Pitted keratolysis - Süvenditega Keratolüüs
☆ Saksamaa 2022. aasta Stiftung Warentesti tulemustes oli tarbijate rahulolu ModelDermiga vaid veidi madalam kui tasuliste telemeditsiini konsultatsioonidega.
Mitme halvalõhnalise lohuga jalatald
Sellega kaasneb tugev lõhn, mida põhjustavad Corynebacterium liigid.
References
Pitted Keratolysis on termin, mida kasutatakse pinnataseme bakteriaalse nahainfektsiooni kirjeldamiseks, mis mõjutab peamiselt jalatallasid, mitte peopesasid. Seda seisundit põhjustavad sageli sellised bakterid nagu Kytococcus sedentarius ja Corynebacterium. Tavaliselt esineb see kõige sagedamini 21–30-aastastel inimestel, enamik kogeb seda 20-30-aastastel. Meestel on neli korda suurem risk sellesse haigusseisundisse haigestuda, mis on tõenäoliselt tingitud tihedate suletud jalatsite kandmisest, samas kui naised kipuvad hoidma paremat jalahügieeni. Siinkohal tutvustame juhtumit 23-aastasest patsiendist, kes tuli meie haiglasse ja kaebas jalalaba alaosas, peamiselt varvaste ümbruses, nahakahjustuste üle, mis olid olnud viimased kolm päeva.
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 on nahahaigus, mis mõjutab talla väliskihti ja on põhjustatud bakteritest. 30-aastasel mehel olid tallal väikesed torgatud kahjustused. Suurema suurendusega (x 3500) olid bakterid pinnal selgelt nähtavad, mis näitasid spetsiifilist bakterite jagunemise mustrit.
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.
Seisund on üsna tavaline, eriti sõjaväes, kus niiskeid kingi/saapaid kantakse pikema aja jooksul ilma neid eemaldamata/puhastamata. Süvenditega keratolüüsi diagnoos tehakse sageli visuaalse uurimise ja iseloomuliku lõhna tuvastamise teel. Süvenditega keratolüüsi raviks on vaja nahale manustada antibiootikume, nagu bensoüülperoksiid, klindamütsiin, erütromütsiin, fusidiinhape või mupirotsiin. Ennetusmeetmete eesmärk on hoida jalad kuivana.
○ Ravi ― OTC ravimid
Hoidke jalad ja sokid alati kuivad. Proovige OTC antibiootikumi salvi. Abi võib olla ka kätepuhastusvahendi kasutamine jalgadel.
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