Pompholyx - Eksim Dyshidrotik
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Dyshidrotic dermatitis ― Kasus abot ing tangan
Iku misale jek sing lesi wis meh apik.
Ing kasus abot, bisa katon minangka blisters karo gatel banget.
References
Dyshidrotic eczema , uga dikenal minangka eksim palmoplantar akut, minangka jinis dermatitis tangan sing umum ing wong diwasa. Kira-kira 5-20% kasus dermatitis tangan. Kondisi iki ditondoi dening lepuh cilik sing diisi cairan ing pinggir driji lan telapak tangan, sing disebabake dening pembengkakan ing lapisan njaba kulit. Kadhangkala, lepuh iki bisa gabung dadi luwih gedhe, kaya 'puding tapioka'. Ing kasus sing abot, ruam bisa nyebar ing kabeh telapak tangan. Diagnosis biasane adhedhasar pengamatan klinis saka ruam sing terus-terusan kanthi lepuh sing katon dumadakan ing driji lan nyebar menyang telapak tangan.
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.
Wong lanang umur 31 taun ngunjungi departemen dermatologi kanthi riwayat 4 dina gatal banget, lepuh linear ing telapak tangan loro. Dheweke bubar kontak karo wong sing kena penyakit kudis. Pasien duwe riwayat eksim lan asma wiwit cilik nanging ora ngalami flare-up nalika diwasa. Sawise pemeriksaan lan analisis mikroskopis, lepuh diamati tanpa tandha-tandha burrowing, mites, utawa endhog. Diagnosis awal pompholyx eczema digawe, lan pasien wiwit nggunakake kortikosteroid topikal entheng. Nanging, pasien bali 5 dina sabanjure kanthi gejala sing saya tambah lan ruam blistering sing abot.
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
Alergen, stres fisik utawa mental, asring ngumbah tangan, utawa logam nambah penyakit kasebut. Diagnosis biasane adhedhasar apa sing katon lan gejala kasebut. Kondisi liyane sing nyebabake gejala sing padha kalebu psoriasis pustular lan scabies.
Perawatan biasane nganggo krim steroid. Krim steroid kekuatan dhuwur bisa uga dibutuhake kanggo minggu pisanan utawa loro. Antihistamin bisa digunakake kanggo mbantu gatal.
○ Pengobatan - Obat OTC
Aja nggunakake sabun. Wiwit telapak tangan lan tlapak sikil duwe kulit sing kandel, salep steroid OTC sing kurang potensial bisa uga ora efektif. Njupuk antihistamin OTC uga bisa mbantu.
#OTC steroid ointment
#OTC antihistamine
○ Pengobatan
#High potency steroid ointment
#Alitretinoin