Mathews Journal of Emergency Medicine


Previous Issues Volume 8, Issue 4 - 2023

Case Report: Nosocomial Digital Eczema from Surface Cleansing Bleach

James Espinosa1,*, Umar Sannoh2, Alan Lucerna3, Joseph Pagano1

1Department of Emergency Medicine, Jefferson Health, NJ - Stratford, NJ, USA

2Rowan-Virtua, SOM, Medical School, Stratford, NJ, USA

3Program Director, Emergency Medicine Residency, Jefferson Health New Jersey, Stratford, NJ, USA

*Corresponding Author: James Espinosa MD, Department of Emergency Medicine, Rowan University SOM Kennedy University Hospital, 18 East Laurel Road, Stratford, NJ 08084, USA; Email: [email protected]

Received Date: June 28, 2023

Publication Date: July 13, 2023

Citation: Espinosa J, Sannoh U, Lucerna A, Pagano J. (2023). Case Report: Nosocomial Digital Eczema from Surface Cleansing Bleach. Mathews J Emergency Med. 8(4):64.

Copyright: Espinosa J, et al. © (2023)


We report the case of a healthcare provider who developed hand eczema, predominantly on the first digit and thumb of the right hand, in association with contact with the surface of a desk and contact with a computer mouse at work. The eczema abated on days off and was exacerbated within hours of work. The diagnosis was made of hand eczema from surface cleaning bleach. It was noted that several other healthcare providers had developed similar symptoms. The patient's eczema was confirmed by a dermatologist and was successfully treated with topical triamcinolone and emollient cream to the affected areas. Prevention by adhesive strip band aids to the affected areas of the hand as well as water cleansing to previously bleach-cleansed surfaces has been helpful.

Keywords: Nosocomial digital eczema, digital eczema, eczema from surface cleaning bleach

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