Pitted keratolysis - 足蹠蠹蝕症
腳掌有多個惡臭坑
伴隨著由Corynebacterium 物種引起的嚴重氣味。
References
Pitted Keratolysis 是一個術語，用於描述表面細菌性皮膚感染，主要影響腳底而不是手掌。這種情況通常是由久坐球菌和棒狀桿菌等細菌引起的。它通常最常發生在 21 至 30 歲的人群中，大多數人在 20 多歲或 30 多歲時經歷過這種情況。男性罹患這種疾病的風險是男性的四倍，可能是因為更常穿緊身、封閉的鞋子，而女性往往會保持更好的足部衛生。在此，我們介紹一名23歲患者的病例，他來我們醫院主訴腳底，主要是腳趾周圍出現凹陷性皮膚損傷，該皮膚損傷在過去三天一直存在。
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 是一種影響鞋底外層的皮膚狀況，由細菌引起。一名 30 歲的男子的腳底有一些小的、被沖破的損傷。在更高的放大倍率（x 3,500）下，細菌在表面清晰可見，顯示出細菌分裂的特定模式。
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.
這種情況相當常見，尤其是在軍隊中，長時間穿著濕鞋/靴子而不脫下/清潔。凹陷性角化松解症的診斷通常透過目視檢查和識別特徵氣味來進行。凹陷性角化松解症的治療需要在皮膚上使用抗生素，例如過氧化苯甲醯、克林黴素、紅黴素、夫西地酸或莫匹羅星。預防工作的目的是保持足部乾燥。
○ 治療 - 非處方藥
始終保持雙腳和襪子乾燥。嘗試使用非處方抗生素軟膏。在腳上使用洗手液也有幫助。
#Polysporin
#Bacitracin