Pompholyx - Dyshidrotyske Ekzema
☆ AI Dermatology — Free Service
Yn 'e 2022 Stiftung Warentest-resultaten út Dútslân wie de konsuminttefredenheid mei ModelDerm mar wat leger dan mei betelle telemedisynkonsultaasjes.
Yn 'e 2022 Stiftung Warentest-resultaten út Dútslân wie de konsuminttefredenheid mei ModelDerm mar wat leger dan mei betelle telemedisynkonsultaasjes.
Dyshidrotic dermatitis – in swiere sak op de hannen
It liket derop dat de lesion ferbettere is.
Yn guon gefallen kin it ferskine as blêren mei swiere jeuk.
relevance score : -100.0%
ReferencesDyshidrotic eczema, ek bekend as acute palmoplantar eczeem, is in gewoan type hândermatitis by folwoeksenen. It makket sawat 5‑20 % fan gefallen fan hândermatitis út. Dizze tastân wurdt karakterisearre troch lytse, floeistoffolle blieren oan 'e kanten fan' e fingers en palmen, feroarsake troch swelling yn 'e bûtenste laach fan' e hûd. Soms kinne dizze blieren fusearje en gruttere struktuer foarmje, lykas 'tapioca pudding'. Yn sommige gefallen kin de útslach oer de hiele palm fan 'e hân' ferspriede. Diagnoaze is typysk basearre op klinyske observaasje fan in weromkommende útslach mei blieren dy't ynienen ferskine op 'e fingers' en ferspriede nei de palmen.
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.
In in 31-jierrige man besocht de ôfdieling Dermatology mei in 4-dagen skiednis fan yntinsyf jeukende, lineêre blieren op 'e palmen fan beide hannen. Hy hie koartlyn yn kontakt west mei in persoan dy't skurf hie. De pasjint hie sûnt bernetiid in skiednis fan eczeem en astma, mar hie yn folwoeksenheid gjin opflakkeringen ûnderfûn. By ûndersyk en mikroskopyske analyse waarden blieren waarnommen sûnder tekens fan burrowing, mites of aaien. In foarriedige diagnoaze fan pompholyx eczema waard makke, en de pasjint begon milde topikale kortikosteroïden te brûken. De pasjint kaam lykwols 5 dagen letter werom mei fergrysende symptomen en in swiere blierende útslach.
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
Allergenen, fysike of geastlike stress, faak hânwaskjen, of metalen fergrutte de sykte. Diagnose is typysk basearre op hoe't it derút sjocht en op de symptomen. Oare betingsten dy't ferlykbere symptomen produsearje, omfetsje pustulêre psoriasis en skurf.
Behandeling is oer it algemien mei steroidcrème. Steroïdcrèmes mei hege krêft kinne nedich wêze foar de earste ien of twa wiken. Antihistaminen kinne brûkt wurde om de jeuk te helpen ferminderjen.
○ Behandeling ― OTC Drugs
Brûk gjin sjippe. Om't de palmen en soallen dik hûd hawwe, kinne OTC‑steroïdesalven mei lege potinsje net effektyf wêze. It nimmen fan in OTC‑antihistamine kin ek helpe.
#OTC steroid ointment
#OTC antihistamine
○ Behandeling
#High potency steroid ointment
#Alitretinoin