Pitted keratolysis - Keratolīze Bez Kauliņiem
☆ 2022. gada Stiftung Warentest rezultātos no Vācijas patērētāju apmierinātība ar ModelDerm bija tikai nedaudz zemāka nekā ar maksas telemedicīnas konsultācijām.
Pēdas zole ar vairākām nepatīkamām bedrēm
To pavada spēcīga smaka, ko izraisa Corynebacterium sugas.
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ReferencesPitted Keratolysis ir termins, ko lieto, lai aprakstītu virsmas līmeņa bakteriālu ādas infekciju, kas galvenokārt skar pēdu zoles, nevis plaukstas. Šo stāvokli bieži izraisa tādas baktērijas kā Kytococcus sedentarius un Corynebacterium sugas. Tas parasti sastopams cilvēkiem vecumā no 21 līdz 30 gadiem, un lielākā daļa to piedzīvo 20–30 gadu vecumā. Vīriešiem ir četras reizes lielāks risks saslimt ar šo stāvokli, iespējams, tāpēc, ka viņi biežāk valkā ciešus, slēgtus apavus, savukārt sievietes mēdz uzturēt labāku kāju higiēnu. Šeit mēs iepazīstinām ar 23 gadu veca pacienta gadījumu, kurš ieradās mūsu slimnīcā, sūdzoties par ādas bojājumiem pēdas apakšdaļā, galvenokārt ap pirkstiem, kas bija bijuši pēdējās trīs dienas.
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 ir ādas slimība, kas ietekmē zoles ārējo slāni un ko izraisa baktērijas. 30 gadu vecam vīrietim uz zoles bija nelieli, izspiesti bojājumi. Palielinot attēlu (x 3500), baktērijas bija skaidri redzamas uz virsmas, parādot specifisku baktēriju dalīšanās modeli.
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.
Stāvoklis ir diezgan izplatīts, jo īpaši militārajā jomā, kur slapjus apavus vai zābakus valkā ilgu laiku, neizņemot un netīrot. Keratolīzes ar kauliņiem diagnozi bieži nosaka, vizuāli pārbaudot un atpazīstot raksturīgo smaku. Ārstēšanai jāpielieto uz ādas antibiotikas, piemēram, benzoyl peroxide, clindamycin, erythromycin, fusidic acid vai mupirocin. Profilakses pasākumu mērķis ir saglabāt pēdas sausas.
○ Ārstēšana — ārpusbiržas zāles
Vienmēr turiet kājas un zeķes sausas. Izmēģiniet ārpusbiržas antibiotiku krēmu. Var palīdzēt arī roku dezinfekcijas līdzekļa lietošana uz kājām.
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