Pompholyx
☆ I te 2022 Stiftung Warentest hua mai i Tiamana, he iti noa iho te pai o nga kaihoko ki a ModelDerm i nga korero mo te waea rongoa utu.
Dyshidrotic dermatitis ― He keehi kino kei runga i nga ringaringa
Te ahua nei kua tata pai ake te mate.
I roto i nga keehi kino, ka puta ano he opupu me te patito nui.
References
Ko te Dyshidrotic eczema , e mohiotia ana ano ko te acute palmoplantar eczema, he momo mate kiri-ringa i nga pakeke. Kei te 5-20% o nga keehi o te dermatitis ringa. Ko te ahua o tenei ahuatanga ko nga pupuhi iti kua whakakiia ki te wai i nga taha o nga maihao me nga nikau, na te pupuhi i te papa o waho o te kiri. I etahi wa, ka hanumi enei opupu kia nui ake, he rite ki te 'pudding tapioka'. I roto i nga keehi kino, ka horapa te ponana ki te nikau katoa o te ringa. I te nuinga o te wa ka ahu mai te tātaritanga i runga i te kitenga haumanu o te ponana ka hoki mai me te opupu ka puta ohorere ki nga maihao ka horapa ki nga nikau.
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.
He tangata 31-tau te pakeke i toro atu ki te tari dermatology me te 4-ra te hitori o te tino weriweri, opupu raina i runga i nga kapu o nga ringa e rua. No na tata nei i pa atu ia ki tetahi tangata kua pangia e te hakihaki. He hitori o te eczema me te huango te manawanui mai i te tamarikitanga engari karekau i pa ki te mura o tona pakeketanga. I runga i te tirotiro me te tātari moroiti, ka kitea nga opupu karekau he tohu o te poka, nohinohi, hua ranei. I mahia he tātaritanga tuatahi mo te pompholyx eczema , ka timata te manawanui ki te whakamahi i nga corticosteroids ngawari. Heoi, i hoki mai te manawanui i nga ra e 5 i muri mai me te kino haere o nga tohu me te pupuhi nui.
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
Ko nga mate pawera, te ahotea tinana, hinengaro ranei, te horoi i nga ringaringa, me nga konganuku ranei ka whakararu i te mate. I te nuinga o te waa ka whakatauhia te taatai i runga i te ahua me nga tohu. Ko etahi atu ahuatanga e whakaputa ana i nga tohu rite ko te psoriasis pustular me te hakihaki.
Ko te maimoatanga ko te kirīmi pūtaiaki. Ka hiahiatia pea nga kirimini steroid kaha mo te wiki tuatahi, e rua ranei. Ka taea te whakamahi antihistamines ki te awhina i te patito.
○ Maimoatanga ― OTC Drugs
Kaua e whakamahi hopi. I te mea he kiri matotoru nga nikau me nga kapu, ka kore pea e whai hua nga hinu hinu steroid OTC iti. Ko te tango i te OTC antihistamine ka awhina ano.
#OTC steroid ointment
#OTC antihistamine
○ Maimoatanga
#High potency steroid ointment
#Alitretinoin