๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
DYSHIDROTIC ECZEMATOUS DERMATITIS
DYSHIDROTIC ECZEMATOUS DERMATITISย ย ICD-10: L30.1
โข Dyshidrotic eczema is a special vesicular type of hand and foot dermatitis. Acute, chronic, or recurrent dermatosis of the fingers, palms, and soles.
โข Sudden onset of many deep-seated pruritic, clear โtapioca-likeโ vesicles (Fig. 2-20).
โข Large bullae can occur (pompholyx).
โข Later scaling fissures and lichenification.
โข Itching, when erosive painful.
โข Secondary bacterial infection: pustules, cellulitis, lymphangitis, and painful lymphadenopathy.
โข Recurrent attacks are the rule.
โข Treatment: topical high-potency corticosteroids, intralesional triamcinolone 3 to 5 mg/mL for small areas; in severe cases, a short course of prednisone: starting with 1 mg/kg and tapering over 2 to 3 weeks; systemic antibiotics for secondary infections. Also phototherapy, cyclosporine, methotrexate.
Synonyms: Pompholyx, vesicular palmar eczema.
A
B
FIGURE 2-20 โข Dyshidrotic eczematous dermatitisโConfluent tapioca-like vesicles on the lateral aspects of fingers (A) and finger webs and dorsa (B).