Miss G.T aged 22yrs completed her B Sc Nursing & joins a Hospital in Banglore for her job 3 days back. Today she attends Medical O.P complaining of dry painful eczema affecting her hands. She had previously suffered of childhood eczema & asthma.

Since starting her new job her symptoms have developed causing severe pain, fissures, itching & dry skin. Her finger pulps are badly affected. What is the likely cause of symptoms and what advice should be given to her?