Pompholyx - Dyshidrotesch Ekzeme
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An den 2022 Stiftung Warentest Resultater aus Däitschland war d'Zefriddenheet vum Konsument mam ModelDerm nëmme liicht manner wéi mat bezuelte Telemedizin Konsultatiounen.
An den 2022 Stiftung Warentest Resultater aus Däitschland war d'Zefriddenheet vum Konsument mam ModelDerm nëmme liicht manner wéi mat bezuelte Telemedizin Konsultatiounen.
Dyshidrotic dermatitis ― E schwéierer Fall op den Hänn
Et schéngt, datt d'Lëftung bal verbessert ass.
An schwéiere Fäll kann et als Blasen mat schwéierem Jucken optrieden.
relevance score : -100.0%
ReferencesDyshidrotic eczema, och bekannt als akut palmoplantar Ekzeme, ass eng allgemeng Aart vun Handdermatitis bei Erwuessenen. Et mécht ongeféier 5‑20 % vu Fäll vun Handdermatitis aus. Dësen Zoustand ass charakteriséiert duerch kleng flësseg gefëllt Bläiser op de Säiten vun de Fanger an Handflächen, verursaacht duerch Schwellungen an der äusserer Schicht vun der Haut. Heiansdo kënnen dës Bläiser fusionéieren fir méi grouss ze bilden, ähnlech wéi Tapioka‑Pudding. An de schwéieren Fäll kann den Ausschlag iwwer d'ganz Handfläch verbreet ginn. Diagnos ass typesch baséiert op klinescher Observatioun vun engem widderhuelende Ausschlag mat Bläisen, déi plötzlech op de Fanger erschéngen an op d'Handfläch verbreeden.
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.
En 31 Joer ale Mann besicht d'Dermatologie Departement mat enger véier Deeg laanger Geschicht vun intensiv juckenden, linearen Bläiser op der Handfläch vu béide Hänn. Hie war viru kuerzem an Kontakt mat enger Persoun, déi Scabies hat. De Patient huet eng Geschicht vun Ekzeme an Asthma zënter der Kandheet, awer huet am Erwuessenen keng Ausbréch erlieft. Bei der Untersuchung an der mikroskopescher Analyse goufen Bläiser observéiert ouni Zeechen vu Burrowing, Mites oder Eeër. Eng virleefeg Diagnos vun pompholyx eczema gouf gestallt, an de Patient huet ugefaangen mël topisch Corticosteroiden ze benotzen. Allerdéngs ass de Patient fënnef Deeg méi spéit zréckkomm mat verschlechterte Symptomer an engem schwéier Bläschen‑Ausschlag.
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
Allergènen, kierperlechen oder mentalen Stress, dacks Handwäschen oder Metaller verschäerfen d'Krankheet. Diagnos ass normalerweis baséiert op dem Aussehn an de Symptomer. Aner Konditiounen, déi ähnlech Symptomer produzéieren, enthalen pustulär Psoriasis a Scabies.
D'Behandlung ass allgemeng mat Steroidcrème. Héichstäerkt Steroidcremes kënnen fir déi éischt Woch oder zwou erfuerderlech sinn. Antihistamine kënnen benotzt ginn, fir de Jucken ze hëllefen.
○ Behandlung ― OTC Drogen
Benotzt keng Seife. Well d'Handflächen an d'Sohle déck Haut hunn, kënnen OTC‑Steroid‑Salben mat niddereger Potenz net effektiv sinn. En OTC‑Antihistamin huelen kann och hëllefen.
#OTC steroid ointment
#OTC antihistamine
○ Behandlung
#High potency steroid ointment
#Alitretinoin