Pitted keratolysis - Keratoliza Sa Rupicama
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U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Taban s više udubljenja i neprijatnim mirisom.
Prati ga jak miris uzrokovan vrstama Corynebacteriuma.
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ReferencesPitted Keratolysis je izraz koji se koristi za opisivanje površinske bakterijske infekcije kože koja uglavnom zahvaća tabane, a ne dlanove. Ovo stanje najčešće uzrokuju bakterije poput Kytococcus sedentarius i Corynebacterium vrste. Najčešće se javlja kod osoba u dobi od 21 do 30 godina, a posebno je zastupljeno u 20‑ i 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 često, naročito u vojsci, gdje se mokre cipele ili čizme nose duže vrijeme bez skidanja i čišćenja. Dijagnoza keratolize u obliku jamica obično se postavlja vizuelnim pregledom i prepoznavanjem karakterističnog mirisa. Liječenje zahtijeva primjenu antibiotika na kožu, poput benzoil‑peroksida, klindamicina, eritromicina, fusidne kiseline ili mupirocina. Preventivne mjere imaju za cilj održavanje stopala suhim.
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