Pompholyx, (Dyshidrotic Ezcema) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Pompholyx (Dyshidrotic Eczema), Diagnosis and Treatment and Related Diseases
Pompholyx (Dyshidrotic eczema) is a disorder in which small blisters form on the hands and feet.
Pompholyx derives from the Greek word for bubble.
Small, very itchy blisters on the palms and along the sides of the fingers could indicate dyshidrotic eczema.
These blisters will occur intermittently over time because there is no cure.
But the patient can treat them with medicine, moisturizers, and good hygiene.
They might begin to taper off once the patient reaches middle age.
And if the patient has a mild case, it could ultimately go away on its own.
Causes
The exact cause is not known.
The disorder appears to occur during certain times of the year.
Doctors suggested that the cause entailed a complex immunological procedure which required complement, myeloperoxidase (a lysosomal protein stored in azurophilic granules of the neutrophil) and T cells.
There are a number of often recognized irritating factors such as emotional stress, allergic contact dermatitis and allergens such as chromate, neomycin or nickel.
There is a link with atopy and tinea pedis but both pompholyx and tinea pedis tendency to occur with sweaty feet is not proven.
A genetic form has been found.
HIV infection and treatment of HIV-infected patients with antiretroviral therapy (ART) have both been related, together with intravenous immunoglobulin therapy
Several things can trigger dyshidrotic eczema such as:
1.Stress
2.Contact with metals like nickel, cobalt, or chromium salts on the job or from things like wearing costume jewelry
3.Sweaty or wet hands and feet
4.Warm, humid weather
5.HIV infection
6.Certain treatments for a weak immune system (immunoglobulin)
This disorder is not contagious (direct contact infection)
Symptoms
The disorder may be acute, chronic or recurrent.
80% affect the hands, 12% the feet and 8% both areas:
The involved areas are the center of the palms or soles.
It is normally symmetrical.
After several hours of itching or burning in the hands, feet, or both, the blister forms
Tiny vesicles, about 1 or 2 mm in diameter, form first along the lateral aspects of the fingers and then on the palms or soles.
Palms and soles may be red and wet with sweat.
Later in the course there may be broken vesicles with inflamed bases, possibly followed by peeling or rings of scale or lichenification.
Vesicles may erupt in waves.
The vesicles normally last for three or four weeks and then disappear spontaneously
These blisters can be very itchy
Diagnosis:
The doctor may be able to diagnose this disorder by examining the skin.
A skin biopsy may be required to exclude other causes
Treatment
The disorder is self-limiting but, because it can be very itchy, symptomatic treatment may be required.
In practice, many patients need a combination of treatments.
Burow's solution (10% aluminum acetate in a 1:40 dilution), is a drying lotion
The fluid from large blisters can be drained under aseptic conditions.
Antibiotics are only needed if secondary infection happens.
Strong topical steroids may be needed to control itching, and cold compresses
Second-line treatment can be the administration of oral steroids.
Long-wave PUVA can be used
Serious cases may be treated with methotrexate, azathioprine, mycophenolate mofetil or cyclosporine
If nickel sensitivity has been reported, a nickel chelator such as sulfiram (Antabuse) may be useful
Aluminum chloride 20% and iontophoresis may work if hyper-hidrosis causes problems.
Botulinum A toxin has been very useful in some patients.
The patient should keep the skin moist
An antihistamine or cold compresses may stop the itch.
TABLE OF CONTENT
Introduction
Chapter 1 Pompholyx (Dyshidrotic Eczema)
Chapter 2 Cau
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Pompholyx, (Dyshidrotic Ezcema) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Pompholyx,
(Dyshidrotic Ezcema)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2017 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Pompholyx (Dyshidrotic Eczema), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Pompholyx (Dyshidrotic Eczema))
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Pompholyx (Dyshidrotic eczema)
What is Pompholyx?
Pompholyx (Dyshidrotic eczema) is a disorder in which small blisters form on the hands and feet.
Pompholyx derives from the Greek word for bubble.
Small, very itchy blisters on the palms and along the sides of the fingers could indicate dyshidrotic eczema.
Pompholyx