Pompholyxhttps://en.wikipedia.org/wiki/Dyshidrosis
Pompholyx nyaéta jenis dermatitis nu dicirikeun ku bisul gatal dina dampal leungeun jeung dampal suku. Lepuh umumna ukuran hiji nepi ka dua milimeter sarta cageur salila tilu minggu. Sanajan kitu, éta sering kambuh deui. Redness teu biasana muncul. Kambuhna kasakit bisa ngakibatkeun fissures jeung thickening kulit.

Alérgi, setrés fisik atawa mental, sering cuci leungeun, atawa logam tiasa ngagedékeun panyakit. Diagnosis biasana dumasar kana penampilan jeung gejalana. Kaayaan séjén anu ngahasilkeun gejala anu sami kalebet psoriasis pustular sareng kudis.

Pangobatan umumna ngagunakeun krim stéroid. Krim stéroid kakuatan tinggi bisa jadi diperlukeun pikeun minggu kahiji atawa kadua. Antihistamines tiasa dianggo pikeun ngabantosan gatal‑gatal.

Perlakuan - Obat OTC
Ulah ngagunakeun 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
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  • Dyshidrotic dermatitis — Kasus parah dina panangan
  • Sigana lesi geus ampir ningkat.
  • Dina tahap kronis, patch scaly tiasa dititénan.
  • Lepuh jelas dibarengan ku gatel parna.
  • Palmar dyshidrosis — Tahap mesék
  • Dina kasus anu parna, éta bisa muncul salaku bisul jeung gatel parna.
References Dyshidrotic Eczema: A Common Cause of Palmar Dermatitis 33173645 
NIH
Dyshidrotic eczema, ogé katelah éksim palmoplantar akut, mangrupakeun tipe umum tina dermatitis leungeun di déwasa. Ieu nyumbang kana 5‑20 % kasus dermatitis leungeun. Kaayaan ieu dicirikeun ku lepuh leutik nu ngeusi cairan di sisi ramo jeung palem, disababkeun ku bareuh dina lapisan luar kulit. Sakapeung, lepuh ieu tiasa ngahiji jadi anu leuwih ageung, mirip 'puding tapioka'. Dina kasus parna, baruntus bisa nyebar ka sakabéh leungeun. Diagnosis biasana dumasar kana observasi klinis tina ruam nu ngulang jeung lepuh nu muncul dadakan di ramo sarta nyebar 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.
 Vesico-bullous rash caused by pompholyx eczema 22665876 
NIH
Lalaki 31 taun nganjang ka departemen dermatologi kalayan riwayat 4 dinten gatal‑gatal jeung lepuh linier dina dampal leungeun kadua. Anjeunna nembe kontak sareng jalma anu ngagaduhan kudis. Pasien ngagaduhan riwayat éksim jeung asma ti budak leutik, tapi henteu kantos ngalaman flare‑up nalika dewasa. Saatos pamariksaan jeung analisa mikroskopis, lepuh dititénan tanpa aya tanda‑tanda burrowing, mites, atawa endog. Diagnosis awal pompholyx eczema dilakukeun, sarta pasien mimitian ngagunakeun kortikosteroid topikal hampang. Sanajan kitu, pasien balik 5 poé sanggeusna kalayan gejala nu beuki parah 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