Case Report: Nosocomial Digital Eczema from Surface Cleansing Bleach

Abstract

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.