Pityriasis amiantacea
☆ Nos resultados de Stiftung Warentest de Alemaña de 2022, a satisfacción dos consumidores con ModelDerm foi só lixeiramente inferior á das consultas de telemedicina pagas.
References
Un neno de 14 anos entrou con escamas grosas de cor marrón amarela no coiro cabeludo, principalmente pola parte frontal e superior. As zonas afectadas eran vermellas e escamosas, con caída de cabelo pero sen cicatrices. As probas de fungo foron negativas.
A 14-year-old male patient presented with focal masses of thick, adherent, plate like, yellow-brown scales, attached to the hair shafts, predominantly affecting the fronto-parietal area and vertex of the scalp. The underlying scalp had thick, erythematous plaques with fine, non greasy, silvery-white scaling with noncicatricial alopecia. Potassium hydroxide examination of scales and hair and culture for fungus was negative.
A 14-year-old male patient presented with focal masses of thick, adherent, plate like, yellow-brown scales, attached to the hair shafts, predominantly affecting the fronto-parietal area and vertex of the scalp. The underlying scalp had thick, erythematous plaques with fine, non greasy, silvery-white scaling with noncicatricial alopecia. Potassium hydroxide examination of scales and hair and culture for fungus was negative.
Pityriasis amiantacea pode vir de calquera enfermidade da pel que afecte principalmente ao coiro cabeludo, como seborrheic dermatitis. Pero non estamos totalmente seguros de como comeza. O noso obxectivo é estudar os patróns entre os pacientes con pityriasis amiantacea para comprender como funcionan mellor os tratamentos. Consultamos 63 nenos con seborrheic dermatitis e atopamos sete casos de pityriasis amiantacea , a maioría en nenas. Seguimos durante uns 20. 4 meses de media e descubrimos que tiñan uns 5. 9 anos. Entre elas, cinco eran nenas cunha idade media de 9 anos. Todos os pacientes foron tratados con éxito con ketoconazol tópico.
The disease may be secondary to any skin condition that primarily affects the scalp, including seborrheic dermatitis. Its pathogenesis remains uncertain. We aim to analyze the epidemiological and clinical profiles of patients with pityriasis amiantacea to better understand treatment responses. We identified seven cases of pityriasis amiantacea and a female predominance in a sample of 63 pediatric patients with seborrheic dermatitis followed for an average of 20.4 months. We reported a mean age of 5.9 years. Five patients were female, with a mean age of 9 years. All patients were successfully treated with topic ketoconazole.
The disease may be secondary to any skin condition that primarily affects the scalp, including seborrheic dermatitis. Its pathogenesis remains uncertain. We aim to analyze the epidemiological and clinical profiles of patients with pityriasis amiantacea to better understand treatment responses. We identified seven cases of pityriasis amiantacea and a female predominance in a sample of 63 pediatric patients with seborrheic dermatitis followed for an average of 20.4 months. We reported a mean age of 5.9 years. Five patients were female, with a mean age of 9 years. All patients were successfully treated with topic ketoconazole.
Pityriasis amiantacea afecta o coiro cabeludo como escamas espesas e brillantes. As escamas rodean e atan os mechones de pelo. A condición pode ser localizada ou cubrindo todo o coiro cabeludo. A alopecia temporal e a alopecia cicatricial poden ocorrer debido á eliminación repetida dos pelos adheridos á escala. É unha enfermidade rara.
○ Tratamento - Medicamentos OTC
* Os axentes queratolíticos que conteñen urea poden axudar a tratar a escama grosa.
#40% urea cream
*Utiliza xampú anticaspa a diario.
#Ciclopirox shampoo
#Ketoconazole shampoo
#Fluocinolone shampoo
#Pyrithione zinc shampoo
#Selenium sulfide shampoo
* Aplique esteroides OTC tópicos só nas áreas con comezón do coiro cabeludo. Teña en conta que aplicar demasiado esteroide no coiro cabeludo pode causar foliculite.
#Hydrocortisone cream