Pitted keratolysis - 点状角質融解症
複数の悪臭のある穴のある足の裏
Corynebacterium種による強烈な臭気を伴います。
relevance score : -100.0%
ReferencesPitted Keratolysis は、手のひらよりも主に足の裏に起こる表在性の細菌性皮膚感染症を指す用語です。この疾患は、Kytococcus sedentarius や Corynebacterium 種などの細菌が原因となることが多いです。発症は主に21～30歳の若年成人に多く、特に20代・30代でよく見られます。男性は女性に比べて発症リスクが約4倍高く、これはきつく密閉された靴を履く機会が多いことが要因と考えられます。一方、女性は足の衛生状態を比較的良好に保つ傾向があります。以下に、過去3日間にわたり足裏、特に足指周囲に点在する皮膚病変を訴えて来院した23歳の患者例を紹介します。
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 は、足裏の表皮に影響を及ぼす皮膚疾患で、細菌が原因です。30歳男性の足裏に、小さな穴が開いた病変が認められました。倍率3,500倍の顕微鏡観察では、表面に細菌がはっきりと観察され、細菌分裂の特有のパターンが確認されました。
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.
この状態は特に軍隊で、濡れた靴やブーツを脱がず、掃除もしないまま長時間履く場合に多く見られます。穴あき角化炎の診断は、主に視覚的所見と特徴的な臭気の確認で行われます。治療には、benzoyl peroxide（過酸化ベンゾイル）、clindamycin（クリンダマイシン）、erythromycin（エリスロマイシン）、fusidic acid（フシジン酸）、mupirocin（ムピロシン）などの抗生物質軟膏を皮膚に塗布します。予防は、足を常に乾燥させることが基本です。
○ 治療 ― OTC医薬品
足と靴下を常に乾燥させます。市販の抗生物質軟膏を使用してみましょう。足にアルコールベースの手指消毒剤を塗布することも効果的です。
#Polysporin
#Bacitracin