Pityriasis amiantacea
☆ 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 berumur 14 tahun datang dengan sisik tebal berwarna kuning‑coklat pada kulit kepalanya, terutamanya di bahagian depan dan atas. Kawasan yang terjejas berwarna merah dan bersisik, dengan keguguran rambut tetapi tiada parut. Ujian kulat adalah 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 sisik tebal berkilat pada kulit kepala. Sisik mengelilingi dan mengikat jumbai rambut. Keadaan ini boleh menjadi setempat atau meliputi seluruh kulit kepala. Alopecia sementara dan alopecia kekal mungkin berlaku akibat penarikan berulang rambut yang melekat pada skala. Ia adalah penyakit yang jarang berlaku.
○ Rawatan – Ubat OTC
*Agen keratolitik yang mengandungi urea boleh membantu merawat skala 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 yang gatal pada kulit kepala. Perlu diingat bahawa penggunaan terlalu banyak steroid pada kulit kepala boleh menyebabkan folikulitis.
#Hydrocortisone cream