Pompholyx - ፖምፎሊክስ
Dyshidrotic dermatitis - እጅ ላይ ከባድ ጉዳይ
ግልጽ አረፋዎች ከከባድ ማሳከክ ጋር።
በአስቸጋሪ ሁኔታዎች ውስጥ, በከባድ ማሳከክ እንደ አረፋ ይታያል.
References
Dyshidrotic eczema ፣ እንዲሁም አጣዳፊ የፓልሞፕላንታር ኤክማማ በመባልም ይታወቃል፣ በአዋቂዎች ላይ የተለመደ የእጅ dermatitis አይነት ነው። ከ5-20% የሚሆነው የእጅ dermatitis በሽታ ነው። ይህ ሁኔታ በቆዳው ውጫዊ ሽፋን ላይ በማበጥ ምክንያት በጣቶቹ እና በዘንባባው ጎኖች ላይ በትንሽ ፈሳሽ የተሞሉ አረፋዎች ይገለጻል. አንዳንድ ጊዜ፣ እነዚህ አረፋዎች 'ታፒዮካ ፑዲንግ'ን በሚመስሉ ትላልቅ ቅርጾች ሊዋሃዱ ይችላሉ። በከባድ ሁኔታዎች, ሽፍታው በጠቅላላው የእጅ መዳፍ ላይ ሊሰራጭ ይችላል. ምርመራ በተለምዶ በጣቶች ላይ በድንገት ከመታጠቅም እና ወደ መዳፎች በሚሰራጭበት ጊዜ ውስጥ በተደጋጋሚ ከሚያደጉበት የደረት ክምችት ክሊኒካዊ ምልከታ ላይ የተመሠረተ ነው.
Dyshidrotic eczema (DE) or acute palmoplantar eczema is a common cause of hand dermatitis in adults. It accounts for 5-20% of the causes of DE. It is a vesiculobullous disorder of the hands and soles. It is an intraepidermal spongiosis of the thick epidermis in which accumulation of edema causes the formation of small, tense, clear, fluid-filled vesicles on the lateral aspects of the fingers that can become large and form bullae. The vesicles can have a deep-seated appearance, which is referred to as “tapioca pudding.” In severe cases, lesions can extend to the palmar area and affect the entire palmar aspect of the hand. The diagnosis is mostly clinical and suggested by a recurrent rash of acute onset with vesicles and bullae located in the fingers extending to the palmar surfaces of the hands.
Dyshidrotic eczema (DE) or acute palmoplantar eczema is a common cause of hand dermatitis in adults. It accounts for 5-20% of the causes of DE. It is a vesiculobullous disorder of the hands and soles. It is an intraepidermal spongiosis of the thick epidermis in which accumulation of edema causes the formation of small, tense, clear, fluid-filled vesicles on the lateral aspects of the fingers that can become large and form bullae. The vesicles can have a deep-seated appearance, which is referred to as “tapioca pudding.” In severe cases, lesions can extend to the palmar area and affect the entire palmar aspect of the hand. The diagnosis is mostly clinical and suggested by a recurrent rash of acute onset with vesicles and bullae located in the fingers extending to the palmar surfaces of the hands.
የ31 አመቱ ሰው በሁለት እጆቹ መዳፍ ላይ ከፍተኛ የሆነ የማሳከክ እና የመስመራዊ ጉድፍ ያለበት የ4 ቀን ታሪክ ያለው የቆዳ ህክምና ክፍል ጎበኘ። በቅርቡ እከክ ካለበት ሰው ጋር ግንኙነት ነበረው። በሽተኛው ከልጅነት ጀምሮ የኤክማሜ እና የአስም በሽታ ታሪክ ነበረው ነገር ግን በጉልምስና ዕድሜው ምንም አይነት የእሳት ማጥፊያዎች አላጋጠመውም። በምርመራ እና በአጉሊ መነጽር ሲታይ, ምንም አይነት የመቦርቦር, ምስጦች እና እንቁላል ምልክቶች ሳይታዩ አረፋዎች ተስተውለዋል. የ pompholyx eczema ቅድመ ምርመራ ተደረገ፣ እናም ታካሚው መለስተኛ የአካባቢ ኮርቲሲቶይዶችን መጠቀም ጀመረ። ነገር ግን በሽተኛው ከ 5 ቀናት በኋላ በከፋ ምልክቶች እና በከባድ እብጠት ሽፍታ ተመለሰ።
A 31-year-old man presented to dermatology with a 4 day history of an intensely itchy, linear, vesicular rash affecting the palms of both hands, on the background of recent exposure to a patient with scabies. The patient had a history of childhood eczema and asthma but no exacerbations in adulthood. Examination and microscopy revealed a vesicular rash with an absence of any burrows, mites or eggs. A provisional diagnosis of pompholyx eczema was made and the patient was commenced on mild topical corticosteroids. The patient re-presented 5 days later with worsening symptoms and a severe vesico-bullous rash
A 31-year-old man presented to dermatology with a 4 day history of an intensely itchy, linear, vesicular rash affecting the palms of both hands, on the background of recent exposure to a patient with scabies. The patient had a history of childhood eczema and asthma but no exacerbations in adulthood. Examination and microscopy revealed a vesicular rash with an absence of any burrows, mites or eggs. A provisional diagnosis of pompholyx eczema was made and the patient was commenced on mild topical corticosteroids. The patient re-presented 5 days later with worsening symptoms and a severe vesico-bullous rash
አለርጂዎች፣ አካላዊ ወይም አእምሯዊ ውጥረት፣ እጅን አዘውትሮ መታጠብ ወይም ብረቶች በሽታውን ያባብሰዋል። ምርመራው በተለምዶ በሚመስለው እና በህመም ምልክቶች ላይ የተመሰረተ ነው. ተመሳሳይ ምልክቶችን የሚፈጥሩ ሌሎች ሁኔታዎች pustular psoriasis እና scabies ያካትታሉ።
ሕክምናው በአጠቃላይ በስቴሮይድ ክሬም ነው. ለመጀመሪያው ወይም ለሁለት ሳምንት ከፍተኛ ጥንካሬ ያለው የስቴሮይድ ክሬም ሊያስፈልግ ይችላል. አንቲስቲስታሚኖች እከክን ለመርዳት ጥቅም ላይ ሊውሉ ይችላሉ.
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