Pompholyx
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Dyshidrotic dermatitis ― Cùis chruaidh air làmhan
Tha e coltach gu bheil an lesion cha mhòr air a dhol am feabhas.
Ann an droch shuidheachaidhean, faodaidh e nochdadh mar blisters le fìor itching.
References
Tha Dyshidrotic eczema , ris an canar cuideachd acute palmoplantar eczema, na sheòrsa cumanta de dermatitis làimhe ann an inbhich. Tha e a ‘dèanamh suas mu 5-20% de chùisean dermatitis làimhe. Tha an suidheachadh seo air a chomharrachadh le blisters beaga làn lionn air taobhan nan corragan agus na palms, air adhbhrachadh le sèid ann an còmhdach a-muigh a’ chraicinn. Uaireannan, faodaidh na blisters seo tighinn còmhla gus feadhainn nas motha a chruthachadh, coltach ri 'tapioca pudding'. Ann an droch shuidheachaidhean, faodaidh an broth sgaoileadh thairis air pailme na làimhe gu lèir. Mar as trice bidh Diagnosis stèidhichte air sgrùdadh clionaigeach air broth ath-chuairteachaidh le blisters a’ nochdadh gu h-obann air na corragan agus a’ sgaoileadh gu 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.
Thadhail fireannach 31-bliadhna air an roinn dermatology le eachdraidh 4-latha de sèididhean sreathach a tha gu math tachaiseach air palms an dà làmh. Bha e air a bhith ann an conaltradh ri neach air an robh scabies o chionn ghoirid. Bha eachdraidh eczema agus asthma aig an euslainteach bho òige ach cha robh e air eòlas fhaighinn air lasachaidhean sam bith nuair a bha e na inbheach. Às deidh sgrùdadh agus mion-sgrùdadh microscopach, chaidh blisters fhaicinn gun chomharradh sam bith air cladhach, mites no uighean. Chaidh breithneachadh tòiseachaidh de pompholyx eczema a dhèanamh, agus thòisich an t-euslainteach a’ cleachdadh corticosteroids gnàthach tlàth. Ach, thill an t-euslainteach 5 latha às deidh sin le comharraidhean a’ fàs nas miosa agus fìor bhroth sèididh.
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
Bidh alergenan, cuideam corporra no inntinn, nighe làmhan gu tric, no meatailtean ag àrdachadh a’ ghalair. Mar as trice bidh Diagnosis stèidhichte air cò ris a tha e coltach agus na comharran. Am measg shuidheachaidhean eile a bheir comharraidhean coltach ris tha psoriasis pustular agus scabies.
Tha làimhseachadh mar as trice le uachdar steroid. Dh'fhaodadh gum bi feum air uachdaran steroid àrd-neart airson a 'chiad seachdain no dhà. Faodar antihistamines a chleachdadh gus cuideachadh leis an tachas fhèin.
○ làimhseachadh ― OTC Drugs
Na cleachd siabann. Leis gu bheil craiceann tiugh aig na palms agus na buinn, is dòcha nach bi ointmentan steroid OTC le comas ìosal èifeachdach. Faodaidh e cuideachadh le bhith a’ gabhail antihistamine OTC cuideachd.
#OTC steroid ointment
#OTC antihistamine
○ làimhseachadh
#High potency steroid ointment
#Alitretinoin