Dyshidrosis, is a type of dermatitis, that is characterized by itchy blisters on the palms of the Advanced stage of palmar dyshidrosis on the palm showing cracked and peeling skin . "Increase in vesicular hand eczema after house dust mite inhalation provocation: a double-blind, placebo-controlled, cross-over study" (PDF). View Table|Favorite Table|Download .pdf) Keratolysis exfoliativa (recurrent focal palmar peeling) is a chronic, asymptomatic, and noninflammatory peeling of . Dermatitis dishidrosis disebut juga pompholyx, yang diambil dari istilah dapat menginisiasi munculnya vesikel-vesikel di daerah palmar/plantar. .. Dermatitis Kontak Iritan Kronis pada Pegawai Juni pdf · Kata kunci.
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Mar 9, DISHIDROSIS PALMAR PDF - Recurrent focal palmar peeling (or keratolysis exfoliative). Dyshidrosiform bullous pemphigoid. Acropustulosis of. Jun 29, In some patients, a distant fungal infection can cause palmar pompholyx as an id reaction. In one study, one third of pompholyx occurrences on. Dyshidrotic eczema on a patient's palm: The tiny, deep-seated blisters are often very itchy. Dyshidrotic eczema: Overview. DE causes itchy, dry skin.
By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Abstract Background Previously known as dyshidrosis, recurrent vesicular palmoplantar dermatitis RVPD is presented as severe eruption of nonerythematous, symmetrical vesicles or bullae located along the lateral sides of fingers, on the palmar or plantar areas, and developing into a chronic and recurrent condition. Although very frequently observed on the hands, there are no specific studies about such eczema in children and adolescents. Objectives To report on the RVPD clinical profile in children and adolescents, and monitor the association of RVPD with seasonal variations, hyperhidrosis, atopy and nickel sulfate. Materials and methods Eighteen patients affected by RVPD were submitted to clinical and laboratory assessment through anamnesis, physical exam, mycological exam, patch test, complete blood count and serum IgE levels.
The course of this disease may range from mild or may progress to a severe debilitating disease and can occur at intervals of 3 or 4 weeks for months or years, or at long irregular intervals. Much like other forms of eczema, this is a benign, chronic, inflammatory disease that causes a decline in the quality of life rather than impacting survival. Most cases are idiopathic and, for severe cases, there are few effective treatment options[ 1 — 3 ].
Because it is so common a disease, very few studies have reported focusing on the relevance to the immune response in situ. This case report's focal point is to contribute to filling this gap in knowledge.
The patient also reported a distant, possible past clinical diagnosis of lupus erythematosus and rheumatoid arthritis RA , which have not been confirmed by proper examination.
The hand and foot rash initially presented in The patient was treated unsuccessfully by several physicians with terbinafine hydrochloride. In August, , the patient re-presented to a second dermatology practice.
The physical exam revealed the presence of several hyperpigmented macules and a few patches, in addition to tense microvesicles observed on the palms and soles. Laboratory analysis of the presentation included a normal potassium hydroxide KOH test normal, thiopurine methyltransferase The red blood cell distribution width, RDW was slightly elevated at Several causes were suggested and investigated.
The most significant possibilities were: fungal infections, autosensitization dermatitis dermatophyte infections , hyperhidrosis, pharmaceutical drugs, contact allergy and atopy. It may occur at any age and is more often observed in young adults patients aged 20—40 years.
By analyzing the data collected from the age group of children and adolescents, we found a lack of research in the field or very limited specific studies on the subject. Materials and methods A cross-sectional observational study was performed at the Pediatric Dermatology Ambulatory of the Institute of Pediatrics clinic of the Federal University of Rio de Janeiro between the years and Patients with a range of 5 months to 18 years and with a presumptive diagnosis of RVPD were included in the study.
The diagnosis was based on the following strict criteria to recognize RVPD: eruption of symmetrical vesicles or bullae of nonerythematous base, self-limited and recurrent; involution as the lesions undergo a fine desquamation in form of halo, exclusively located on palms, soles and inner sides of the fingers; and occasionally associated pruritus.
A complete blood count test was taken to evaluate eosinophilia.
When the parasitological stool sample examination yielded at least three negative results, it was considered a minor criterion for atopic status. Readings were taken at 48 and hours. Collected data included: phototype, sex, age, seasonal variations, hyperhidrosis, individual and family history of atopy, atopic stigmas and exposure to nickel sulfate jewelry and dental braces.
Primary hyperhidrosis was characterized by visible and focal excessive sweating of unknown causes for at least 6 months, associated with at least two of the following aspects: bilateral and symmetrical form, more than one occurrence a week, onset before 25 years of age, positive family history, ceasing of sweating effect during sleep, absence of interference from outside temperature or triggered by stress.
Diagnosis of atopic status was defined by the following criteria: stigmas eczematide-like, Dennies—Morgan fold, dark circles, atopic palms and diffuse xerosis , individual or family history allergic rhinitis, asthmatic bronchitis and atopic eczema , elevated serum immunoglobulin E IgE level or eosinophilia.
Three groups of atopic status have been established: 1 patients with atopic family history, 2 presence of stigmas and 3 patients with atopic family history and elevated IgE level. Ethics committee The University Hospital Research Ethics Committee approved the protocol number , and as this research involves patients under the legal age for consent for research 3—16 years , the parents or legal guardians of all the participants provided written informed consent on their behalf.