Pitted keratolysis - Pitted Keratolyse
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I 2022 Stiftung Warentest-resultaterne fra Tyskland var forbrugernes tilfredshed med ModelDerm kun lidt lavere end med betalte telemedicinske konsultationer.
En fodsål med flere ildelugtende gruber.
Det er ledsaget af en kraftig lugt, forårsaget af Corynebacterium arter.
relevance score : -100.0%
ReferencesPitted Keratolysis er et udtryk, der bruges til at beskrive en bakteriel hudinfektion på overfladeniveau, som hovedsageligt påvirker fodsålerne frem for håndfladerne. Tilstanden skyldes ofte bakterier som Kytococcus sedentarius og Corynebacterium‑arter. Den forekommer hyppigst hos personer i alderen 21–30 år, hvor de fleste får den i 20‑erne eller 30‑erne. Mænd har fire gange større risiko for at udvikle tilstanden, sandsynligvis fordi de oftere bærer tætte, lukkede sko, mens kvinder typisk har bedre fodhygiejne. Her præsenterer vi et tilfælde af en 23‑årig patient, der kom til vores hospital og klagede over fordybte hudlæsioner på fodens underside, primært omkring tæerne, som havde været til stede de sidste tre dage.
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 er en hudlidelse, der påvirker det yderste lag af sålen og skyldes bakterier. En 30‑årig mand havde små, udstansede læsioner på sålen. Ved højere forstørrelse (x 3.500) var bakterierne tydeligt synlige på overfladen, hvilket afslørede et karakteristisk mønster af bakteriel deling.
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.
Tilstanden er ret almindelig, især i militæret, hvor våde sko eller støvler bæres i længere perioder uden at blive fjernet eller rengjort. Diagnosen stilles ofte ved visuel undersøgelse og genkendelse af den karakteristiske lugt. Behandling kræver påføring af antibiotika på huden, fx benzoylperoxid, clindamycin, erythromycin, fusidinsyre eller mupirocin. Forebyggende indsats har til formål at holde fødderne tørre.
○ Behandling ― OTC‑lægemidler
Hold altid fødder og sokker tørre. Prøv en OTC‑antibiotisk salve. Brug af håndsprit på fødderne kan også hjælpe.
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