Pompholyx
☆ Natiijooyinka Stiftung Warentest ee 2022 ee ka yimid Jarmalka, ku qanacsanaanta macaamilka ee ModelDerm ayaa waxyar uun ka hooseysay la-talinta telemedicine-ka ee lacagta lagu bixiyo.
Dyshidrotic dermatitis - Kiis daran oo gacmaha ku jira
Waxay u muuqataa in nabarku ku dhawaaday inuu soo roonaado.
Xaaladaha daran, waxay u muuqan kartaa finan leh cuncun daran.
References
Dyshidrotic eczema , oo sidoo kale loo yaqaan canbaarta palmoplantar ba'an, waa nooc caan ah oo maqaarka gacanta ah oo ku dhaca dadka waaweyn. Waxay ka kooban tahay 5-20% kiisaska maqaarka maqaarka gacanta. Xaaladdan waxaa lagu gartaa finan yaryar oo dareere ka buuxo oo ku yaal dhinacyada faraha iyo calaacalaha, oo ay sababaan bararka lakabka sare ee maqaarka. Mararka qaarkood, finankan ayaa isku milmi kara si ay u sameeyaan kuwo waaweyn, oo u eg 'tapioca pudding'. Xaaladaha daran, finanku waxay ku faafi karaan calaacasha gacanta oo dhan. Cilad-sheegiddu waxay caadi ahaan ku salaysan tahay fiirsashada kiliinikada ee finan soo noqnoqda oo nabaro ka soo baxay si lama filaan ah faraha una faafaya calaacalaha.
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.
Nin 31 jir ah ayaa booqday waaxda maqaarka isagoo leh taariikh 4-maalmood ah oo cuncun daran leh, nabaro toosan ah oo ku yaal calaacalaha labada gacmood. Waxa uu beryahanba la xidhiidhay qof ay is-daaqeen. Bukaanku waxa uu lahaa taariikhda canbaarta iyo neefta ilaa caruurnimadii laakiin lama kulmin wax hurdo ah markii uu qaangaadhay. Baaritaanka iyo falanqaynta micnaha yar-yar, finan yaryar ayaa la arkay iyada oo aan lahayn calaamado xabaal, caara, ama ukun. Baadhitaan horudhac ah oo ah pompholyx eczema ayaa la sameeyay, bukaanku wuxuu bilaabay isticmaalka corticosteroids jirka la mariyo oo khafiif ah. Si kastaba ha ahaatee, bukaanku wuxuu soo noqday 5 maalmood ka dib isagoo leh calaamado ka sii daraya iyo finan finan daran.
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
Xasaasiyadda, walbahaarka jirka ama maskaxda, gacmo-dhaqidda joogtada ah, ama biraha ayaa sii xumeeya cudurka. Cilad-sheegiddu waxay caadi ahaan ku salaysan tahay waxay u eegtahay iyo calaamadaha. Xaalado kale oo soo saara calaamado la mid ah waxaa ka mid ah cudurka psoriasis ee malaxda ah iyo isdaawaynta.
Daawaynta guud ahaan waxaa lagu daaweeyaa kareemka isteeroid. Kareemooyin isteeroodh oo xoog badan ayaa loo baahan karaa toddobaadka ugu horreeya ama labada toddobaad. Antihistamiinada waxaa loo isticmaali karaa in lagu caawiyo cuncunka.
○ Daawaynta - Daawooyinka OTC
Ha isticmaalin saabuun. Maadaama calaacalaha iyo calaacalaha ay leeyihiin maqaar qaro weyn, awoodda hoose ee boomaatada steroid OTC ayaa laga yaabaa inaysan waxtar lahayn. Qaadashada antihistamine-ka OTC sidoo kale way ku caawin kartaa.
#OTC steroid ointment
#OTC antihistamine
○ Daawaynta
#High potency steroid ointment
#Alitretinoin