Pitted keratolysis - Rupičasta Keratoliza
☆ U rezultatima Stiftung Warentest iz Njemačke za 2022., zadovoljstvo potrošača s ModelDermom bilo je samo malo niže nego s plaćenim konzultacijama o telemedicini.
Taban s više jamica neugodnog mirisa
Prati ga jak miris uzrokovan Corynebacterium vrstama.
References
Pitted Keratolysis je izraz koji se koristi za opisivanje površinske bakterijske infekcije kože koja uglavnom zahvaća tabane, a ne dlanove. Ovo stanje često uzrokuju bakterije poput vrsta Kytococcus sedentarius i Corynebacterium. Obično se najčešće javlja kod osoba u dobi od 21 do 30 godina, a većina ga doživi u 20-im ili 30-im godinama. Muškarci su u četiri puta većem riziku od razvoja ovog stanja, vjerojatno zbog češćeg nošenja tijesne, zatvorene obuće, dok žene teže održavanju bolje higijene stopala. Ovdje predstavljamo slučaj 23-godišnjeg pacijenta koji je došao u našu bolnicu žaleći se na rupičaste kožne lezije na dnu stopala, uglavnom oko prstiju, koje su bile prisutne zadnja tri dana.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted keratolysis je stanje kože koje zahvaća vanjski sloj potplata i uzrokovano je bakterijama. 30-godišnji muškarac imao je male, izbušene lezije na tabanu. Pod većim povećanjem (x 3500) bakterije su bile jasno vidljive na površini, pokazujući specifičan obrazac diobe bakterija.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Stanje je prilično uobičajeno, posebno u vojsci gdje se mokre cipele/čizme nose dulje vrijeme bez skidanja/čišćenja. Dijagnoza rupičaste keratolize često se postavlja vizualnim pregledom i prepoznavanjem karakterističnog mirisa. Liječenje rupičaste keratolize zahtijeva primjenu antibiotika na kožu kao što su benzoil peroksid, klindamicin, eritromicin, fusidatna kiselina ili mupirocin. Preventivni napori imaju za cilj održati stopala suhima.
○ Liječenje ― OTC lijekovi
Neka vam stopala i čarape uvijek budu suhe. Isprobajte OTC antibiotsku mast. Korištenje sredstva za dezinfekciju ruku na nogama također može pomoći.
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