Pompholyx - Ekzema Dishidrotik
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Dyshidrotic dermatitis ― Kes teruk di tangan
Nampaknya lesi hampir pulih.
Dalam kes yang teruk, ia boleh kelihatan seperti lepuh dengan kegatalan yang teruk.
relevance score : -100.0%
ReferencesDyshidrotic eczema, juga dikenali sebagai ekzema palmoplantar akut, adalah sejenis dermatitis tangan yang biasa di kalangan orang dewasa. Ia merangkumi kira-kira 5‑20 % daripada kes dermatitis tangan. Keadaan ini dicirikan oleh lepuh kecil berisi cecair pada sisi jari dan tapak tangan, disebabkan oleh bengkak pada lapisan luar kulit. Kadang‑kadang, lepuh ini boleh bergabung membentuk yang lebih besar, menyerupai 'puding tapioka'. Dalam kes yang teruk, ruam boleh merebak ke seluruh tapak tangan. Diagnosis biasanya dibuat berdasarkan pemerhatian klinikal ruam berulang dengan lepuh yang muncul secara tiba‑tiba pada jari dan merebak ke tapak tangan.
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.
Seorang lelaki berusia 31 tahun melawat jabatan dermatologi dengan sejarah 4 hari gatal‑gatal teruk dan lepuh linear pada tapak kedua‑dua tangan. Dia baru‑baru ini berhubung dengan orang yang menghidap kudis. Pesakit mempunyai sejarah ekzema dan asma sejak zaman kanak‑kanak, tetapi tidak mengalami sebarang serangan pada masa dewasa. Selepas pemeriksaan dan analisis mikroskopik, lepuh diperhatikan tanpa sebarang tanda‑tanda lubang, hama, atau telur. Diagnosis awal pompholyx eczema telah dibuat, dan pesakit mula menggunakan kortikosteroid topikal ringan. Walau bagaimanapun, pesakit kembali 5 hari kemudian dengan gejala yang semakin teruk serta ruam melepuh yang lebih teruk.
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
Alergen, tekanan fizikal atau mental, kerap mencuci tangan, atau pendedahan kepada logam boleh memburukkan keadaan. Diagnosis biasanya berdasarkan rupa dan simptomnya. Keadaan lain yang menghasilkan gejala yang sama termasuk psoriasis pustular dan kudis.
Rawatan biasanya melibatkan krim steroid. Krim steroid berkuasa tinggi mungkin diperlukan selama satu atau dua minggu pertama. Antihistamin boleh digunakan untuk mengurangkan kegatalan.
○ Rawatan - Ubat OTC
Elakkan penggunaan sabun. Memandangkan tapak tangan dan kaki mempunyai kulit yang tebal, salap steroid OTC berpotensi rendah mungkin tidak berkesan. Mengambil antihistamin OTC juga boleh membantu.
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○ Rawatan
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