Pitted keratolysis - Pitted केराटोलाइसिस
☆ जर्मनीबाट 2022 Stiftung Warentest नतिजाहरूमा, ModelDerm सँग उपभोक्ता सन्तुष्टि सशुल्क टेलिमेडिसिन परामर्शको तुलनामा थोरै मात्र थियो।
धेरै खराब खाडलहरु संग एक खुट्टा को एकमात्र
यो Corynebacterium प्रजातिहरूको कारणले गर्दा गम्भीर गन्धको साथ हुन्छ।
References
Pitted Keratolysis एक सतह-स्तर ब्याक्टेरिया छाला संक्रमण को वर्णन गर्न को लागी प्रयोग गरिन्छ जुन मुख्यतया हत्केला को सट्टा खुट्टा को तलामा असर गर्छ। यो अवस्था प्रायः किटोकोकस सेडेन्टारियस र कोरीनेब्याक्टेरियम प्रजाति जस्ता ब्याक्टेरियाको कारणले हुन्छ। यो सामान्यतया प्रायः २१ देखि ३० वर्ष उमेरका व्यक्तिहरूमा हुन्छ, जसमा अधिकांशले २० वा ३० वर्षको उमेरमा यसको अनुभव गरिरहेका हुन्छन्। पुरुषहरू यस अवस्थाको विकासको चार गुणा बढी जोखिममा हुन्छन्, सम्भवतः कडा, बन्द जुत्ताहरू धेरै पटक लगाएका कारणले गर्दा, जबकि महिलाहरूले राम्रो खुट्टाको स्वच्छता कायम राख्छन्। यहाँ, हामी हाम्रो अस्पतालमा आएका 23 वर्षीय बिरामीको केस प्रस्तुत गर्दछौं जसले आफ्नो खुट्टाको तल्लो भागमा, मुख्यतया औंलाहरू वरिपरि पिटिएको छालाको घाउको गुनासो गरे, जुन विगत तीन दिनदेखि उपस्थित थियो।
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted keratolysis छालाको अवस्था हो जसले सोलको बाहिरी तहलाई असर गर्छ र ब्याक्टेरियाले गर्दा हुन्छ। एक ३० वर्षीय पुरुषको पाइलामा सानो, मुक्का आउट घाउहरू थिए। उच्च म्याग्निफिकेसन (x 3,500) अन्तर्गत, ब्याक्टेरियाहरू सतहमा स्पष्ट रूपमा देखिन्थ्यो, ब्याक्टेरिया विभाजनको विशिष्ट ढाँचा देखाउँदै।
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
अवस्था एकदम सामान्य छ, विशेष गरी सेनामा जहाँ भिजेको जुत्ता/जुत्ताहरू हटाई/सफाई नगरी लामो समयसम्म लगाइन्छ। pitted keratolysis को निदान अक्सर दृश्य परीक्षा र विशेषता गन्ध को मान्यता द्वारा बनाईएको छ। पिटेड केराटोलिसिसको उपचारको लागि छालामा एन्टिबायोटिक लागू गर्न आवश्यक छ जस्तै बेन्जोयल पेरोक्साइड, क्लिन्डामाइसिन, एरिथ्रोमाइसिन, फ्युसिडिक एसिड, वा मुपिरोसिन। रोकथाम प्रयासहरु खुट्टा सुक्खा राख्न को लागी लक्ष्य छ।
○ उपचार - ओटीसी ड्रग्स
आफ्नो खुट्टा र मोजा सधैं सुख्खा राख्नुहोस्। ओटीसी एन्टिबायोटिक मलम कोसिस गर्नुहोस्। आफ्नो खुट्टामा हात सेनिटाइजर प्रयोग गर्न पनि मद्दत गर्न सक्छ।
#Polysporin
#Bacitracin