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.
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ReferencesDošao je 14‑godišnji dječak s debelim, žuto‑smeđim ljuskama na tjemenu, uglavnom sprijeda i na vrhu. Zahvaćena područja bila su crvena i ljuskava, uz gubitak kose, ali bez ožiljaka. Testovi na gljivice su bili 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 nastati kao komplikacija bilo koje kožne bolesti koja uglavnom zahvaća vlasište, poput seborrheic dermatitis. Međutim, točan uzrok još uvijek nije potpuno razjašnjen. Naš cilj je proučiti obrasce kod pacijenata s pityriasis amiantacea kako bismo razumjeli koji tretmani djeluju bolje. Pregledali smo 63 djeteta s seborrheic dermatitis i identificirali sedam slučajeva pityriasis amiantacea, uglavnom kod djevojčica. Pratili smo ih u prosjeku oko 20,4 mjeseca i ustanovili da su im prosječne dobi oko 5,9 godina. Među njima bilo je pet djevojčica, prosječne dobi 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 prikazuje se na vlasištu sjajnim, debelim ljuskama. Ljuske okružuju i vežu čuperke kose. Stanje može biti lokalizirano ili može pokriti cijelo vlasište. Privremena alopecija i alopecija s ožiljcima mogu se pojaviti zbog ponovljenog uklanjanja dlaka pričvršćenih uz ljuske. To je rijetka bolest.
○ Liječenje ― OTC lijekovi
*Keratolitici koji sadrže ureu mogu pomoći u uklanjanju debelih ljuskica.
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*Svakodnevno koristite šampon protiv peruti.
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#Ketoconazole shampoo
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*Nanesite lokalne OTC steroide samo na područja vlasišta koja svrbe. Budite svjesni da prekomjerno nanošenje steroida na vlasište može uzrokovati folikulitis.
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