Impetiginized Dyshidrotic Eczema

Tchernev, Georgi; Zanardelli, Matteo; Voicu, Cristiana; Bakardzhiev, Ilko; Lotti, Torello; Lotti, Jacopo; França, Katlein; Batashki, Atanas; Wollina, Uwe

doi:10.3889/oamjms.2017.081

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…The types of chronic fissure also have underlying aetiology with regards to contact allergy because there were more than one-third of cases with positive patch test [6]. These findings were in agreement with prior studies by Johansen and Diepgen et al, [12], [13], [14], [15].…”

Section: Discussionsupporting

confidence: 89%

Using Patch Testing to Improve Therapeutic Outcome in the Treatment of Hand Eczema in Vietnamese Patients

Minh¹,

Minh²,

Huu³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND:Hand eczema is a common chronic and relapsing skin disease with various clinical features. Hand eczema aetiology can be allergic contact dermatitis (ACD), irritant contact dermatitis (ICD), atopic dermatitis (AD) and unknown or combination causes. If the causative agents are not detected treatment of hand eczema will be a failure. A patch test can be useful to detect causative agents in suspected allergic contact hand eczema. Then patients will avoid contacting them. This results in the improvement of hand eczema. In Vietnam, patch test has not been used before, so we conduct this study.AIM:To identify causative allergens by using patch test with 28 standard allergens in consecutive patients.METHODS:A group of 300 HE patients from the National Hospital of Dermatology and Venereology (NHDV) in Vietnam were enrolled in this study. They were divided into 4 groups-ACD, ICD, AD and unknown aetiology. The patient was patch tested with 28 standard allergens to identify the causative agents.RESULTS:Among the 300 HE enrolled patients, ACD accounted for 72.7%, AD and ICD had the same rate of 12.7%. 39.3% of the patients had a positive patch test. Reaction to nickel sulfate was the most common (10.3%), followed by potassium dichromate (9.7%), cobalt (4%) and fragrance mix (3.1%). About one-third of the cases had relevant clinical reactions correlated with the contact agents and clinical history. Males reacted to cement, thiuram mix and formaldehyde more than females, while females reacted to a nickel more than males.CONCLUSIONS:Hand eczema has variable clinical features and diverse aetiology. ACD is an important cause of hand eczema that can be managed with a patch test to detect causative allergens. Nearly 40% of HE cases had positive patch test. Relevant patch test reactions were seen in one-third of the patients. We propose using patch test detect causative agents in suspected allergic contact hand eczema. Then patients will avoid contacting them. This results in the improvement of hand eczema.

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Section: Discussionsupporting

confidence: 89%

Using Patch Testing to Improve Therapeutic Outcome in the Treatment of Hand Eczema in Vietnamese Patients

Minh¹,

Minh²,

Huu³

et al. 2019

Open Access Maced J Med Sci

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“…Therefore, they were less susceptible to infection and the transmission of the drug-resistant gene of P. aeruginosa in the hospital. As a result, the drug resistance of P. aeruginosa in our study was not as high as other studies [7], [8], [9], [10].…”

Section: Discussioncontrasting

confidence: 76%

In Vitro Antibiotic Resistance in Bacterial Infected Eczema at Ho Chi Minh City Hospital of Dermatology

Ngoc¹,

Vu²,

Van³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND:Infected eczema is one of the most common complications of eczema. The progression and treatment of infected eczema have become more complex and difficulty due to the antibiotic resistance of bacteria and the abuse of antibiotics in treatment.AIM:Our research was conducted with the aim of investigating the severity of in vitro antibiotic resistance in patients with bacterially infected eczema at Ho Chi Minh City Hospital of Dermatology.METHODS:We studied 40 cases of patients, suffering from atopic dermatitis, contact dermatitis, vesicular palmoplantar eczema, with positive results of infected eczema.RESULTS:S. aureus accounted for 82.5%, followed by S. epidermidis (15%), P. aeruginosa (12.5%), S. pyogenes (5%) accounted for a small percentage. E. coli (2.5%) and M. morganii (2.5%) accounted for the lowest percentage. Both MSSA and MRSA were completely resistant to penicillin. MRSA is completely resistant to penicillin, erythromycin, and cefuroxime, highly resistant to clindamycin (82.35%). Our research showed that Pseudomonas aeruginosa was not resistant to a variety of antibiotics. It was completely resistant to tetracycline, trimethoprim/sulfamethoxazole (100%). Most bacteria are highly sensitive to linezolid, vancomycin as other studies in the world shown. There are also rifampicins, pristinamycin. Hence, it`s prioritised to be used for only patients with eczema infected with multidrug-resistant bacteria.CONCLUSION:Penicillin is not recommended for the treatment for infected eczema. Linezolid, vancomycin has a high sensitivity to bacteria including multidrug-resistant bacteria like MRSA.

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“…При остром Дерматология воспалении используются примочки с раствором танина, 8%-м раствором ацетата алюминия, отваром дубовой коры с последующим переходом на топические глюкокортикоиды (ТГКС) [14,39]. Для профилактики вторичного инфицирования и при его наличии в очагах ДЭ используются растворы анилиновых красителей, комбинированные ТГКС с антибактериальными и противогрибковыми компонентами [37,54]. ДЭ относится к стероид-чувствительным дерматозам, для лечения которых необходимо оказание супрессивного воздействия на клетки иммунной системы кожи с высоким терапевтическим эффектом при использовании ТГКС, вследствие чего они занимают лидирующее положение среди всех препаратов для наружной терапии пациентов с данной патологией [31].…”

Section: лечениеunclassified

Dyshidrotic eczema: clinical and epidemiological features and therapy tactics

Shachnev,

Zhukova,

Kasikhina

2024

Medicinskij sovet

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Introduction. Dyshidrotic eczema is a clinical type of chronic eczema, the clinical picture of which is characterized by itchy vesicular or bullous rashes localized on the skin of the palms and/or soles, a tendency to long-term chronic and recurrent course, the development of complications and resistance to therapy. Despite its prevalence and impact on quality of life, treatment of dyshidrotic eczema may be ineffective due to its polyetiology, chronic and recurrent course, and the lack of well-organized randomized controlled studies on the pathogenetic therapy of dyshidrotic eczema.Aim. Conduct an analysis of available sources devoted to the study of dyshidrotic eczema. Provide a description of clinical cases of dyshidrotic eczema and experience with external therapy.Results. The proportion of dyshidrotic eczema among other types of eczema varies from 6 to 31.8%. More than 80% of patients note a negative impact of dyshidrotic eczema on the quality of life. Conducted studies demonstrate a variety of factors predisposing to the onset, among which genetic predisposition, atopy and contact allergy are the main ones. Possible triggers include medications, insolation, humidity, and mycotic sensitization. Dyshidrotic eczema is a long-term and recurrent process with a risk of developing infectious complications. Staphylococcus aureus, Corynebacterium, Streptococcus and Micrococcus are detected in dyshidrotic eczema foci, which must be taken into account in combination therapy. The article presents clinical examples of successful treatment of dyshidrotic eczema localized on the skin of the hands with an external preparation containing a combination of 0.05% betamethasone dipropionate, 0.1% gentamicin sulfate and 1% clotrimazole.Conclusions. Dyshidrotic eczema is a common condition and affects quality of life. Proper diagnosis is essential for effective and efficient treatment. External therapy with the inclusion of a cream (ointment) containing a combination of 0.05% betamethasone dipropionate, 0.1% gentamicin sulfate and 1% clotrimazole gives better results and increases satisfaction with the treatment of patients with dyshidrotic eczema.

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Impetiginized Dyshidrotic Eczema

Cited by 6 publications

References 4 publications

Using Patch Testing to Improve Therapeutic Outcome in the Treatment of Hand Eczema in Vietnamese Patients

Using Patch Testing to Improve Therapeutic Outcome in the Treatment of Hand Eczema in Vietnamese Patients

In Vitro Antibiotic Resistance in Bacterial Infected Eczema at Ho Chi Minh City Hospital of Dermatology

Dyshidrotic eczema: clinical and epidemiological features and therapy tactics

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