Pitted keratolysis - 点状角質融解症
☆ AI Dermatology — Free Service
ドイツの2022年Stiftung Warentestの結果では、ModelDermに対する消費者満足度は有料の遠隔医療相談よりもわずかに低いだけでした。
ドイツの2022年Stiftung Warentestの結果では、ModelDermに対する消費者満足度は有料の遠隔医療相談よりもわずかに低いだけでした。
足裏に悪臭のする複数の穴があります。
Corynebacterium種が原因で、強い臭気がみられます。
relevance score : -100.0%
ReferencesPitted Keratolysis は、手のひらよりも主に足の裏に起こる表面レベルの細菌性皮膚感染症を指す用語です。この症状は、Kytococcus sedentarius や Corynebacterium 種などの細菌が原因であることが多く見られます。発症は主に 21～30 歳の若年層で最も頻繁に起こり、患者の大多数は 20 代または 30 代です。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ためと考えられます。一方、女性は足の衛生状態を良好に保つ傾向があります。ここでは、過去 3 日間にわたり足の裏、特に足指の周囲に点在する皮膚病変を訴えて来院された 23 歳の患者の症例を紹介します。
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、足裏の外層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の開いた病変が認められました。拡大倍率 x 3,500 で観察すると、表面に細菌がはっきりと見え、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長時間脱がずに履き続ける場合に多く見られます。診断は主に視覚的所見と特徴的な臭気で行われます。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）などの抗菌薬を患部に塗布します。予防は足を常に乾燥させることです。
○ 治療 ― OTC医薬品
足と靴下を常に乾いた状態に保ちます。市販の抗菌軟膏を使用してみましょう。足に手指消毒剤を塗布することも有効です。
#Polysporin
#Bacitracin