Pompholyx - Pomffolycs
☆ Yng nghanlyniadau Stiftung Warentest 2022 o’r Almaen, roedd boddhad defnyddwyr â ModelDerm ond ychydig yn is nag ymgynghoriadau telefeddygaeth taledig.
Dyshidrotic dermatitis ― Achos difrifol ar y dwylo
Ymddengys fod yr lesion wedi gwella bron.
Mewn achosion difrifol, gall ymddangos fel pothelli gyda chosi difrifol.
References
Mae Dyshidrotic eczema , a elwir hefyd yn ecsema palmoplantar acíwt, yn fath cyffredin o ddermatitis dwylo mewn oedolion. Mae'n cyfrif am tua 5-20% o achosion o ddermatitis dwylo. Nodweddir y cyflwr hwn gan bothelli bach llawn hylif ar ochrau'r bysedd a'r cledrau, a achosir gan chwyddo yn haen allanol y croen. Weithiau, gall y pothelli hyn uno i ffurfio rhai mwy, sy'n debyg i 'bwdin tapioca'. Mewn achosion difrifol, gall y frech ledaenu ar draws cledr cyfan y llaw. Mae diagnosis fel arfer yn seiliedig ar arsylwi clinigol o frech sy'n ailddigwydd gyda phothelli yn ymddangos yn sydyn ar y bysedd ac yn ymledu i'r cledrau.
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.
Ymwelodd dyn 31 oed â’r adran ddermatoleg gyda hanes 4 diwrnod o bothelli llinol sy’n cosi’n ddwys ar gledrau’r ddwy law. Roedd wedi bod mewn cysylltiad yn ddiweddar â pherson oedd â chlefyd y crafu. Roedd gan y claf hanes o ecsema ac asthma ers plentyndod ond nid oedd wedi profi unrhyw fflamychiadau pan oedd yn oedolyn. Ar ôl archwiliad a dadansoddiad microsgopig, gwelwyd pothelli heb unrhyw arwyddion o gloddio, gwiddon nac wyau. Gwnaed diagnosis rhagarweiniol o pompholyx eczema , a dechreuodd y claf ddefnyddio corticosteroidau argroenol ysgafn. Fodd bynnag, dychwelodd y claf 5 diwrnod yn ddiweddarach gyda symptomau'n gwaethygu a brech pothellu difrifol.
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
Mae alergenau, straen corfforol neu feddyliol, golchi dwylo'n aml, neu fetelau yn gwaethygu'r afiechyd. Mae diagnosis fel arfer yn seiliedig ar sut olwg sydd arno a'r symptomau. Mae cyflyrau eraill sy'n cynhyrchu symptomau tebyg yn cynnwys soriasis pustular a'r clafr.
Mae'r driniaeth yn gyffredinol gyda hufen steroid. Efallai y bydd angen hufenau steroid cryfder uchel am yr wythnos neu ddwy gyntaf. Gellir defnyddio gwrth-histaminau i helpu gyda'r cosi.
○ Triniaeth ― OTC Drugs
Peidiwch â defnyddio sebon. Gan fod gan y cledrau a'r gwadnau groen trwchus, efallai na fydd eli steroid OTC cryfder isel yn effeithiol. Gall cymryd gwrth-histamin OTC helpu hefyd.
#OTC steroid ointment
#OTC antihistamine
○ Triniaeth
#High potency steroid ointment
#Alitretinoin