Pompholyx
☆ I le 2022 Stiftung Warentest i'uga mai Siamani, o le fa'amalieina o tagata fa'atau i ModelDerm sa na'o sina maualalo ifo nai lo fa'atalanoaga telemedicine totogi.
Dyshidrotic dermatitis ― O se mataupu ogaoga i lima
E foliga mai ua toetoe lava a lelei le manua.
I tulaga ogaoga, e mafai ona foliga mai e pei o mafo ma mageso ogaoga.
References
Dyshidrotic eczema , e lauiloa foi o le acute palmoplantar eczema, o se ituaiga masani o lima lima i tagata matutua. E tusa ma le 5-20% o mataupu o le dermatitis lima. O lenei tulaga e faʻaalia i ni maʻi paʻu laiti e tumu i le vai i itu o tamatamailima ma alofilima, e mafua mai i le fula i le pito i fafo o le paʻu. O nisi taimi, e mafai ona tu'ufa'atasia ia ma'i ma'i e fa'atupu tele, e pei o le 'pudding tapioka'. I tulaga ogaoga, e mafai ona sosolo le mageso i luga o le alofilima atoa. Ole su'esu'ega e masani lava ona fa'avae ile va'aiga ile falema'i ole fa'amata'u faifaipea ma ma'i pa'u fa'afuase'i ile tamatamai lima ma sosolo atu ile alofilima.
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.
O se alii e 31-tausaga le matua na asiasi atu i le matagaluega o dermatology ma le 4-aso talaʻaga o le matua mageso, laina laina i luga o alofilima o lima uma. E le'i leva atu ona ia feiloa'i ma se tagata na maua i le pala. O le tagata ma'i sa i ai se tala'aga o le eczema ma le sela talu mai lona la'ititi ae e le'i o'o lava i se fa'amumu i le matua. I le su'esu'ega ma le su'esu'ega fa'apitonu'u, na va'aia le ma'i ma'i e aunoa ma ni fa'ailoga o le fa'aliu, mite, po'o fuamoa. Na faia se su'esu'ega muamua o le pompholyx eczema , ma na amata ona fa'aaoga e le tagata ma'i ni vaila'au fa'aonaponei. Ae ui i lea, na toe foʻi le tagata maʻi i le 5 aso mulimuli ane ma faʻalavelave faʻaʻailoga ma se mageso ogaoga.
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
Allergens, fa'alavelave fa'aletino po'o le mafaufau, fufuluina soo lima, po'o metala e fa'ateleina ai le fa'ama'i. Ole su'esu'ega e masani lava ona fa'atatau ile foliga ma fa'ailoga. O isi tulaga e maua ai fa'ailoga tutusa e aofia ai le pustular psoriasis ma scabies.
O togafitiga e masani lava ile kulimi steroid. E ono mana'omia ni kulimi steroid malosi maualuga mo le vaiaso muamua pe lua. E mafai ona fa'aoga antihistamines e fesoasoani ai i le ma'i.
○ Togafitiga ― OTC Drugs
Aua le faaaogaina fasimoli. Talu ai e mafiafia le pa'u o alofilima ma alofilima, atonu e le aoga le suau'u steroid ole OTC. E mafai fo'i ona fesoasoani le inuina o se antihistamine OTC.
#OTC steroid ointment
#OTC antihistamine
○ Togafiti
#High potency steroid ointment
#Alitretinoin