Pitted keratolysis - 窝状角质松解症
脚掌有多个恶臭坑
伴有由Corynebacterium 物种引起的严重气味。
relevance score : -100.0%
ReferencesPitted Keratolysis 是一种用于描述表面细菌性皮肤感染的术语，主要影响脚底而非手掌。该病通常由久坐球菌、棒状杆菌等细菌引起。发病高峰在 21 至 30 岁人群中，大多数患者在 20 多岁或 30 多岁时曾经历过此病。男性的发病风险约为女性的四倍，可能与男性更常穿紧身、封闭的鞋子有关；而女性往往保持较好的足部卫生。下面介绍一例 23 岁患者的病例：该患者因脚底，尤其是脚趾周围出现凹陷性皮肤损伤前来我院就诊，症状已持续三天。
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 是一种影响足底外层皮肤的状况，由细菌引起。一名 30 岁男子的脚底出现了若干小的破溃损伤。在更高的放大倍率（×3,500）下，细菌在表面可清晰观察到，呈现出特定的分裂模式。
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.
该病在军队等人群中较为常见，因长时间穿湿鞋/靴且不及时更换或清洁。诊断主要依靠目视检查并辨认特有的气味。
治疗通常在患处涂抹抗菌药物，如过氧化苯甲酰、克林霉素、红霉素、夫西地酸或莫匹罗星。预防的关键是保持足部干燥。
○ 治疗 - 非处方药
保持双脚和袜子干燥。可使用非处方抗菌软膏，亦可在脚部涂抹洗手液以帮助控制症状。
#Polysporin
#Bacitracin