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。
References
Pitted Keratolysis 是一个术语，用于描述表面细菌性皮肤感染，主要影响脚底而不是手掌。这种情况通常是由久坐球菌和棒状杆菌等细菌引起的。它通常最常发生在 21 至 30 岁的人群中，大多数人在 20 多岁或 30 多岁时经历过这种情况。男性患这种疾病的风险是男性的四倍，可能是因为更经常穿紧身、封闭的鞋子，而女性往往会保持更好的足部卫生。在此，我们介绍一名23岁患者的病例，他来我们医院主诉脚底，主要是脚趾周围出现凹陷性皮肤损伤，该皮肤损伤在过去三天一直存在。
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 是一种影响鞋底外层的皮肤状况，由细菌引起。一名 30 岁的男子的脚底有一些小的、被冲破的损伤。在更高的放大倍数（x 3,500）下，细菌在表面清晰可见，显示出细菌分裂的特定模式。
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.
这种情况相当常见，尤其是在军队中，长时间穿着湿鞋/靴子而不脱下/清洁。凹陷性角化松解症的诊断通常通过目视检查和识别特征气味来进行。凹陷性角化松解症的治疗需要在皮肤上使用抗生素，例如过氧化苯甲酰、克林霉素、红霉素、夫西地酸或莫匹罗星。预防工作的目的是保持足部干燥。
○ 治疗 - 非处方药
始终保持双脚和袜子干燥。尝试使用非处方抗生素软膏。在脚上使用洗手液也有帮助。
#Polysporin
#Bacitracin