Pompholyx - Ekzema Dishidrotikoa
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Dyshidrotic dermatitis ― Kasu larria eskuetan
Badirudi lesioa ia hobetu dela.
Kasu larrietan, azkura larria duten babak gisa ager daitezke.
References
Dyshidrotic eczema , ekzema palmoplantar akutua bezala ere ezaguna, helduen eskuko dermatitis mota ohikoa da. Eskuko dermatitis kasuen %5-20 inguru osatzen du. Egoera hau hatz eta palmondoen alboetan likidoz betetako baba txikiak ditu, azalaren kanpoko geruzan hanturak eragindakoa. Batzuetan, anpulu hauek bat egin dezakete handiagoak sortzeko, tapioka esnea antzera. Kasu larrietan, erupzioa esku ahurrean zehar heda daiteke. Diagnostikoa, normalean, errepikatzen den rash baten behaketa klinikoan oinarritzen da, babak bat-batean hatzetan agertzen diren eta ahurretan hedatzen direnean.
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.
31 urteko gizon bat dermatologia saila bisitatu zuen 4 eguneko historiarekin, bi eskuetako ahurretan babak lineal eta azkura biziak zituela. Duela gutxi sarna zuen pertsona batekin harremanetan egon zen. Pazienteak txikitatik izan zituen ekzema eta asma aurrekariak, baina helduaroan ez zuen gorakadarik izan. Azterketa eta analisi mikroskopikoan, babak behatu ziren zulo, akaro edo arrautza zantzurik gabe. Pompholyx eczema -ren aurretiazko diagnostikoa egin zen, eta pazientea kortikoide topiko arinak erabiltzen hasi zen. Hala ere, gaixoa 5 egun geroago itzuli zen sintomak okerrera egin zuela eta babak larri batekin.
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
Alergenoek, estres fisiko edo mentalak, eskuak maiz garbitzeak edo metalek gaixotasuna areagotzen dute. Diagnostikoa, normalean, itxuraren eta sintometan oinarritzen da. Antzeko sintomak sortzen dituzten beste baldintza batzuk psoriasia pustularra eta sarna dira.
Tratamendua, oro har, esteroide kremarekin egiten da. Indar handiko steroid kremak behar izan daitezke lehen astean edo bietan. Azkura laguntzeko antihistaminikoak erabil daitezke.
○ Tratamendua ― OTC Drogak
Ez erabili xaboirik. Palmondoek eta zolek azal lodia dutenez, baliteke potentzia baxuko OTC esteroideen ukenduak eraginkorrak ez izatea. OTC antihistaminiko bat hartzeak ere lagun dezake.
#OTC steroid ointment
#OTC antihistamine
○ Tratamendua
#High potency steroid ointment
#Alitretinoin