Pitted keratolysis - 소와각질융해증
여러 개의 악취 구덩이가 있는 발바닥
Corynebacterium종에 의한 심한 냄새를 동반합니다.
relevance score : -100.0%
ReferencesPitted Keratolysis은 손바닥보다는 발바닥에 주로 영향을 미치는 표면 수준의 세균성 피부 감염을 설명하는 용어입니다. 이 상태는 주로 Kytococcus sedentarius 및 Corynebacterium 종과 같은 박테리아에 의해 발생합니다. 일반적으로 21~30세의 사람에게 가장 많이 발생하며, 대부분은 20대 또는 30대에 나타납니다. 남성은 꽉 끼는 밀폐된 신발을 더 자주 착용하기 때문에 이 질환에 걸릴 위험이 4배 높으며, 반면 여성은 발 위생을 더 잘 유지하는 경향이 있습니다. 지난 3일 동안 발바닥, 특히 발가락 주변에 함몰된 피부 병변이 나타난 23세 환자가 본원에 내원한 사례를 소개합니다.
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 keratolysis은 발바닥의 외층에 영향을 미치는 피부 상태로, 박테리아에 의해 발생합니다. 30세 남성에게 발바닥에 작은 구멍이 난 병변이 있었습니다. 더 높은 배율(x 3,500)에서는 박테리아가 표면에 명확하게 보이며, 특정 박테리아 분열 패턴을 보여줍니다.
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.
이 질환은 매우 흔하며, 특히 젖은 신발·부츠를 벗거나 청소하지 않은 채 장기간 착용하는 군대에서 더 많이 발생합니다. 움푹 들어간 각질융해증의 진단은 주로 육안 검사와 특유의 냄새를 인지함으로써 이루어집니다. 치료를 위해서는 벤조일퍼옥사이드, 클린다마이신, 에리스로마이신, 푸시드산 또는 무피로신과 같은 항생제를 피부에 적용합니다. 예방은 발을 항상 건조하게 유지하는 것이 핵심입니다.
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