Pityriasis amiantacea
☆ Kwiziphumo zika-2022 ze-Stiftung Warentest ezivela eJamani, ukwaneliseka kwabathengi ngeModelDerm bekungaphantsi kancinci kunokubonisana nge-telemedicine ehlawulweyo.
References
Kwafika inkwenkwana eneminyaka eli-14 ubudala inamaxolo angqindilili, atyheli-mdaka entloko, ingakumbi ngaphambili nangaphezulu. Iindawo ezichaphazelekayo zazibomvu kwaye zine-scaly, zineenwele ezilahlekileyo kodwa zingenazibazi. Uvavanyo lokungunda lwalungenayo.
A 14-year-old male patient presented with focal masses of thick, adherent, plate like, yellow-brown scales, attached to the hair shafts, predominantly affecting the fronto-parietal area and vertex of the scalp. The underlying scalp had thick, erythematous plaques with fine, non greasy, silvery-white scaling with noncicatricial alopecia. Potassium hydroxide examination of scales and hair and culture for fungus was negative.
A 14-year-old male patient presented with focal masses of thick, adherent, plate like, yellow-brown scales, attached to the hair shafts, predominantly affecting the fronto-parietal area and vertex of the scalp. The underlying scalp had thick, erythematous plaques with fine, non greasy, silvery-white scaling with noncicatricial alopecia. Potassium hydroxide examination of scales and hair and culture for fungus was negative.
The disease may be secondary to any skin condition that primarily affects the scalp, including seborrheic dermatitis. Its pathogenesis remains uncertain. We aim to analyze the epidemiological and clinical profiles of patients with pityriasis amiantacea to better understand treatment responses. We identified seven cases of pityriasis amiantacea and a female predominance in a sample of 63 pediatric patients with seborrheic dermatitis followed for an average of 20.4 months. We reported a mean age of 5.9 years. Five patients were female, with a mean age of 9 years. All patients were successfully treated with topic ketoconazole.
I- pityriasis amiantacea ichaphazela isikhumba sentloko njengamaxolo ashinyeneyo abengezelayo. Izikali zijikeleza kwaye zibophelela phantsi iinwele zeenwele. Imeko inokuthi ibekwe kwindawo okanye igubungele phezu kwe-scalp yonke. I-alopecia yesikhashana kunye ne-scarring alopecia ingenzeka ngenxa yokususwa ngokuphindaphindiweyo kweenwele ezifakwe kwisikali. Sisifo esingaqhelekanga.
○ Unyango ― OTC Amachiza
*Iiarhente zeKeratolytic eziqulathe urea zinganceda ukunyanga isikali esishinyeneyo.
#40% urea cream
*Sebenzisa ishampu yokunqanda inkwethu yonke imihla.
#Ciclopirox shampoo
#Ketoconazole shampoo
#Fluocinolone shampoo
#Pyrithione zinc shampoo
#Selenium sulfide shampoo
*Faka ii-topical OTC steroids kuphela kwiindawo ezirhawuzelelwa yintlonze. Qaphela ukuba ukusebenzisa i-steroid kakhulu kwi-scalp kunokubangela i-folliculitis.
#Hydrocortisone cream