Pompholyx - Dishidrotični Ekcem
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Dyshidrotic dermatitis ― Težak slučaj na rukama
Čini se da se lezija skoro popravila.
U teškim slučajevima može se pojaviti kao plikovi sa jakim svrabom.
References
Dyshidrotic eczema , također poznat kao akutni palmoplantarni ekcem, čest je tip dermatitisa ruku kod odraslih. To čini oko 5-20% slučajeva dermatitisa ruku. Ovo stanje karakteriziraju mali mjehurići ispunjeni tekućinom na stranama prstiju i dlanova, uzrokovani otokom u vanjskom sloju kože. Ponekad se ovi plikovi mogu spojiti i formirati veće, nalik na 'puding od tapioke'. U težim slučajevima, osip se može proširiti preko cijelog dlana. Dijagnoza se obično zasniva na kliničkom opažanju ponavljajućeg osipa s mjehurićima koji se iznenada pojavljuju na prstima i šire se na dlanove.
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.
Muškarac star 31 godinu posjetio je dermatološko odjeljenje sa 4-dnevnom istorijom intenzivnog svraba, linearnih plikova na dlanovima obje ruke. Nedavno je bio u kontaktu sa osobom koja je imala šugu. Pacijent je imao istoriju ekcema i astme od djetinjstva, ali nije iskusio nikakve napade u odrasloj dobi. Pregledom i mikroskopskom analizom uočeni su plikovi bez ikakvih znakova udubljenja, grinja ili jaja. Postavljena je preliminarna dijagnoza pompholyx eczema i pacijent je počeo koristiti blage lokalne kortikosteroide. Međutim, pacijent se vratio 5 dana kasnije sa pogoršanjem simptoma i jakim osipom u obliku mjehura.
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
Alergeni, fizički ili mentalni stres, često pranje ruku ili metali pogoršavaju bolest. Dijagnoza se obično zasniva na tome kako izgleda i simptomima. Ostala stanja koja proizvode slične simptome uključuju pustularnu psorijazu i šugu.
Liječenje je uglavnom steroidnom kremom. Prvu sedmicu ili dvije mogu biti potrebne steroidne kreme visoke snage. Antihistaminici se mogu koristiti za pomoć kod svraba.
○ Liječenje ― OTC lijekovi
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