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Impetiginized Dyshidrotic Eczema

A 16 years old female patient, affected by atopic dermatitis and rhinoconjunctivitis allergica since childhood, requested a dermatologic consultation for lesions which had appeared after 3 months of local treatment with clobethasole propionate. The histological analysis confirmed the diagnosis of dy...

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Detalles Bibliográficos
Autores principales: Tchernev, Georgi, Zanardelli, Matteo, Voicu, Cristiana, Bakardzhiev, Ilko, Lotti, Torello, Lotti, Jacopo, França, Katlein, Batashki, Atanas, Wollina, Uwe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ID Design 2012/DOOEL Skopje 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535680/
https://www.ncbi.nlm.nih.gov/pubmed/28785355
http://dx.doi.org/10.3889/oamjms.2017.081
Descripción
Sumario:A 16 years old female patient, affected by atopic dermatitis and rhinoconjunctivitis allergica since childhood, requested a dermatologic consultation for lesions which had appeared after 3 months of local treatment with clobethasole propionate. The histological analysis confirmed the diagnosis of dyshidrotic eczema and the microbiological smears demonstrated a significant infection with Staphylococcus aureus. The risk of developing corticosteroids’ side-effects depends on the potency of the product, extended period of use and the volume of product applied. Clobetasol propionate is a group I- highly potent corticosteroid, which should be used for a maximum period of 2 weeks. Several authors have found that this agent has cumulative depot effect, persisting in the epidermis for 4 days after only one application. Taking together these observations, sustained by the clinical case presented above, we can conclude that the infectious risks associated with topical corticosteroid treatment must not be neglected, particularly since treated patients are fragile, and frequently have multiple well-known risk factors.