Asteatotic Eczema In 24 Years Old Female
DOI:
https://doi.org/10.53089/medula.v12i1.431Keywords:
Asteatotic eczema, Eczema craquele, EmollientAbstract
Asteatotic eczema is a type of pruritic eczema characterized by dry, cracked and scaly skin. Asteatotic eczema is caused by the loss of essential fatty tissue in skin resulting the formation of fissures looks like cracked porcelain called 'crazing paving'. Asteatotic eczema usually occurs in the elderly population (over 60 years) are closely related to cold and dry climates. Case of asteatotic dermatitis at young age is considered unusual, it can occur if there are pre-existing clinical conditions such as neurological disease or malnutrition. Ms. S 24 years old complaints of black spots and scabs accompanied by itching and constant scratching on the backs of the hands, feet and elbows since 1 month ago. She was seriously ill, stupor and underweight in anthropometric measurements. On dermatological status, macules to hyperpigmented plaques were seen with lichenification of the manus and pedis dextra et sinistra, fissures that gave into pavvy appearance, and dry skin with a positive white dermography test. The general treatment given was in the form of confirmation of the disease, provide information about prognosis and prevention as well as educate to maintain the humidity of skin. The specific treatment is in the form of applicate emollient mixed with topical steroids and oral antihistamines. One week later the skin condition improved, showed by moist skin and pattern of cracks were dissapear.
References
S, Persaud Y. Asteatotic Eczema [Internet]. 2022. [disitasi tanggal 7 Juli 2022]. Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK549807/
Cassler NM, Burris AM, Nguyen JC. Asteatotic eczema in hypoesthetic skin: a case series. JAMA Dermatology. 2014;150(10):1088–90.
Cohen HJ, Murray HE, Forsey RR. Eczema craquele. Arch Dermatology. 2015;111:15-20.
Sparsa A, Liozon E, Boulinguez S, Bordessoule D, Vidal E, et al. Generalized eczema craquele as a presenting feature of systemic lymphoma: report of seven cases. Acta Derm Venereol. 2005;85(4):333–6.
Kimura N, Nakagami G, Takehara K, Miura Y, Nakamura T, et al. Prevalence of asteatosis and asteatotic eczema among elderly residents in facilities covered by long-term care insurance. J Dermatol. 2013;40(9):770–1.
World Health Organization. Malnutrition in women [Internet]. 2018. [disitasi tanggal 7 Juli 2022]. Tersedia dari: https://www.who.int/data/nutrition/nlis/info/malnutrition-in-women
McKinster CD, Orozco‐Covarrubias L. Skin manifestations of nutritional disorders. Harper’s Textb Pediatr Dermatology. 2019;(9):831–40.
Blank IH. Factors which influence the water content of the stratum corneum. J Invest Dermatol. 1952;18(6):433–40.
Guillet MH, Schollhammer M, Sassolas B, Guillet G. Eczema craquelé as a pointer of internal malignancy - a case report. Clin Exp Dermatol. 1996;21(6):431–3.
Norman RA. Xerosis and pruritus in the elderly: Recognition and management. Dermatol Ther. 2003;16(3):254–9.
Rinaldi G. The itch-scratch cycle: a review of the mechanisms. Dermatol Pract Concept. 2019;(5):90–7.
Heyer G, Hornstein OP, Handwerker HO. Skin reactions and itch sensation induced by epicutaneous histamine application in atopic dermatitis and controls. Journal of Investigative Dermatology. 1989;93:492–6.
Yuan C, Wang XM, Guichard A, Tan YM, Qian CY, Yang LJ, et al. N-palmitoylethanolamine and N-acetylethanolamine are effective in asteatotic eczema: results of a randomized, double-blind, controlled study in 60 patients. Clin Interv Aging. 2014;9:1163–9.
Gabros S, Nessel TA, Zito PM. Topical Corticosteroids [Internet]. 2021. [disitasi tanggal 8 Juli 2022]. Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK532940/
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