Keratoderma of the palms and soles. Treatment of adults and children. Photos, ointments, folk remedies

Keratoderma - group of pathologies associated with the process of formation of the horny substance on the dorsal surface of the hands and soles. The inflammatory response in the basal layer is not present, but there are small seals.

Based on the cause and characteristic properties of the disease, secrete several forms of pathology. Treatment is long and complex procedure. The main goal of therapy - to normalize education in the epithelial tissue of the horny substance.

How is keratoderma

Clinical manifestation of pathology hyperkeratosis is characterized by increased rate dividing squamous cell carcinomas and squamous violation process of peeling on the palms and soles.

skin seal body tries to protect against adverse environmental factors. Protective cells appear in the cell-free thin layer. Are closely intertwined, they lose moisture and at the top of the epidermis already look like dense whole education.

Excessive flaking can cause diseases of the internal organs. Desquamation of the skin develops into a horny layer, which takes the form of a dark yellow buildup or coffee color. Increasing pattern of skin furrows.

There are several types of the disease:

• idiopathic - occurs during sexual development and maturation;
• symptomatic - due to the impact of negative environmental factors;
• innately-hereditary - occurs in newborns;
• Essential - represents a group of unknown cause acquired appearances.

The injured area is sharply demarcated from the healthy surface redness or purple edge. Painful cracks begin to bleed, and the sensitivity at the same time reduced. Sometimes the seal of the stratum corneum markedly in the crook of his wrists and ankles.

Causes of

The essence of the disease lies in the failure of the process of dying skin cells. Treatment includes vitamin supplements, phototherapy, external medicines.

genetic predisposition

The disease is most often attributed to a heterogeneous group of hereditary predisposition. Normally, it is transmitted through the male line.

Pathology is visible at birth, early childhood, and is combined with a variety of disabilities:

• hyperhidrosis of the palms, soles;
• grooves characteristic of the disease, encircle all the fingers;
• disturbed volume articular movements.

Keratoderma of the palms and soles with time, if you do not deal with the disease begins to progress and, consequently, less treatable.

Toxic heavy metal poisoning

Toxic substances related to heavy metals, have a negative impact on a limb. In the liver, begin to accumulate harmful toxins, whereby the body exhibits signals as changes in the structure of the epidermis of the feet and the palms. On the amount of accumulated toxic substances more evident symptoms.

Lack of vitamins

Palmoplantar keratoderma (treatment it is based on common rules beriberi therapy) may occur due to the lack of vitamins. If the body does not regularly dopoluchaet vitamin A is starting to develop skin disorders.

Therapy involves taking vitamin preparations. It may be a natural or synthetic complex. He actively regenerates the cells, after which the skin takes a normal appearance.

autoimmune diseases

The immune system always responds to negative changes in the body. Protective cells begin to behave atypically. They begin to perceive the skin on the palms and soles as foreign, so gradually destroy the surface.

Keratoderma of the palms and soles, the treatment of which is associated with the restoration of immunity often develops due to rapid cell death. Therapy is started to carry out a clinical analysis immunogram.

Digestive diseases

Diseases of the digestive system can cause a violation of keratinization processes. Pathology provoke insufficient number of enzymes involved in the digestion of food.

Particular attention should be paid to conduct screening to identify malignant lesions of the gastrointestinal tract.

hormonal imbalance

Unstable hormone levels triggers the development of dermatological problems. By reducing hormone production or excessive synthesis occurs their direct intervention in the metabolic processes in the epidermal cells. The main treatment is aimed at the normalization of the endocrine system functions as a whole.

chronic urticaria

Keratoderma often diagnosed in people suffering from chronic urticaria. For the disease characterized by a rash of itchy-burning and blistering. Pathology has a direct influence on the change of the epithelial structure.

At the first sign of the patient should be examined to identify the source of infection or causing their factors.

Types keratoderma and their symptoms

On the basis of clinical symptoms, the prevalence of pathological process and their causes disease can be classified into types.

Mutiliruyuschaya keratoderma

Mutiliruyuschaya hereditary form is manifested in the case when a person has at least one abnormal gene corresponding to it.

Notice the first signs can be a child in the second year of life:

• excessive sweating;
• limitation of passive movements in joints;
• pathology of the distal phalanges;
• accumulation of keratinized particles.

The disease spreads rapidly and affects the nails, can cause hair loss.

Keratoderma, Unna Toast

Form refers to a group of genetic diseases of the skin and appears on the changes in the skeletal structure and abnormalities in endocrine system Symptoms include actinic skin surface. Sometimes there are only defeated the foot. Often are formed on the surface of the deep cracks appear local sweating.

Keratoderma of the palms and soles, the treatment of which passes vitamin complexes and special peelable ointments, usually begins in the background of erythema.

keratoderma Meleda

This form of the disease characterized by thick horny layers of dark yellow color and rough cracked. Along the edges of the affected area is noticeable fringe lilac. The surface of the soles and back of the hand is often wet, covered with black dots. In this form of the disease thickened nail plate. Symptoms of the disease in patients appear to 16-22 years.

Keratoderma Papillons-Lefebvre

This is a rare form of the disease, accompanied by periodontal disease with early onset. It develops in patients between the ages of one and four years. Excessive thickening of the stratum corneum proceeds to the epithelial surface of the palms and soles.

The disease is characterized by symptoms in the bright manifestation of gingivitis, periodontitis rolling in. The pathological process affecting bone and characterized by an imbalance between the formation and destruction of tissue. In children, early loss of deciduous teeth.

Limited keratoderma Bryunauera-Frantseshetti

Disseminated spotted pathology is characterized by the development of a child.

Is accompanied by signs:

• corneal dystrophy;
• fall in vision;
• mental retardation;
• keratoconus.

If the symptoms are noticeable in patients older than 35 years, the patient is subject to onkoobsledovaniyu.

Disseminated spotted keratoderma Fischer-Buschke

Absently-point keratosis manifests itself in adolescence. The hands of small apparent sealing crater-resembling pearls.

A distinctive feature is:

• the presence of epithelial shaft and the stratum of the crater;
• violation of the form and size of the language;
• formation of white nodules on the gums;
• corneal dystrophy.

Some people with different mental retardation.

Linear keratoderma Fuchs

On this disease show elongated islands horny layers. They look like combs and brushes are located on the dorsal surface. With this type of pathology occurs thickening of all layers of the epidermis. Sick mostly newborns. In the affected areas quickly appear deep cracks that will eventually begin to bleed.

Akrokeratoelastoidoz Costa

Disease affects only young women. On the palms, the side surface of the finger interphalangeal joints and feet are formed small translucent papules. Larger number of elements can not be seen but can be felt.

Unlike other forms of diseases of the hair, mucous membranes, and nails will not be involved. However, it is difficult to diagnose and distinguish from other types of point keratoderma.

Diffuse forms of pathology

The disease may be accompanied by a solid defeat the entire surface of the back of the hands and feet. Clinical manifestations are not pronounced phenomena of exudation and inflammation.

Congenital diffuse keratoderma

Symptoms of congenital diffuse disease most common in middle age.

In the pathological process involved:

• dermal epithelium;
• tooth enamel;
• digestive system and other organs of the ectoderm.

This form of the disease is markedly expressed congenital disorders:

Title	Characteristic
Rare congenital - bullous ichthyosiform erythroderma	Skin disorder of keratinization with severe inflammation
generalized erythroderma	Full skin lesions
The combination of erythroderma with areas of keratosis	The defeat of the vast areas of the body

Besides symptoms may include giperepidermotrofiyu.

Acquired diffuse keratoderma

Self nosological group of diseases has acquired nature communication genetic mutations with evidence of major syndromes. It arises because of the underlying disease, or due to external factors. Mainly it develops on the background of a lack of the body's next vitamins.

Climacteric keratoderma or illness Hakst-House is one of the most common forms of this group.

focal keratoderma

Such a variant of the disease has a characteristic clinical picture. The affected area has the form of islets of keratinization, and does not cover the entire area entirely.

Congenital focal keratoderma

The disease may be one of the symptoms of hereditary forms.

It includes:

• Siemens multiforme keratosis;
• warty;
• Waardenburg syndrome.

Characterized by the development in childhood. It begins with a rash hemispherical shape. nails are subject to change. Determining the type of disease is based on an examination of the patient and study his family history.

Acquired focal keratoderma

The acquired form of the disease may develop on the background of infectious diseases. Can cause abnormal disruption of the nervous and endocrine systems. On the hands forming dense layers with deep cracks. Appeared horny plaques gradually grow in size. This type of disease is cured quickly if establish the cause of development.

Diagnostics

Diagnose the disease can appear on their face. The difficulty in determining the type of the disease is that the skin lesions are sometimes only signs.

Diagnosis is carried out in a clinical setting. It includes:

• tests for allergies and infections;
• genetic testing;
• histological and immunomorfologicheskie study;
• study of monoclonal antibodies;
• analysis of the proliferative activity of the epidermal cells.
  The doctor-dermatologist prescribed to patients get tested:
• general urine analysis;
• biochemistry of blood;
• the reaction microprecipitation.

Carried microscopy flakes nail feet, the palms on pathogenic fungi. Be sure to consider the possibility of malignant disease as the root cause of keratoderma.

How to treat keratoderma of the palms and soles

Keratoderma of the palms and soles, which treatment should be started immediately, has a characteristic clinical picture. On the basis of its research and diagnostic data obtained define the shape of therapy. Treatment is quite a long time, sometimes taking several years.

Drug treatment of ointments and internal medicines for receiving

The main drug in all forms of the disease is Neotigason.

Depending on the severity of the patient dosage is determined. Medication normalizes processes of proliferation, strengthens the broken links between the layers of the skin and epithelial cells.

In combination with the drug recommended salves. It keratolytic agents, which are able to normalize the keratinization process. They inhibit the proliferation of epithelial cells. Constitute the basis of their retinoids and glucocorticoids, removes inflammatory processes and actively exfoliating dead cells.

vitamin

The alternative therapy with a vitamin A. It must be taken in mega-doses and for a long time. It is recommended to take vitamin C - an active detoxifying and desensitizing agent. It normalizes the formation of skin pigment, and also reduces the increased vascular permeability. In the combined treatment, doctors prescribe vitamin D and E.

Folk remedies

Effective addition to the basic treatment of skin pathologies are folk recipes.

For this purpose, means as trays for the feet and the palms:

• with birch tar;
• baking soda;
• succession, celandine, St. John's wort, clover;
• leaves and bulbs of garlic.

Trays should be performed for 10-15 min. Then, without rinsing the skin, it should be wet cloth.

Ointment can be prepared at home:

• birch tar mixed with vegetable oil in equal proportions;
• butter with grated propolis;
• kurdjuchnyj fat with celandine.

treatment time is 60 days. A positive result is noticeable after the first procedure.

For internal use homemade concoctions help:

• bay leaf brew in a thermos and drink 3 tablespoons in a day;
• alcohol tincture on the basis of honey and crushed aloe leaf to take a tablespoon;
• tea from the dried seeds of flax.

Folk remedies have not only the therapeutic effect, but also used as a preventive measure.

Features therapy and for the treatment of diseases in children

Given the fact that the pathology often occurs against a background of chronic systemic diseases, the doctor may refer the child to a consultation with a narrow profile expert - or rheumatologist endocrinologist.

The treatment consists of several stages:

• the study of history;
• survey;
• interpretation of results;
• formulation clinical diagnosis;
• purpose of the plan of treatment taking into account the course of the disease.

Treatment of children runs efficiently, but more gently. Practiced a holistic approach, which includes physiotherapy and spa treatment.

It is recommended that the traditional method of treatment with birch tar and salicylic acid. They are made ointments and superimposed under the bandage. Treatment is carried out carefully so as not to damage the skin. It is recommended to wear comfortable shoes. It should be maintained in good condition, the immune system of the child.

Forecast

Development of the disease depends on hereditary factors or essential. Some forms are treated for life. During long-term combination therapy can achieve improved skin condition, but do not get rid of the disease. Actinic keratosis patients are sent for examination to the oncologist.

Caused by different factors, keratoderma of the palms and soles may be a lifetime, so treatment often is aimed at reducing symptoms. Timely initiated therapy helps restore the normal appearance of the hands and feet, as well as able to identify and treat the underlying disease.

Registration of the article: Vladimir the Great

Video of keratoderma

The doctor will tell about keratoderma: