DISEASES OF THE SKIN : POMPHOLYX OR VODYANITSA (DYSHYDROSIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
The etiology and pathogenesis may be different:
Symptoms. Blisters on the hands and feet. When true the pompholyx vesicles mostly small, sometimes merging with each other, deeply embedded in the epidermis, with clear content, without inflammatory redness in circumference. Localization: symmetrical rash on the lateral surfaces of the fingers and toes, palms and soles, at least on the dorsal surface of the hands and feet.
For. The rash lasts from a few days to a few weeks, more often in spring and autumn, relapses. Bubbles can dry out with subsequent desquamation; sometimes sequential infection peacocke with the development of inflammation, edema, lymphangitis, lymphadenitis. There is additionally a special clinical type of pompholyx - dry lamellar dyshidrosis (dyshydrosis lamellosa sicca) at which these bubbles are not formed: on the palms (at least on the feet), there is an annular plate nature peeling. The disease appears usually in the warmer months, recurs.
Treatment of the underlying disease. In refractory cases with abundant rash blisters intravenous infusion of 10% calcium chloride 10 ml daily or inside a tablespoon 4 - 5 times a day. Topically short (10 minutes) hot baths of a weak solution of potassium permanganate or decoction of oak bark. Large blisters should be cut open and then assign a moist dressing of rivanol 1:1 000 or Aq. Goulardi. If there are small bubbles deep located recommended paste. In persistent, recurrent cases, appoint rays Bucca on the affected areas; indirect diathermy cervical sympathetic ganglia (when pompholyx of the hands) and lumbar (when pompholyx feet). Ointment.