Pompholyx
☆ Liphethong tsa 2022 Stiftung Warentest tse tsoang Jeremane, khotsofalo ea bareki ka ModelDerm e ne e le tlase hanyane ho feta lipuisano tse lefelloang tsa telemedicine.
Dyshidrotic dermatitis ― Nyeoe e matla matsohong
Ho bonahala eka leqeba le se le batla le ntlafala.
Maemong a matla, e ka hlaha e le machali a nang le ho hlohlona ho matla.
References
Dyshidrotic eczema , e tsejoang hape e le acute palmoplantar eczema, ke mofuta o tloaelehileng oa dermatitis ea letsoho ho batho ba baholo. E etsa hoo e ka bang 5-20% ea linyeoe tsa dermatitis ea letsoho. Boemo bona bo khetholloa ke likhahla tse nyenyane tse tletseng mokelikeli mahlakoreng a menoana le liatla, tse bakoang ke ho ruruha ha karolo e ka ntle ea letlalo. Ka linako tse ling, mahlaseli ana a ka kopana ho etsa a maholoanyane, a tšoanang le 'tapioca pudding'. Maemong a boima, lekhopho le ka hasana ho pholletsa le letsoho lohle la letsoho. Hangata tlhahlobo e ipapisitse le tlhokomeliso ea kliniki ea lekhopho le iphetang le nang le makhopho a hlahang ka tšohanyetso menoaneng mme a namela liatleng.
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.
Monna ea lilemo li 31 o ile a etela lefapha la dermatology ea nang le nalane ea matsatsi a 4 ea ho hlohlona ho matla, marako a mela liatleng tsa matsoho ka bobeli. O ne a sa tsoa kopana le motho ea tšoeroeng ke lekhopho. Mokuli o ne a e-na le pale ea eczema le asthma ho tloha bongoaneng empa o ne a e-s'o ka a ba le bothata leha e le bofe ha a se a le moholo. Ka mor'a ho hlahlojoa le ho hlahlojoa ka microscopic, li-blister li ile tsa bonoa ntle le matšoao a ho phunya, mite kapa mahe. Ho ile ha etsoa tlhahlobo ea pele ea pompholyx eczema , 'me mokuli a qala ho sebelisa li-topical corticosteroids tse bonolo. Leha ho le joalo, mokuli o ile a khutla ka mor'a matsatsi a 5 a e-na le matšoao a ntseng a mpefala le lekhopho le matla la ho phatloha.
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
Likokoana-hloko, khatello ea kelello ea 'mele kapa ea kelello, ho hlatsoa matsoho khafetsa, kapa litšepe li mpefatsa lefu lena. Hangata tlhahlobo e ipapisitse le hore na e shebahala joang le matšoao. Maemo a mang a hlahisang matšoao a tšoanang a kenyelletsa pustular psoriasis le scabies.
Kalafo ka kakaretso e etsoa ka steroid cream. Ho ka hlokahala litlolo tse matla tsa steroid bakeng sa beke ea pele kapa tse peli. Li-antihistamine li ka sebelisoa ho thusa ka ho hlohlona.
○ Kalafo - Lithethefatsi tsa OTC
U se ke ua sebelisa sesepa. Kaha liatla le soles li na le letlalo le teteaneng, mafura a tlaase a OTC steroid a ka 'na a se ke a sebetsa. Ho nka antihistamine ea OTC le hona ho ka thusa.
#OTC steroid ointment
#OTC antihistamine
○ Kalafo
#High potency steroid ointment
#Alitretinoin