Pompholyx - Eczema Dishidroticu
☆ In i risultati Stiftung Warentest 2022 da Germania, a satisfaczione di i cunsumatori cù ModelDerm era solu ligeramente più bassu chè cù cunsultazioni di telemedicina pagate.
Dyshidrotic dermatitis ― Un casu severu nantu à e mani
Sembra chì a lesione hà guasi migliuratu.
In i casi severi, pò esse cum'è vesciche cù prurito severu.
References
Dyshidrotic eczema , cunnisciutu ancu com'è eczema palmoplantar agutu, hè un tipu cumuni di dermatite di a manu in l'adulti. Custituisce circa 5-20% di i casi di dermatite mani. Sta cundizione hè carattarizata da picculi blisters pieni di fluidu nantu à i lati di i dite è di e palme, causati da inzucchera in a capa esterna di a pelle. A volte, sti blisteri ponu unisce per formate più grande, s'assumiglia à pudding tapioca. In i casi severi, a rash pò sparghje in tutta a palma di a manu. U diagnosticu hè tipicu basatu annantu à l'osservazione clinica di una rash recurrente cù vesciche chì appariscenu subitu nantu à i dite è si sparghjenu à i palmi.
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.
Un omu di 31 anni hà visitatu u dipartimentu di dermatologia cù una storia di 4 ghjorni di vesciche lineari intensamente pruriginose in i palmi di e duie mani. Da pocu tempu era statu in cuntattu cù una persona chì avia la scabbia. U paci hà avutu una storia di eczema è asma da a zitiddina, ma ùn avia micca espertu di flare-ups in l'età adulta. Dopu l'esame è l'analisi microscòpica, i vesciche sò stati osservati senza alcun segnu di burrowing, acari o ova. Un diagnosticu prelimiunale di pompholyx eczema hè statu fattu, è u paziente hà cuminciatu à aduprà corticosteroidi topici lievi. In ogni casu, u paci hè tornatu 5 ghjorni dopu cù sintomi aggravanti è un rash severu blistering.
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
L'allergeni, u stress fisicu o mentale, u lavatu frequente di e mani, o metalli aggrava a malatia. U diagnosticu hè generalmente basatu annantu à ciò chì pare è i sintomi. Altre cundizioni chì pruducianu sintomi simili include psoriasi pustulosa è scabbia.
U trattamentu hè generalmente cù crema steroidu. Creme steroidi d'alta forza pò esse necessariu per a prima settimana o duie. L'antihistaminichi pò esse usatu per aiutà cù u pruritu.
○ Trattamentu - Drugs OTC
Ùn aduprate micca sapone. Siccomu i palmi è i soli anu una pelle grossa, l'unguenti steroidi OTC di bassa potenza pò esse micca efficace. Piglià un antihistamine OTC pò ancu aiutà.
#OTC steroid ointment
#OTC antihistamine
○ Trattamentu
#High potency steroid ointment
#Alitretinoin