Pompholyx
☆ ໃນປີ 2022 Stiftung Warentest ຜົນໄດ້ຮັບຈາກເຢຍລະມັນ, ຄວາມພໍໃຈຂອງຜູ້ບໍລິໂພກກັບ ModelDerm ແມ່ນຕໍ່າກວ່າການປຶກສາຫາລືທາງດ້ານການປິ່ນປົວທາງໂທລະສັບເລັກນ້ອຍເທົ່ານັ້ນ.
Dyshidrotic dermatitis - ເປັນກໍລະນີຮ້າຍແຮງຢູ່ມື
ເບິ່ງຄືວ່າ lesion ເກືອບຈະດີຂຶ້ນ.
ໃນກໍລະນີຮ້າຍແຮງສາມາດປະກົດເປັນຕຸ່ມຜື່ນ ມີອາການຄັນຮຸນແຮງ.
References
Dyshidrotic eczema , ເຊິ່ງເອີ້ນກັນວ່າ eczema palmoplantar ສ້ວຍແຫຼມ, ເປັນພະຍາດຜິວໜັງມືທົ່ວໄປໃນຜູ້ໃຫຍ່. ມັນປະກອບດ້ວຍປະມານ 5-20% ຂອງກໍລະນີຂອງຜິວຫນັງອັກເສບມື. ສະພາບນີ້ມີລັກສະນະເປັນຕຸ່ມນ້ຳນ້ອຍໆຢູ່ຂ້າງຂອງນິ້ວມື ແລະຝາມື, ເຊິ່ງເກີດຈາກການໃຄ່ບວມຢູ່ຊັ້ນນອກຂອງຜິວໜັງ. ບາງຄັ້ງ, ຜື່ນເຫຼົ່ານີ້ສາມາດລວມເຂົ້າກັນເປັນກ້ອນໃຫຍ່ກວ່າ, ຄ້າຍຄືກັບ 'pudding ມັນຕົ້ນ'. ໃນກໍລະນີຮ້າຍແຮງ, ຜື່ນສາມາດແຜ່ລາມໄປທົ່ວຝາມື. ໂດຍທົ່ວໄປແລ້ວການວິນິດໄສແມ່ນອີງໃສ່ການສັງເກດທາງຄລີນິກຂອງຕຸ່ມຜື່ນຊ້ຳໆທີ່ມີຕຸ່ມຜື່ນປະກົດຂຶ້ນຢ່າງກະທັນຫັນຢູ່ນິ້ວມື ແລະແຜ່ລາມໄປໃສ່ຝາມື.
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.
ຜູ້ຊາຍອາຍຸ 31 ປີໄດ້ໄປຢ້ຽມຢາມພະແນກຜິວໜັງໂດຍມີປະຫວັດ 4 ມື້ມີອາການຄັນ, ມີຕຸ່ມເປັນເສັ້ນຢູ່ຝາມືທັງສອງ. ບໍ່ດົນມານີ້, ລາວໄດ້ຕິດຕໍ່ກັບຜູ້ທີ່ເປັນໂລກຂີ້ຫິດ. ຄົນເຈັບມີປະຫວັດເປັນພະຍາດຫືດ ແລະ ພະຍາດຫືດຕັ້ງແຕ່ເດັກນ້ອຍແຕ່ບໍ່ມີປະສົບການໃນໄວຜູ້ໃຫຍ່. ຜ່ານການກວດກາ ແລະວິເຄາະດ້ວຍກ້ອງຈຸລະທັດ, ບວມໄດ້ສັງເກດເຫັນບໍ່ມີອາການບວມ, ແມງ, ຫຼືໄຂ່. ການວິນິດໄສເບື້ອງຕົ້ນຂອງ pompholyx eczema ໄດ້ຖືກດໍາເນີນ, ແລະຄົນເຈັບໄດ້ເລີ່ມໃຊ້ຢາ corticosteroids ທີ່ອ່ອນໆ. ຢ່າງໃດກໍ່ຕາມ, ຄົນເຈັບໄດ້ກັບຄືນມາອີກ 5 ມື້ຕໍ່ມາດ້ວຍອາການຮ້າຍແຮງຂຶ້ນແລະເປັນຕຸ່ມຜື່ນທີ່ຮຸນແຮງ.
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
ອາການແພ້, ຄວາມກົດດັນທາງດ້ານຮ່າງກາຍຫຼືຈິດໃຈ, ການລ້າງມືເລື້ອຍໆ, ຫຼືໂລຫະເຮັດໃຫ້ພະຍາດຮ້າຍແຮງຂຶ້ນ. ໂດຍທົ່ວໄປແລ້ວການວິນິດໄສແມ່ນອີງໃສ່ສິ່ງທີ່ມັນຄ້າຍຄື ແລະອາການ. ເງື່ອນໄຂອື່ນໆທີ່ເຮັດໃຫ້ເກີດອາການທີ່ຄ້າຍຄືກັນປະກອບມີ psoriasis pustular ແລະເປັນຕຸ່ມ.
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