Pityriasis amiantacea
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References
Prišel je 14-letnik z debelimi rumeno-rjavimi luskami na lasišču, predvsem spredaj in na vrhu. Prizadeta območja so bila rdeča in luskasta, z izpadanjem las, vendar brez brazgotin. Testi na glivice so bili negativni.
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.
Pityriasis amiantacea je lahko posledica katere koli kožne bolezni, ki prizadene predvsem lasišče, na primer seborrheic dermatitis. Vendar nismo povsem prepričani, kako se začne. Naš cilj je preučiti vzorce med bolniki z pityriasis amiantacea , da bi razumeli, kako zdravljenje deluje bolje. Preverili smo 63 otrok z seborrheic dermatitis in našli sedem primerov pityriasis amiantacea , večinoma pri deklicah. V povprečju smo jih spremljali približno 20. 4 mesecev in ugotovili, da so stari okoli 5. 9 let. Med njimi je bilo pet deklet, povprečno starih 9 let. Vsi bolniki so bili uspešno zdravljeni s topikalnim ketokonazolom.
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.
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 prizadene lasišče kot sijoče debele luske. Luske obdajajo in vežejo šope las. Stanje je lahko lokalizirano ali pokriva celotno lasišče. Začasna alopecija in alopecija z brazgotinami se lahko pojavita zaradi večkratnega odstranjevanja dlačic, pritrjenih na lusko. Je redka bolezen.
○ Zdravljenje ― OTC zdravila
*Keratolitična sredstva, ki vsebujejo sečnino, lahko pomagajo pri zdravljenju debelih lusk.
#40% urea cream
* Vsak dan uporabljajte šampon proti prhljaju.
#Ciclopirox shampoo
#Ketoconazole shampoo
#Fluocinolone shampoo
#Pyrithione zinc shampoo
#Selenium sulfide shampoo
* Lokalne OTC steroide nanesite samo na srbeče predele lasišča. Zavedajte se, da lahko nanos preveč steroidov na lasišče povzroči folikulitis.
#Hydrocortisone cream