Pompholyx - Eczema Dyshidrotic
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Dyshidrotic dermatitis ― Cás mór idir lámha
Is cosúil go bhfuil feabhas beagnach tagtha ar an lesion.
I gcásanna tromchúiseacha, féadann sé a bheith le feiceáil mar blisters le itching trom.
References
Is cineál coitianta de dheirmitíteas láimhe i ndaoine fásta é Dyshidrotic eczema , ar a dtugtar éiceach palmoplantar géarmhíochaine freisin. Déanann sé suas le thart ar 5-20% de na cásanna de dheirmitíteas láimhe. Tá an coinníoll seo tréithrithe ag blisters beaga líonta sreabhán ar thaobh na méara agus na palms, de bharr swelling i gciseal seachtrach an chraiceann. Uaireanta, féadann na blisters seo cumasc chun cinn níos mó a dhéanamh, cosúil le 'tapioca pudding'. I gcásanna tromchúiseacha, is féidir leis an gríos scaipeadh thar pailme iomlán na láimhe. De ghnáth bíonn diagnóis bunaithe ar bhreathnóireacht chliniciúil ar ghríos athfhillteach le blisters le feiceáil go tobann ar na méara agus ag scaipeadh go dtí na palms.
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.
Thug fear 31 bliain d'aois cuairt ar an roinn deirmeolaíochta le stair 4 lá de blisters líneacha ar bhosa an dá lámh. Bhí sé i dteagmháil le déanaí le duine a raibh scabies air. Bhí stair eachma agus asma ag an othar ó bhí sé ina óige ach níor fhulaing sé aon lasadh agus é ina dhuine fásta. Tar éis scrúdaithe agus anailís mhicreascópach, breathnaíodh blisters gan aon chomharthaí de thuirlingthe, mites nó uibheacha. Rinneadh réamhdhiagnóis pompholyx eczema , agus thosaigh an t-othar ag baint úsáide as corticosteroidí tráthúla éadroma. D'fhill an t-othar 5 lá ina dhiaidh sin, áfach, le hairíonna ag dul in olcas agus le gríos mór blistering.
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
Cuireann ailléirginí, strus fisiceach nó meabhrach, níocháin láimhe go minic, nó miotail leis an ngalar. De ghnáth bíonn an diagnóis bunaithe ar an gcuma atá air agus ar na hairíonna. I measc na gcoinníollacha eile a tháirgeann comharthaí comhchosúla tá psoriasis pustular agus scabies.
Go ginearálta déantar cóireáil le huachtar steroid. D'fhéadfadh go mbeadh uachtair stéaróide ard-neart ag teastáil don chéad seachtain nó dhó. Is féidir frithhistamíní a úsáid chun cabhrú leis an itch.
○ Cóireáil - Drugaí OTC
Ná húsáid gallúnach. Ós rud é go bhfuil craiceann tiubh ar na bosa agus na boinn, ní fhéadfaidh ointments steroid thar an gcuntar íseal-chumhachta a bheith éifeachtach. Is féidir cuidiú freisin le frithhistamín thar an gcuntar a ghlacadh.
#OTC steroid ointment
#OTC antihistamine
○ Cóireáil
#High potency steroid ointment
#Alitretinoin