Pityriasis amiantacea
☆ AI Dermatology — Free Service
Dalam keputusan Stiftung Warentest 2022 dari Jerman, kepuasan pengguna terhadap ModelDerm hanya lebih rendah sedikit berbanding dengan perundingan teleperubatan berbayar.
Dalam keputusan Stiftung Warentest 2022 dari Jerman, kepuasan pengguna terhadap ModelDerm hanya lebih rendah sedikit berbanding dengan perundingan teleperubatan berbayar.
relevance score : -100.0%
ReferencesSeorang budak lelaki berusia 14 tahun hadir dengan sisik tebal berwarna kuning‑coklat pada kulit kepalanya, terutama di bahagian depan dan atas. Kawasan yang terjejas berwarna merah dan bersisik, disertai keguguran rambut tetapi tanpa parut. Ujian kulat menunjukkan hasil negatif.
A 14-year-old male patient presented with focal masses of thick, adherent, plate like, yellow-brown scales, attached to the hair shafts, predominantly affecting the fronto-parietal area and vertex of the scalp. The underlying scalp had thick, erythematous plaques with fine, non greasy, silvery-white scaling with noncicatricial alopecia. Potassium hydroxide examination of scales and hair and culture for fungus was negative.
A 14-year-old male patient presented with focal masses of thick, adherent, plate like, yellow-brown scales, attached to the hair shafts, predominantly affecting the fronto-parietal area and vertex of the scalp. The underlying scalp had thick, erythematous plaques with fine, non greasy, silvery-white scaling with noncicatricial alopecia. Potassium hydroxide examination of scales and hair and culture for fungus was negative.
The disease may be secondary to any skin condition that primarily affects the scalp, including seborrheic dermatitis. Its pathogenesis remains uncertain. We aim to analyze the epidemiological and clinical profiles of patients with pityriasis amiantacea to better understand treatment responses. We identified seven cases of pityriasis amiantacea and a female predominance in a sample of 63 pediatric patients with seborrheic dermatitis followed for an average of 20.4 months. We reported a mean age of 5.9 years. Five patients were female, with a mean age of 9 years. All patients were successfully treated with topic ketoconazole.
Pityriasis amiantacea menyebabkan kulit kepala dipenuhi sisik tebal berkilat. Sisik mengelilingi dan mengikat jumbai rambut. Keadaan ini boleh terhad kepada kawasan kecil atau meliputi seluruh kulit kepala. Alopecia sementara atau alopecia kekal mungkin berlaku akibat penarikan berulang rambut yang terikat pada sisik. Penyakit ini jarang ditemui.
○ Rawatan – Ubat OTC
*Agen keratolitik yang mengandungi urea boleh membantu melonggarkan sisik tebal.
#40% urea cream
*Gunakan syampu anti-kelemumur setiap hari.
#Ciclopirox shampoo
#Ketoconazole shampoo
#Fluocinolone shampoo
#Pyrithione zinc shampoo
#Selenium sulfide shampoo
*Sapukan steroid OTC topikal hanya pada kawasan kulit kepala yang gatal. Perlu diingat bahawa penggunaan berlebihan steroid pada kulit kepala boleh menyebabkan folikulitis.
#Hydrocortisone cream