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POMPHOLYX
This condition is largely confined to the palms, sides of the fingers and soles of the feet where deep seated blisters occur. The blisters become enlargened, occasionally turning pusy, before eruption occurs. It is then followed by scaling and peeling of the surface. The new exposed skin is considerable “thinner” and is usually tender or even painful to touch. People who sweat profusely are more inclined to be affected and the Summer heat tends to exacerbate the condition. It has been known to heal spontaneously with the onset of Winter, only to erupt again with the onset of Summer. This cycle can continue for years.
It is usually rare in a person under the age of 10 and has usually presented itself before the age of 40.
In severe cases, secondary infections of the blisters can occur. This may result in Lymphangitis, causing red streaks to travel up the arm and/or legs. In these cases “antibiotic” treatment may be required for the treatment of the infection.
In patients with chronic, recurring presentations, the nail may show dystrophic changes. These include irregular transverse ridging, pitting, thickening and discolouration.
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