 2 weeks 1

For Allergic Contact Dermatitis

• Identify allergens through patch testing and avoid them 1
• If dermatitis worsens after using topical steroids, consider the possibility of steroid allergy 3, 4
• For intentional steroid application (when prescribed), use only as directed - no more than 3-4 times daily 5

Protective Measures

• Consider wearing gloves for protection during activities that may expose hands to irritants 1
• For glove use:
  • Apply moisturizer before wearing gloves 1
  • Use water-based moisturizers under gloves (oil-based moisturizers can break down latex and rubber) 1
  • Consider cotton glove liners to reduce irritation 1
  • Remove gloves regularly to prevent excessive sweating 1

When to Seek Medical Attention

• If hand dermatitis worsens despite appropriate care 2
• If symptoms persist for more than 7 days or clear up and recur within a few days 5
• If you suspect an allergic reaction to the topical steroid itself (worsening rash, increased redness, swelling) 3, 4
• For recalcitrant hand dermatitis not responding to initial treatments 2

Common Pitfalls to Avoid

• Applying gloves when hands are still wet from washing 2
• Using very hot water for hand washing 1
• Using disinfectant wipes to clean hands 1
• Washing hands with dish detergent or other known irritants 1
• Increased duration of glove occlusion without underlying moisturizer 1
• Using topical steroids for prolonged periods without medical supervision 6, 3