Pompholyx - Pomfoliks
☆ Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
Dyshidrotic dermatitis ― Qo'llarda og'ir holat
Zarar deyarli yaxshilanganga o'xshaydi.
Og'ir holatlarda, qattiq qichishish bilan pufakchalar ko'rinishi mumkin.
References
Dyshidrotic eczema , shuningdek, o'tkir palmoplantar ekzema sifatida ham tanilgan, kattalardagi qo'l dermatitining keng tarqalgan turi. Qo'l dermatitining taxminan 5-20% ni tashkil qiladi. Bu holat terining tashqi qatlamida shish paydo bo'lishidan kelib chiqqan barmoqlar va kaftlarning yon tomonlarida suyuqlik bilan to'ldirilgan kichik pufakchalar bilan tavsiflanadi. Ba'zida bu pufakchalar birlashib, tapyoka pudingi ga o'xshab kattaroqlarini hosil qiladi. Og'ir holatlarda toshma butun kaft bo'ylab tarqalishi mumkin. Tashxis odatda barmoqlarda to'satdan paydo bo'ladigan va kaftlarga tarqaladigan pufakchalar bilan takrorlanadigan toshmalarning klinik kuzatuviga asoslanadi.
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.
31 yoshli erkak ikki qo‘l kaftida 4 kunlik kuchli qichishish, chiziqli pufakchalar bilan dermatologiya bo‘limiga murojaat qildi. U yaqinda qo'tir bilan kasallangan odam bilan aloqada bo'lgan. Bemorda bolalikdan ekzema va astma tarixi bor edi, lekin balog'at yoshida hech qanday alevlenmeni boshdan kechirmagan. Tekshiruv va mikroskopik tahlildan so'ng, pufakchalar chuqurchalar, oqadilar yoki tuxumlar belgilarisiz kuzatildi. Pompholyx eczema ning dastlabki tashxisi qo'yildi va bemor engil topikal kortikosteroidlarni qo'llashni boshladi. Biroq, bemor 5 kundan keyin yomonlashgan simptomlar va qattiq pufakchali toshmalar bilan qaytdi.
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
Allergenlar, jismoniy yoki ruhiy stress, tez-tez qo'l yuvish yoki metallar kasallikni kuchaytiradi. Tashxis odatda uning ko'rinishi va belgilariga asoslanadi. Shunga o'xshash simptomlarni keltirib chiqaradigan boshqa sharoitlar pustular psoriaz va qo'tirni o'z ichiga oladi.
Davolash odatda steroid kremi bilan amalga oshiriladi. Birinchi yoki ikki hafta davomida yuqori quvvatli steroid kremlari talab qilinishi mumkin. Qichishishni bartaraf etish uchun antigistaminlar qo'llanilishi mumkin.
○ Davolash ― OTC dori vositalari
Sovunni ishlatmang. Kaft va taglik terisi qalin bo'lganligi sababli, past quvvatli OTC steroid moylari samarali bo'lmasligi mumkin. OTC antigistaminini qabul qilish ham yordam berishi mumkin.
#OTC steroid ointment
#OTC antihistamine
○ Davolash
#High potency steroid ointment
#Alitretinoin