Impetiginized dyshidrotic eczema

Title

Impetiginized dyshidrotic eczema

 Author

Tchernev, Georgi (Medical Institute of Ministry of Interior (MVR))
Zanardelli, Matteo (Pharmacology, Toxicology and Innovative Treatments Department, Italy)
Voicu, Cristiana (Polisano Clinic)
Bakardzhiev, Ilko (Medical University of Varna)
Lotti, T. (TU Delft BT/Environmental Biotechnology; Sapienza-University of Rome)
Lotti, Jacopo (Sapienza-University of Rome)
França, Katlein (University of Miami Miller School of Medicine)
Batashki, Atanas (Medical University of Plovdiv)
Wollina, Uwe (Academic Teaching Hospital Dresden-Friedrichstadt)

Date

2017

 Abstract

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.


 Subject

Aureus
Clobetasol
Hand dermatitis
Skin barrier
St
Superinfections

 To reference this document use:

http://resolver.tudelft.nl/uuid:f238d051-0e28-4ef5-8e78-d32598bb999d

 DOI

https://doi.org/10.3889/oamjms.2017.081

 Source

Open Access Macedonian Journal of Medical Sciences, 5 (4 Special Issue GlobalDermatology), 539-540

 Part of collection

Institutional Repository

 Document type

journal article

 Rights

© 2017 Georgi Tchernev, Matteo Zanardelli, Cristiana Voicu, Ilko Bakardzhiev, T. Lotti, Jacopo Lotti, Katlein França, Atanas Batashki, Uwe Wollina
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