Pompholyx
☆ Ninu awọn abajade 2022 Stiftung Warentest lati Jẹmánì, itẹlọrun alabara pẹlu ModelDerm jẹ kekere diẹ ju pẹlu awọn ijumọsọrọ telemedicine isanwo.
Dyshidrotic dermatitis - Ẹran ti o lagbara lori ọwọ
O dabi pe ọgbẹ naa ti fẹrẹ dara si.
Ni awọn iṣẹlẹ ti o lewu, o le han bi roro pẹlu nyún lile.
References
Dyshidrotic eczema , ti a tun mọ si eczema palmoplantar nla, jẹ iru dermatitis ọwọ ti o wọpọ ni awọn agbalagba. O jẹ nipa 5-20% awọn ọran ti dermatitis ọwọ. Ipo yii jẹ ifihan nipasẹ awọn roro kekere ti o kun omi-omi ni awọn ẹgbẹ ti awọn ika ọwọ ati awọn ọpẹ, ti o fa nipasẹ wiwu ni ipele ita ti awọ ara. Nigba miiran, awọn roro wọnyi le dapọ lati dagba awọn ti o tobi, ti o dabi 'tapioca pudding'. Ni awọn iṣẹlẹ ti o lewu, sisu le tan kaakiri gbogbo ọpẹ ti ọwọ. Ayẹwo aisan jẹ igbagbogbo da lori akiyesi ile-iwosan ti sisu loorekoore pẹlu awọn roro ti o han lojiji lori awọn ika ọwọ ati ti ntan si awọn ọpẹ.
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.
Ọkunrin ẹni ọdun 31 kan ṣabẹwo si ẹka iṣẹ nipa iwọ-ara pẹlu itan-ọjọ mẹrin-ọjọ ti nyún lile, awọn roro laini lori awọn ọpẹ ti ọwọ mejeeji. Laipẹ o ti ni olubasọrọ pẹlu eniyan ti o ni scabies. Alaisan naa ni itan-itan ti àléfọ ati ikọ-fèé lati igba ewe ṣugbọn ko ni iriri eyikeyi ifunpa ni agba. Lẹhin idanwo ati itupalẹ airi, awọn roro ni a ṣe akiyesi laisi eyikeyi ami ti burrowing, mites, tabi ẹyin. A ṣe ayẹwo ayẹwo akọkọ ti pompholyx eczema , ati pe alaisan bẹrẹ lilo awọn corticosteroids ti agbegbe kekere. Sibẹsibẹ, alaisan naa pada ni awọn ọjọ marun 5 lẹhinna pẹlu awọn ami aisan ti o buru si ati sisu roro nla kan.
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
Awọn nkan ti ara korira, aapọn ti ara tabi ti ọpọlọ, fifọ ọwọ loorekoore, tabi awọn irin ṣe alekun arun na. Aisan ayẹwo jẹ igbagbogbo da lori ohun ti o dabi ati awọn ami aisan naa. Awọn ipo miiran ti o ṣe iru awọn aami aisan pẹlu pustular psoriasis ati scabies.
Itọju jẹ gbogbogbo pẹlu ipara sitẹriọdu. Awọn ipara sitẹriọdu agbara giga le nilo fun ọsẹ akọkọ tabi meji. Awọn antihistamines le ṣee lo lati ṣe iranlọwọ pẹlu itun.
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