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Abstract: The patient presented with bilateral foot rash and edema symptoms, along with itching and scaling symptoms, which are clinical manifestations of eczema. It may be related to genetic factors and high mental stress. The patient’s skin damage symptoms have improved significantly after medication combined with daily care, and the prognosis of the condition is relatively good.
Basic information】Male, 31 years old
Disease Type】Eczema
Hospital】Xiang Ya Second Hospital of Central South University
Date of consultation】January 2022
Treatment plan】Oral medication (Desloratadine tablets) + topical medication (Halometasone cream, Denide cream)
[Treatment period] 1 day of outpatient treatment, given medication for home use, regular review
Effectiveness of treatment】The patient’s rash symptoms improved and the itching symptoms disappeared after medication.
I. Initial consultation
When we first saw the patient, the patient had a healthy face, no painful face, and a relatively good mental state. The patient reported that two months ago she had a rash and edema on both feet with itching and local scaling symptoms. The patient’s mother had urticaria and had recently stayed up late at night due to her work and was under a lot of stress. The patient’s blood test showed an increase in eosinophilia and serum eosinophilic cationic protein, which led to the diagnosis of eczema.
II. Treatment
After diagnosis, I informed the patient that he could be treated with antihistamines and hormonal drugs. The patient agreed, so I prescribed antihistamines, desloratadine tablets, to help relieve the itching symptoms, along with hormonal drugs, halomethasone cream and dextran cream, to help reduce the rash and scaling symptoms and relieve edema. In addition, we should also pay attention to cleaning the skin with warm water as much as possible, avoid stimulating the skin with hot and cold water, apply moisturizing cream after cleaning the skin, and also pay attention to adequate rest and combination of work and rest.
Third, the effect of treatment
The patient’s skin rash and itching were significantly relieved after medication. On the 3rd day of treatment, the itchy symptoms were reduced, the rash symptoms were improved, and the accompanying scaling symptoms disappeared. On the 5th day of drug treatment, the patient’s pruritus disappeared completely, and only a few marks remained on the rash, so the treatment effect was relatively satisfactory. By cooperating with daily care, the patient’s discomfort disappeared completely at the time of review, and the skin was smooth again at the time of examination, indicating a relatively good prognosis.
IV. Notes
Seeing the patient’s symptoms relieved by medication, I felt happy for him from the bottom of my heart, while the patient should also pay attention to the following points in daily life.
1. Patients should try to avoid eating foods that may cause allergies, such as mangoes, eggs, milk, seafood, etc.
2, the patient in life should pay attention to keep the room temperature, humidity moderate, avoid too hot or dry, so as not to stimulate the skin to aggravate the symptoms of eczema.
3, patients should pay attention to proper rest, change the habit of often staying up late, and learn to relieve their stress, reasonable control of their situation, which will help the lesions to improve.
V. Personal insights
Eczema is a chronic, inflammatory and pruritic disease, which is more common in daily life and may be caused by genetics, immune abnormalities and psychosomatic factors. For example, in this case, 31-year-old Mr. Hu has eczema, mainly due to frequent late nights and mental stress, but by improving his lifestyle and active treatment, the symptoms can be significantly improved and the prognosis is relatively good. Therefore, the majority of people do not need to worry too much, when the symptoms of eczema, and actively seek medical attention for targeted treatment can be.