Pitted keratolysis - Pitted Keratolys
☆ I Stiftung Warentest-resultaten 2022 från Tyskland var konsumentnöjdheten med ModelDerm bara något lägre än med betalda telemedicinkonsultationer.
En fotsula med flera illaluktande gropar
Det åtföljs av en allvarlig lukt orsakad av Corynebacterium arter.
References
Pitted Keratolysis är en term som används för att beskriva en bakteriell hudinfektion på ytan som främst drabbar fotsulorna snarare än handflatorna. Detta tillstånd orsakas ofta av bakterier som Kytococcus sedentarius och Corynebacterium-arter. Det förekommer vanligtvis oftast hos individer i åldrarna 21 till 30, och majoriteten upplever det i 20- eller 30-årsåldern. Män löper en fyra gånger högre risk att utveckla detta tillstånd, troligen på grund av att de oftare bär åtsittande, stängda skor, medan kvinnor tenderar att upprätthålla bättre fothygien. Här presenterar vi fallet med en 23-årig patient som kom till vårt sjukhus och klagade över urkärnade hudskador på botten av foten, främst runt tårna, som hade funnits under de senaste tre dagarna.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted Keratolysis is a descriptive title for a superficial bacterial skin infection that affects the soles of the foot, less frequently, the palms confined to the stratum corneum. The etiology is often attributes due to Kytococcus sedentarius and Corynebacterium species bacteria. Pitted keratolysis is most common in the age group of 21 to 30 years, with a majority of affected patients in their 1st to 4th decade of life. Males are at 4 times higher risk of being susceptible to this condition, presumably, due to frequent use of occlusive footwear, whereas females maintain better foot hygiene. We present a case of a 23-year-old medical intern who presented to our hospital with complaints of pitted skin lesion over base of foot, predominantly over toes for past 3 days.
Pitted keratolysis är en hudsjukdom som påverkar det yttre lagret av sulan och som orsakas av bakterier. En 30-årig man hade små, utstansade skador på sulan. Under högre förstoring (x 3 500) var bakterier tydligt synliga på ytan, vilket visade ett specifikt mönster av bakteriedelning.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. A 30-year-old male presented with small punched-out lesions on the plantar surface. A superficial shaving was carried out for scanning electron microscopy. Hypokeratosis was noted on the plantar skin and in the acrosyringium, where the normal elimination of corneocytes was not seen. At higher magnification (x 3,500) bacteria were easily found on the surface and the described transversal bacterial septation was observed.
Tillståndet är ganska vanligt, särskilt inom militären där blöta skor/stövlar bärs under längre perioder utan att ta bort/städa. Diagnosen pitted keratolysis görs ofta genom visuell undersökning och igenkänning av den karakteristiska lukten. Behandling av pitted keratolysis kräver applicering av antibiotika på huden såsom bensoylperoxid, klindamycin, erytromycin, fusidinsyra eller mupirocin. Förebyggande insatser syftar till att hålla fötterna torra.
○ Behandling ― OTC-läkemedel
Håll alltid dina fötter och strumpor torra. Prova en OTC-antibiotisk salva. Att använda handsprit på fötterna kan också hjälpa.
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