Pitted keratolysis - Keratoliza Sa Rupicama
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Taban sa više udubljenja neprijatnog mirisa
Prati ga jak miris uzrokovan Corynebacterium vrstama.
References
Pitted Keratolysis je izraz koji se koristi za opisivanje površinske bakterijske infekcije kože koja uglavnom zahvaća tabane, a ne dlanove. Ovo stanje često uzrokuju bakterije poput Kytococcus sedentarius i Corynebacterium vrste. Obično se javlja najčešće kod osoba u dobi od 21 do 30 godina, a većina se javlja u 20-im ili 30-im godinama. Muškarci imaju četiri puta veći rizik od razvoja ovog stanja, vjerovatno zbog češćeg nošenja uskih, zatvorenih cipela, dok žene imaju tendenciju da održavaju bolju higijenu stopala. Ovdje predstavljamo slučaj 23-godišnjeg pacijenta koji je došao u našu bolnicu požalivši se na izdubljene kožne lezije na dnu stopala, uglavnom oko prstiju, koje su bile prisutne u posljednja tri dana.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted keratolysis je stanje kože koje zahvaća vanjski sloj đona i uzrokovano je bakterijama. Muškarac star 30 godina imao je male, izbušene lezije na tabanu. Pod većim uvećanjem (x 3. 500) , bakterije su bile jasno vidljive na površini, pokazujući specifičan obrazac bakterijske podjele.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Stanje je prilično uobičajeno, posebno u vojsci gdje se mokre cipele/čizme nose duži vremenski period bez skidanja/čišćenja. Dijagnoza keratolize u obliku jamica često se postavlja vizualnim pregledom i prepoznavanjem karakterističnog mirisa. Liječenje keratolize u obliku jamica zahtijeva primjenu antibiotika na kožu kao što su benzoil peroksid, klindamicin, eritromicin, fusidna kiselina ili mupirocin. Preventivni napori imaju za cilj održavanje stopala suhim.
○ Liječenje ― OTC lijekovi
Uvijek držite stopala i čarape suhima. Probajte OTC antibiotsku mast. Korištenje sredstva za dezinfekciju ruku na nogama također može pomoći.
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#Bacitracin