Asunto(s)
Glucocorticoides/efectos adversos , Lepra Dimorfa/diagnóstico , Lepra Lepromatosa/diagnóstico , Mycobacterium leprae/aislamiento & purificación , Piel/efectos de los fármacos , Administración Cutánea , Adulto , Infecciones Asintomáticas , Biopsia , Diagnóstico Diferencial , Errores Diagnósticos , Quimioterapia Combinada/métodos , Eccema/diagnóstico , Eccema/tratamiento farmacológico , Glucocorticoides/administración & dosificación , Humanos , Leprostáticos/uso terapéutico , Lepra Dimorfa/tratamiento farmacológico , Lepra Dimorfa/inmunología , Lepra Dimorfa/microbiología , Lepra Lepromatosa/tratamiento farmacológico , Lepra Lepromatosa/inmunología , Lepra Lepromatosa/microbiología , Masculino , Piel/inmunología , Piel/microbiología , Piel/patología , Tiña/diagnóstico , Tiña/tratamiento farmacológicoAsunto(s)
Antiinflamatorios/uso terapéutico , Azatioprina/uso terapéutico , Clobetasol/uso terapéutico , Eccema/tratamiento farmacológico , Dermatosis de la Mano/tratamiento farmacológico , Inmunosupresores/uso terapéutico , Adulto , Quimioterapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resultado del TratamientoAsunto(s)
Herpesvirus Humano 1/aislamiento & purificación , Inmunosupresores/efectos adversos , Erupción Variceliforme de Kaposi/inducido químicamente , Tacrolimus/efectos adversos , Administración Cutánea , Adulto , Anticuerpos Antivirales/sangre , Eccema/tratamiento farmacológico , Eccema/virología , Humanos , Inmunosupresores/uso terapéutico , Recién Nacido , Erupción Variceliforme de Kaposi/diagnóstico , Erupción Variceliforme de Kaposi/virología , Masculino , Pomadas , Tacrolimus/uso terapéuticoRESUMEN
BACKGROUND: Forefoot eczema (FE) is characterized by dry fissured dermatitis of the plantar surface of the feet. AIM: To study the clinical profile of FE and the possible etiological factors. METHODS: Forty-two patients with FE were included in the study. A detailed history was recorded and examination done. Fungal scrapings and patch test with Indian Standard Series (ISS) were performed in all patients. RESULTS: The most common site affected was the plantar surface of the great toe in 16 (38.09%) patients. Hand involvement, with fissuring and soreness of the fingertips and palm, was seen in four patients (9.5%). Seven patients (16.6%) had a personal history of atopy whereas family history of atopy was present in six (14.2%). Seven patients (16.6%) reported aggravation of itching with plastic, rubber or leather footwear, and 13 (30.9%), with detergents and prolonged contact with water. Negative fungal scrapings in all patients ruled out a dermatophyte infection. Patch testing with ISS was performed in 19 patients and was positive in five. CONCLUSIONS: FE is a distinctive dermatosis of the second and third decade, predominantly in females, with a multifactorial etiology, possible factors being chronic irritation, atopy, footwear and seasonal influence.