Pityriasis amiantacea
☆ U rezultatima Stiftung Warentest iz Njemačke za 2022., zadovoljstvo potrošača s ModelDermom bilo je samo malo niže nego s plaćenim konzultacijama o telemedicini.
References
Došao je 14-godišnji dječak s debelim, žuto-smeđim ljuskama na tjemenu, uglavnom sprijeda i na vrhu. Zahvaćena područja bila su crvena i ljuskava, s gubitkom kose, ali bez ožiljaka. Testovi na gljivice bili su negativni.
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 može doći od bilo koje kožne bolesti koja uglavnom zahvaća vlasište, poput seborrheic dermatitis. Ali nismo potpuno sigurni kako počinje. Naš cilj je proučiti obrasce među pacijentima s pityriasis amiantacea kako bismo razumjeli kako tretmani djeluju bolje. Pregledali smo 63 djece s seborrheic dermatitis i pronašli sedam slučajeva pityriasis amiantacea , uglavnom kod djevojčica. Pratili smo ih u prosjeku oko 20. 4 mjeseci i ustanovili da su stari oko 5. 9 godina. Među njima je bilo pet djevojčica prosječne dobi od 9 godina. Svi su bolesnici uspješno liječeni topikalnim ketokonazolom.
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 utječe na vlasište kao sjajne debele ljuske. Ljuske okružuju i vežu čuperke kose. Stanje može biti lokalizirano ili pokriti cijelo vlasište. Privremena alopecija i alopecija s ožiljcima mogu se pojaviti zbog opetovanog uklanjanja dlačica pričvršćenih za ljusku. To je rijetka bolest.
○ Liječenje ― OTC lijekovi
*Keratolitici koji sadrže ureu mogu pomoći u liječenju debelih ljuskica.
#40% urea cream
*Svakodnevno koristite šampon protiv peruti.
#Ciclopirox shampoo
#Ketoconazole shampoo
#Fluocinolone shampoo
#Pyrithione zinc shampoo
#Selenium sulfide shampoo
*Nanesite lokalne OTC steroide samo na područja vlasišta koja svrbe. Budite svjesni da nanošenje previše steroida na vlasište može uzrokovati folikulitis.
#Hydrocortisone cream