ROUNDWORM INFECTION: CHANDA
July, 1949]
A Mirror of
297
.
The absence of lesions in the webs of rules out scabies.
fingers
?
Practice
Hospital
Diagn osis.?C heiropompholyx. Treatment Local.?Since
A CASE OF POMPHOLYX By P. IC. NAIR,
m.d.
M adras
is an acute hands (chiefly on the palms) and feet (soles and sides). A patient, named G., aged 35 years, came to me on 21st February, 1949, with pustular and vesicular eruptions on the hands and feet.
Introduction.?Cheiropompholyx
vesicular form of
eczema seen on
History of previous illness.?He had suffering from peptic ulcer for which he
been had
been taking treatment and on the date of consultation he had no symptoms of gastric or
duodenal infection
ulcer. He was having a chronic of dorsum of right foot.
fungus
of present illness.?Started with scratching and irritation and gradually course of a few days he observed vesicles
History
severe
in the in his hands and feet.
On examination.?The patient was a average build, fairly healthy looking.
was no
evidence
of
chronic
of There
man
sepsis anywhere.
Had a patch of chronic fungus infection in the dorsum of right foot,
Description of the lesions Distribution.?The lesions were entirely distal to the wrists and ankles. They were symmetrical and bilateral. On the hands, the palms and the sides and back of the fingers were studded with vesicles and pustules. In the feet, they were similarly distributed. The webs of fingers and toes were singularly free. Majority ?f the lesions were pustular, but some were vesicular. Those vesicular lesions, especially those on the palms, were seen to be little deeply situated and they were better felt than seen. Evolution of the lesions.?In the beginning, the lesions are vesicular. Since the superficial layers of the skin in the palm are thick, they appear deep seated and look like sago-grains The comparison to sago-grain gives its characteristic appearance correctly. Later they may '
'
'
fuse together and form blebs. These blebs may either rupture or may get secondarily infected. >This condition is due to the sensitization of the skin either to internal or external toxins. In this case, I think he was sensitized to the chronic fungus infection of his foot. Other systems?nil abnormal.
Differential diagnosis.?The
characteristic dis' and typical sago-grain-like appearance of the lesions give the diagnosis at once.
tribution
some
of
the
lesions
were
pustular, 500,000 units of penicillin were given parenterally. This cleared the secondary infection quickly. Then boro-starch poultice was applied for four consecutive days. This helped the drying up of the lesions to a certain extent. After this calamine lotion was applied, but to my surprise it did not give the desired cffect. On questioning the patient, he complained of severe scratching sensation, which prevented the lesions from healing. So I pres-
him a non-greasy ointment called '. It contains 8 per cent calamine, 3 per cent benzocaine and 0.05 per cent hexyl-mcresol. The benzocaine acts as an anaesthetic and so prevents scratching : this gives a chance for the lesions to heal. As expected, the lesions healed quickly. cribed
'
Caligesic
I feel that in the treatment of eczema, whatbe the type, the incorporation of a local anaesthetic like benzocaine will help the healing of the lesions quicker and better. ever
General.?'The patient was put on cod-liver oil, calcium and anti-histamine drugs like anthisan, but I think they did very little in the healing of those lesions.
July, 1949]
A Mirror of
297
.
The absence of lesions in the webs of rules out scabies.
fingers
?
Practice
Hospital
Diagn osis.?C heiropompholyx. Treatment Local.?Since
A CASE OF POMPHOLYX By P. IC. NAIR,
m.d.
M adras
is an acute hands (chiefly on the palms) and feet (soles and sides). A patient, named G., aged 35 years, came to me on 21st February, 1949, with pustular and vesicular eruptions on the hands and feet.
Introduction.?Cheiropompholyx
vesicular form of
eczema seen on
History of previous illness.?He had suffering from peptic ulcer for which he
been had
been taking treatment and on the date of consultation he had no symptoms of gastric or
duodenal infection
ulcer. He was having a chronic of dorsum of right foot.
fungus
of present illness.?Started with scratching and irritation and gradually course of a few days he observed vesicles
History
severe
in the in his hands and feet.
On examination.?The patient was a average build, fairly healthy looking.
was no
evidence
of
chronic
of There
man
sepsis anywhere.
Had a patch of chronic fungus infection in the dorsum of right foot,
Description of the lesions Distribution.?The lesions were entirely distal to the wrists and ankles. They were symmetrical and bilateral. On the hands, the palms and the sides and back of the fingers were studded with vesicles and pustules. In the feet, they were similarly distributed. The webs of fingers and toes were singularly free. Majority ?f the lesions were pustular, but some were vesicular. Those vesicular lesions, especially those on the palms, were seen to be little deeply situated and they were better felt than seen. Evolution of the lesions.?In the beginning, the lesions are vesicular. Since the superficial layers of the skin in the palm are thick, they appear deep seated and look like sago-grains The comparison to sago-grain gives its characteristic appearance correctly. Later they may '
'
'
fuse together and form blebs. These blebs may either rupture or may get secondarily infected. >This condition is due to the sensitization of the skin either to internal or external toxins. In this case, I think he was sensitized to the chronic fungus infection of his foot. Other systems?nil abnormal.
Differential diagnosis.?The
characteristic dis' and typical sago-grain-like appearance of the lesions give the diagnosis at once.
tribution
some
of
the
lesions
were
pustular, 500,000 units of penicillin were given parenterally. This cleared the secondary infection quickly. Then boro-starch poultice was applied for four consecutive days. This helped the drying up of the lesions to a certain extent. After this calamine lotion was applied, but to my surprise it did not give the desired cffect. On questioning the patient, he complained of severe scratching sensation, which prevented the lesions from healing. So I pres-
him a non-greasy ointment called '. It contains 8 per cent calamine, 3 per cent benzocaine and 0.05 per cent hexyl-mcresol. The benzocaine acts as an anaesthetic and so prevents scratching : this gives a chance for the lesions to heal. As expected, the lesions healed quickly. cribed
'
Caligesic
I feel that in the treatment of eczema, whatbe the type, the incorporation of a local anaesthetic like benzocaine will help the healing of the lesions quicker and better. ever
General.?'The patient was put on cod-liver oil, calcium and anti-histamine drugs like anthisan, but I think they did very little in the healing of those lesions.
