Pompholyx - Ègzema Dyshidrotic
☆ Nan rezilta Stiftung Warentest 2022 ki soti nan Almay, satisfaksyon konsomatè yo ak ModelDerm te sèlman yon ti kras pi ba pase ak konsiltasyon telemedsin peye.
Dyshidrotic dermatitis ― Yon ka grav sou men yo
Li sanble ke blesi a te prèske amelyore.
Nan ka grav, li ka parèt tankou ti anpoul ak demanjezon grav.
References
Dyshidrotic eczema , ke yo rele tou ekzema palmoplantè egi, se yon kalite dèrmatoz men ki komen nan granmoun. Li fè apeprè 5-20% nan ka dèrmatit men yo. Kondisyon sa a karakterize pa ti anpoul likid ki ranpli sou kote dwèt yo ak pla men yo, ki te koze pa anfle nan kouch ekstèn po a. Pafwa, ti anpoul sa yo ka rantre nan fòm pi gwo, ki sanble ak 'pouding tapioca'. Nan ka grav, gratèl la ka gaye nan tout palmis la nan men an. Dyagnostik se tipikman ki baze sou obsèvasyon klinik nan yon gratèl renouvlab ak ti anpoul parèt toudenkou sou dwèt yo epi gaye nan pla yo.
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.
Yon nonm 31-zan te vizite depatman dèrmatoloji ak yon istwa 4-jou nan gwo grate, ti anpoul lineyè sou pla yo nan tou de men yo. Dènyèman li te an kontak ak yon moun ki te gen gal. Pasyan an te gen yon istwa nan ègzema ak opresyon depi nan anfans men li pa te fè eksperyans okenn flare-ups nan laj granmoun. Apre egzamen an ak analiz mikwoskopik, ti anpoul yo te obsève san okenn siy fouye, ti kòb kwiv, oswa ze. Yo te fè yon dyagnostik preliminè nan pompholyx eczema , epi pasyan an te kòmanse itilize kortikoterapi aktualite modere. Sepandan, pasyan an te retounen 5 jou apre ak sentòm yo vin pi grav ak yon gratèl grav.
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
Alèjèn, estrès fizik oswa mantal, lave men souvan, oswa metal yo agrave maladi a. Dyagnostik se tipikman ki baze sou sa li sanble ak sentòm yo. Lòt kondisyon ki pwodui sentòm menm jan an gen ladan psoriasis pustulè ak gal.
Tretman se jeneralman ak krèm esteroyid. Gwo fòs esteroyid crèmes ka mande pou premye semèn ou de. Yo ka itilize antihistamin pou ede ak gratèl la.
○ Tretman - Medikaman OTC
Pa sèvi ak savon. Depi palmis yo ak plant yo gen po epè, odè esteroyid OTC ki ba pisans ka pa efikas. Lè w pran yon antihistamin OTC ka ede tou.
#OTC steroid ointment
#OTC antihistamine
○ Tretman
#High potency steroid ointment
#Alitretinoin