Pompholyx
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Dyshidrotic dermatitis ― Tranga mafy eo am-pelatanana
toa saika nihatsara ny lesoka.
tranga mafy dia mety miseho toy ny blister misy mangidihidy mafy.
References
Dyshidrotic eczema , fantatra ihany koa amin'ny hoe eczema palmoplantar acute, dia karazana dermatitis tanana mahazatra amin'ny olon-dehibe. Manodidina ny 5-20% amin'ny trangan'ny dermatitis amin'ny tanana izany. Io toe-javatra io dia ahitana blisters kely feno ranoka eo amin'ny sisin'ny rantsantanana sy ny felatanana, vokatry ny fivontosana eo amin'ny sosona ivelany amin'ny hoditra. Indraindray dia mety mitambatra ireo blisters ireo ka lasa lehibe kokoa, mitovy amin'ny 'pudding tapioka'. Amin'ny toe-javatra mafy dia mety hiparitaka amin'ny felatanana manontolo ny maimaika. Ny diagnostika dia matetika mifototra amin'ny fandinihana klinika momba ny maimaika miverimberina miaraka amin'ny blisters miseho tampoka eo amin'ny rantsantanana ary miparitaka amin'ny felatanana.
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.
Lehilahy iray 31 taona no nitsidika ny sampana dermatôlôjia niaraka tamin'ny tantaran'ny 4 andro misy mangidihidy mafy, blister linear amin'ny felatanana roa. Vao haingana izy no nifandray tamin’ny olona voan’ny scabies. Ny marary dia nanana tantara momba ny eczema sy ny asthma hatramin'ny fahazazany saingy tsy mbola niaina nipoitra tamin'ny olon-dehibe. Tamin'ny fandinihana sy ny famakafakana mikraoba dia hita fa tsy misy soritr'aretin'ny fandavahana, ny bibikely, na ny atody. Natao ny fitiliana mialoha ny pompholyx eczema , ary nanomboka nampiasa corticosteroid topical malefaka ilay marary. Niverina indray anefa ilay marary 5 andro taorian’izay ary niharatsy ny soritr’aretina sy ny maimaika nipoitra mafy.
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
Ny allergen, ny adin-tsaina ara-batana na ara-tsaina, ny fanasana tanana matetika, na ny metaly dia mampitombo ny aretina. Ny diagnosy dia matetika mifototra amin'ny endriny sy ny soritr'aretina. Ny fepetra hafa izay miteraka soritr'aretina mitovy amin'izany dia ny psoriasis pustular sy ny scabies.
Ny fitsaboana dia matetika amin'ny crème steroid. Ny crème steroid mahery vaika dia mety ilaina mandritra ny herinandro voalohany na roa. Ny antihistamines dia azo ampiasaina amin'ny fanalana ny mangidihidy.
○ Fitsaboana - Fanafody OTC
Aza mampiasa savony. Koa satria manana hoditra matevina ny palmie sy ny faladia, dia mety tsy hahomby ny menaka steroid OTC ambany. Afaka manampy koa ny fandraisana antihistamine OTC.
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○ Fitsaboana
#High potency steroid ointment
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