Pompholyx
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Dyshidrotic dermatitis - Okwu siri ike dị n'aka
Ọ dị ka ọnya ahụ ọ fọrọ nke nta ka ọ dịkwuo mma.
N'ọnọdụ siri ike, ọ nwere ike ịpụta dị ka ọnya nwere nnukwu itching.
References
Dyshidrotic eczema , nke a makwaara dị ka nnukwu palmoplantar eczema, bụ ụdị dermatitis aka na-emekarị na ndị okenye. Ọ na-eme ihe dị ka 5-20% nke ikpe dermatitis aka. Ihe e ji mara ọnọdụ a bụ obere blisters jupụtara na mmiri n'akụkụ mkpịsị aka na ọbụ aka, nke na-akpata ọzịza dị n'elu elu akpụkpọ ahụ. Mgbe ụfọdụ, ọnya ndị a nwere ike jikọta ka ha ghọọ ndị buru ibu, dị ka 'tapioca pudding'. N'ọnọdụ ndị siri ike, ọkụ ọkụ nwere ike gbasaa n'ọbụ aka niile. Nchọpụta nchọpụta na-adaberekarị na nyocha ụlọọgwụ nke ihe ọkụ ọkụ na-apụta ugboro ugboro nwere ọnya na-apụta na mberede na mkpịsị aka wee gbasaa na ọbụ aka.
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.
Otu nwoke dị afọ iri atọ na otu gara ngalaba na-ahụ maka akpụkpọ ahụ nwere akụkọ ihe mere eme ụbọchị 4 nke nnukwu ọnya na-egbu mgbu na n'ọbụ aka abụọ. Ọ na-akpakọrịta na nso nso a na onye nwere scabies. Onye ọrịa ahụ nwere akụkọ ihe mere eme nke eczema na ụkwara ume ọkụ kemgbe ọ bụ nwata mana ahụbeghị ọkụ ọkụ ọ bụla n'oge ọ bụ okenye. Mgbe nyocha na nyocha nke obere ihe, a na-ahụ blisters na-enweghị akara ọ bụla nke ili, àjà, ma ọ bụ akwa. Achọpụtara nyocha izizi nke pompholyx eczema , onye ọrịa ahụ wee malite iji corticosteroids dị nro. Agbanyeghị, onye ọrịa ahụ lọghachiri ka ụbọchị 5 gachara yana mgbaàmà na-akawanye njọ yana ọnya ọnya siri ike.
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
Allergens, nchekasị anụ ahụ ma ọ bụ nke uche, ịsacha aka mgbe niile, ma ọ bụ ọla na-eme ka ọrịa ahụ dịkwuo njọ. Nchọpụta nchọpụta na-adaberekarị n'otú ọ dị na mgbaàmà ya. Ọnọdụ ndị ọzọ na-emepụta mgbaàmà ndị yiri ya gụnyere psoriasis pustular na scabies.
A na-ejikarị ude steroid eme ọgwụgwọ. Enwere ike ịchọ ude steroid dị elu maka izu mbụ ma ọ bụ abụọ. Enwere ike iji ọgwụ antihistamines nyere aka na itching.
○ Ọgwụgwọ ― OTC Ọgwụ
Ejila ncha. Ebe ọ bụ na ọbụ aka na ọbụ ụkwụ nwere akpụkpọ ahụ siri ike, mmanụ OTC steroid dị ala nwere ike ọ gaghị adị irè. Inweta OTC antihistamine nwekwara ike inye aka.
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○ Ọgwụgwọ
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