Pompholyx
☆ Dina hasil Stiftung Warentest 2022 ti Jerman, kapuasan konsumen sareng ModelDerm ngan ukur langkung handap tibatan konsultasi telemedicine anu mayar.
Dyshidrotic dermatitis ― Kasus parah dina panangan
Sigana nu lesion geus ampir ningkat.
Dina kasus parna, éta bisa muncul salaku bisul jeung itching parna.
References
Dyshidrotic eczema , ogé katelah éksim palmoplantar akut, mangrupakeun tipe umum tina dermatitis leungeun di déwasa. Éta ngeunaan 5-20% kasus dermatitis leungeun. Kaayaan ieu dicirikeun ku lepuh leutik anu ngeusi cairan dina sisi ramo sareng palem, disababkeun ku bareuh dina lapisan luar kulit. Sakapeung, lepuh ieu tiasa ngahiji ngabentuk anu langkung ageung, nyarupaan 'puding tapioka'. Dina kasus parna, baruntus bisa nyebarkeun sakuliah sakabéh lontar leungeun. Diagnosis biasana dumasar kana observasi klinis tina ruam anu ngulang sareng lepuh muncul ngadadak dina ramo sareng nyebarkeun ka palem.
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.
Lalaki 31 taun nganjang ka departemen dermatologi kalayan riwayat 4 dinten gatal-gatal, lepuh linier dina dampal leungeun kadua. Anjeunna nembe parantos kontak sareng jalma anu ngagaduhan kudis. Pasién ngagaduhan riwayat éksim sareng asma saprak budak leutik tapi henteu kantos ngalaman flare-up nalika dewasa. Saatos pamariksaan sareng analisa mikroskopis, lepuh dititénan tanpa aya tanda-tanda burrowing, mites, atanapi endog. Diagnosis awal pompholyx eczema dilakukeun, sareng pasien mimitian nganggo kortikosteroid topikal hampang. Sanajan kitu, sabar balik 5 poé sanggeusna kalayan gejala worsening sarta baruntus blistering parna.
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
Alérgi, setrés fisik atanapi mental, sering cuci tangan, atanapi logam ngagedékeun panyakit. Diagnosis biasana dumasar kana naon rupana sareng gejalana. Kaayaan sanésna anu ngahasilkeun gejala anu sami kalebet psoriasis pustular sareng kudis.
Pangobatan umumna nganggo krim stéroid. Creams stéroid kakuatan tinggi bisa jadi diperlukeun pikeun minggu kahiji atawa dua. Antihistamines tiasa dianggo pikeun ngabantosan gatal-gatal.
○ Perlakuan - Narkoba OTC
Ulah make sabun. Kusabab palem jeung dampal suku boga kulit kandel, low potency OTC stéroid ointments bisa jadi teu éféktif. Nyandak antihistamin OTC ogé tiasa ngabantosan.
#OTC steroid ointment
#OTC antihistamine
○ Perlakuan
#High potency steroid ointment
#Alitretinoin