What Is Exfoliative Dermatitis?

Keratolytic exfoliative dermatitis, it is not clear that some scholars believe that it is the stratum corneum adhesion disorder. Peeling by hand is a common phenomenon.

Keratolytic exfoliative dermatitis

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Keratolytic exfoliative dermatitis, it is not clear that some scholars believe that it is the stratum corneum adhesion disorder. Peeling by hand is a common phenomenon.

nickname

Keratolytic exfoliative dermatitis

TCM disease name

Keratolytic exfoliative dermatitis

Visiting department

dermatology

Multiple groups

male

Common locations

hand

Common symptoms

The skin lesions started as large white spots on the needles, and eventually merged into a whole peelable scale

Prone time

At the turn of spring and summer, when the temperature suddenly changes.

The pathogenesis is unclear. Some scholars believe that it is stratum corneum adhesion disorder.

The skin lesions started as white stippled blister with large scattered needles, the number of which was uncertain, gradually expanded to the surroundings, and the central rupture formed superficial desquamation. Can be fused into a thin paper-like skin peeling. Exfoliated subcutaneous

Seasonal hand peeling is a common phenomenon. Most people (mostly men) occur when the spring-summer and summer-autumn seasons change. First, they have burning and stinging, then small red spots appear, and then they become white spots on the needles. Then it becomes vesicular keratin peeling, which gradually expands all around, continuously peeling thin paper-like phosphine scraps, the skin lesions are fused with each other, plus artificial tearing, the stratum corneum-layer exfoliation, which develops quickly, usually affects the entire palm, locally without Inflammatory changes. Sweating is usually more common, and when you peel, sweating decreases, and some people return to normal after two or three months. Housewife with washing powder can also peel, crack and increase the chance of infection. Because of this, many people ignore treatment, but it is easy to relapse every year to a certain season, and there is a tendency to increase year by year. The peeling area continues to increase and expands to a deep level. Eventually, a tender flesh color appears, a wound appears, and it is very easy to cause infection. The disease is not caused by fungi, so antifungal drugs are not effective.

Features of hand peeling symptoms: 1. Symmetry of hands; 2. No inflammation, non-fungal (negative fungal test), the disease starts in late spring and early summer. More common in adults. The skin lesions started as white stippled blister with large scattered needles, the number of which was uncertain, gradually expanded to the surroundings, and the central rupture formed superficial desquamation. Most of the skin lesions expanded. Can be fused into a thin paper-like skin peeling. The exfoliated skin is almost completely normal. Lack of signs of inflammation. Often symmetry occurs in the palms and palms and can be diagnosed.

Should be distinguished from sweat herpes, the latter

The disease mainly affects the palmar plantar area and occasionally can be seen on the back of the hands and feet. It is symmetrically distributed. The skin lesions begin with a large white spot of the needle. It is formed by the epidermal stratum corneum loosening from below. Similar to the dry blister membrane of blister fluid, it is easy to rupture naturally or torn into thin paper-like scales, and the skin below it is normal. The skin lesions continued to expand, new scaly areas occurred, and eventually fused into a whole peelable scale without itching. The disease is prone to recurrence during warm and hot seasons, and is often associated with local hyperhidrosis.

Keratinolysis treatment is relatively simple. You can apply urea ointment or vitamin E ointment, Vaseline ointment and other oily ointments to the ruptured and peeled skin. The former can soften the stratum corneum and the latter can moisturize and protect the skin. After that, apply it frequently as a hand care. Treatment methods Palm peeling is seasonal and may have a tendency to heal itself, and generally does not require special treatment. For more serious or repeated authors, Western medicine is mostly treated with sedatives, antihistamines and anticholinergics.

1. The blistering phase should mainly focus on astringency and antipruritic, and it can be used with the traditional Chinese medicine skin Kang Jie coating solution, or it can be soaked with 10% alum solution.

2. Medications used outside the peeling stage to protect the newly growing epidermis can be applied on the skin Kangjie ointment.

3. Patients with dry skin, horny thickening, and small cracks can use the moisturizing and anti-cracking "Fukangmei Ointment" outer skin. In addition, be careful not to tear off the stratum corneum which has not been completely peeled off, so as not to cause pain or bleeding.

4. For more serious or repeated authors, you can take Liuwei Dihuang Wan or Liuwei Dihuang Decoction: 20 grams of cooked ground, 15 grams of yam, 10 grams of dogwood, 10 grams of paeonia, 10 grams of diarrhea, and 15 grams of Poria. 15 grams of windproof and 30 grams of tribulus. Under normal circumstances, 3-5 doses can be effective.

5.

The abnormal skin keratin is related to the lack of zinc and vitamin A. Once the child has peeling of hands and feet, trace elements should be checked, and if there is zinc deficiency, it should be added in time. Usually you can also let your child eat some egg yolk, pork liver, carrots, spinach, oranges, tomatoes and other foods rich in vitamin A, and try to let the child drink plenty of water to alleviate the lack of water in the body caused by the dry climate.