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Pompholyx


Pompholyx is a common type of eczema affecting the hands (cheiropompholyx), and occassionally the feet (pedopompholyx). Pompholyx is locally common to youth, but it can occur with the people at any age. Pompholyx can apportion individuals of all the races. The name pompholyx derives from the Greek word for bubble, which factually describes this disorder. It is featurized by a pruritic vesicular eruption on the fingers, palms, and soles. The condition affects teenagers and adults and may be severe, periodic, or chronic. The vesicles are located in the upper layer of the skin called the epidermis and are filled by a watery fluid.

The correct cause of Pompholyx is unknown. However, they are a few factors which may focuss this skin disorder. Pompholyx is also known as dyshidrotic eczema or vesicular eczema of the hands and feet. The condition can also affect only the feet. Many patients have necessitating of both the hands and feet. The complication is difficult to treat because of the idiosyncrasies of the affected skin, namely, the thick horny layer and richness of sweat glands. Pompholyx takes weeks to go away on its own. Wet compresses with potassium permanganate or aluminum acetate may help the blisters reconcile.

Causes of Pompholyx

The common causes and risk factor's of Pompholyx include the following:

  • The actual cause of the Pompholyx is unknown.
  • Pompholyx can be linked with a similar skin disorder called atopic dermatitis and other allergic conditions, such as asthma and hay fever (allergic rhinitis).
  • Hot or cold temperatures.
  • Cigarette smoking.
  • Exposure to metal salts, such as chromium, cobalt and nickel - usually through cement or mechanical work.
  • Seasonal changes.
  • Id reaction (eczema due to an infection at a distant site e.g. the feet or scalp).

Symptoms of Pompholyx

Some sign and symptoms related to Pompholyx are as follows:

  • Cracks and fissures in the skin.
  • Heavy sweating.
  • Appearing of tiny blisters (vesicles) deep in the skin.
  • The pain may arise with larger blisters.
  • Infection with herpes simplex (the cold sore virus) may cause a severe blistering rash.
  • Intense itching at the site of the blistering.
  • Severe pompholyx around the nail folds may cause nail dystrophy, resulting in irregular ridges and chronic paronychia (nail fold swelling).

Treatment of Pompholyx

Here is list of the methods for treating Pompholyx:

  • Skin protection is an important part of treatment.
  • Effective steroids topics should be applied to the affected sectors of night.
  • Soaks or compresses using weak solutions of Condy's crystals ( potassium permanganate ), aluminium acetate, or vinegar in water, are applied for 15 minutes four times a day.
  • The anti-pruritics oral examination such as Atarax or Benadryl can reduce to itch.
  • Antibiotics may be needed if the skin is broken and infection is suspected.
  • Emollients or hand creams, eg. dimeticone barrier cream, should be applied liberally and frequently to keep the skin soft.