Pompholyx
☆ Katika matokeo ya 2022 ya Stiftung Warentest kutoka Ujerumani, kuridhika kwa watumiaji na ModelDerm kulikuwa chini kidogo kuliko na mashauriano ya matibabu ya simu yanayolipishwa.
Dyshidrotic dermatitis ― Kesi kali kwenye mikono
Inaonekana kwamba kidonda karibu kuboreshwa.
Katika hali mbaya, inaweza kuonekana kama malengelenge na kuwasha kali.
References
Dyshidrotic eczema , pia inajulikana kama eczema ya palmoplantar kali, ni aina ya kawaida ya ugonjwa wa ngozi kwa watu wazima. Hufanya kuhusu 5-20% ya matukio ya ugonjwa wa ngozi ya mkono. Hali hii ina sifa ya malengelenge madogo yaliyojaa maji kwenye pande za vidole na mitende, ambayo husababishwa na uvimbe kwenye safu ya nje ya ngozi. Wakati mwingine, malengelenge haya yanaweza kuungana na kuunda makubwa zaidi, yanayofanana na 'tapioca pudding'. Katika hali mbaya, upele unaweza kuenea kwenye kiganja chote cha mkono. Utambuzi kwa kawaida hutegemea uchunguzi wa kimatibabu wa upele unaojirudia na malengelenge kutokea ghafla kwenye vidole na kuenea kwenye viganja.
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.
Mwanamume mwenye umri wa miaka 31 alitembelea idara ya ngozi akiwa na historia ya siku 4 ya kuwashwa sana, malengelenge ya mstari kwenye viganja vya mikono yote miwili. Hivi karibuni alikuwa amewasiliana na mtu ambaye alikuwa na scabies. Mgonjwa alikuwa na historia ya ukurutu na pumu tangu utotoni lakini hakuwa na uzoefu wowote wa kuwaka katika utu uzima. Baada ya uchunguzi na uchambuzi wa microscopic, malengelenge yalionekana bila ishara yoyote ya kuchimba, sarafu, au mayai. Uchunguzi wa awali wa pompholyx eczema ulifanywa, na mgonjwa akaanza kutumia kotikosteroidi zisizo kali za topical. Walakini, mgonjwa alirudi siku 5 baadaye akiwa na dalili mbaya na upele mkali wa malengelenge.
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
Allergens, mkazo wa kimwili au kiakili, kunawa mikono mara kwa mara, au metali huzidisha ugonjwa huo. Utambuzi kawaida hutegemea jinsi inavyoonekana na dalili. Hali nyingine zinazotoa dalili zinazofanana ni pamoja na pustular psoriasis na scabies.
Matibabu kwa ujumla hufanywa na cream ya steroid. Mafuta yenye nguvu ya juu yanaweza kuhitajika kwa wiki ya kwanza au mbili. Antihistamines inaweza kutumika kusaidia na kuwasha.
○ Matibabu - Dawa za OTC
Usitumie sabuni. Kwa kuwa viganja na nyayo vina ngozi nene, marhamu ya steroid ya OTC yenye uwezo mdogo yanaweza yasiwe na ufanisi. Kuchukua antihistamine ya OTC pia kunaweza kusaidia.
#OTC steroid ointment
#OTC antihistamine
○ Matibabu
#High potency steroid ointment
#Alitretinoin