Wyprysk z hiperkeratozą - Objawy, Diagnoza i Leczenie

Narzędzia i środki stosowane w podologii w procesie usuwania hyperkeratoz:

• frezarka
• dłuta i skalpele
• pilniki kątowe
• frezy diamentowe oraz pokrywane węglikiem spiekanym
• inne frezy ścierne (kapki)
• preparaty zmiękczające do zastosowań profesjonalnych (płyny, żele, pianki)
• preparaty pielęgnacyjne (gabinetowe i do pielęgnacji domowej)
• opatrunki
• ortozy i odciążenia gotowe oraz indywidualne

• systematyczne wizyty w gabinecie podologicznym
• dobór właściwego obuwia i/lub wkładek
• przestrzeganie zaleceń specjalisty
• właściwa pielęgnacja domowa – stosowanie zaleconych kosmetyków oraz unikanie samodzielnych „operacji”
• leczenie schorzeń współistniejących

Treatment / Management

Basic skincare measures are important to prevent excessive dryness and to encourage exfoliation. Those remedies include soaps with skin-specific pH, soap-free cleansers, and avoidance of hot baths. Emollients and topical keratolytic agents (lactic acid, salicylic acid, urea) should be advised to be applied over affected areas at the appropriate times.

Surgical procedures have limited relevance in the treatment of hyperkeratosis. In cases of untreatable plantar keratosis with significant daily limitation, skin grafts with rotation skin flap have been demonstrated effective.[25][26]

Corticosteroids are the treatment of choice for inflammation-driven diseases such as lichen planus or psoriasis. Topical application is the best choice for localized disease. Topical applications should last one to two weeks.

Immunosuppressant or immunomodulators (cyclosporin, hydroxychloroquine, mycophenolate mofetil, sulfasalazine, alefacept, efalizumab) can be used in severe recurrent cases.

Topical calcineurin inhibitors (tacrolimus or pimecrolimus) can also be used.

Retinoids, topical or oral-based, are used in disorders of keratinization such as ichthyoses, keratosis folliculitis, and psoriasis. Topical administration is variable and must be evaluated in the appropriate clinical context, treatment usually lasts 8 to 12 weeks.

Combination treatments with lasers (e.g., pulsed-dye laser, 755-nm alexandrite laser, 810-nm diode laser, 1064-nm Nd:YAG laser) and microdermabrasion are noninvasive techniques currently under approval for different hyperkeratotic diseases.

StatPearls [Internet].

Fabiola Farci , Gauri D. Mahabal .

Authors

Affiliations

Last Update: September 4, 2023 .

Hyperkeratosis refers to the increased thickness of the stratum corneum, the outer layer of the skin. It is most frequently due to chronic physical or chemical damage such as friction or the use of aggressive soaps but can also derive from chronic inflammation or a side-effect of different drugs, including chemotherapy. This activity reviews the evaluation and treatment of hyperkeratosis and highlights the role of the interprofessional team in evaluating and treating patients with this condition.

Summarize the major histologic forms of hyperkeratosis. Review the different pathologies that can manifest with hyperkeratosis.

Explain the importance of collaboration and communication amongst the interprofessional team to ensure the appropriate diagnosis and treatment is selected for patients with hyperkeratosis.

Lokalizacje odcisku:

• palce stóp (okolica grzbietowa stawy międzypaliczkowe, boczna i przyśrodkowa powierzchnia palców w miejscu stykania się skóry Clavus mollis, okolica podeszwowa palca – Clavus appex)
• przodostopie (głowy kości śródstopia)
• wały paznokciowe (clavus sulcus)
• przestrzenie podpaznokciowe (clavus subungualis)

Clavus durus (Cd) – zbudowany jest ze zwartej i twardej masy ułożonej warstwowo (nawet do 200 warstw), zawierający jądro.

Clavus mollis (Cm) – to inaczej odcisk miekki.

Clavus vascularis (Cv) – to odcisk z zawartością drobnych naczyń krwionośnych.

Clavus neurovascularis (Cnv) – odcisk nerwowo – naczyniowy.

Clavus neurofibrosis (Cnf) – odcisk nerwowo – włóknisty.

Clavus papilaris (Cp) – to odcisk brodawkowy. Często się powtarza.

Clavi miliares (Cmil) – odciski mnogie.

A Word From Verywell

A skin condition can be challenging to deal with, especially if it causes painful symptoms. The good news is that dealing with most forms of hyperkeratosis is manageable with the proper treatment. In most cases, this condition is not severe or life-threatening.

The best thing you can do if you have hyperkeratosis is to speak to a dermatologist (a medical doctor specializing in conditions of the skin, hair, and nails) about your condition and any concerns you have. They will be able to determine the next steps to address your condition.

Frequently Asked Questions

The treatment for hyperkeratosis will depend entirely on its type and the underlying cause. Treatment isn't always necessary because some forms of hyperkeratosis are either asymptomatic or present with mild cosmetic symptoms. The most common forms of treatment include keratolytics, moisturizers, emollients, and retinoids.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

1. Jakeman A. The effective management of hyperkeratosis.Wounds Int. 2012,1:65-73.
2. National Human Genome Research Institute. Genetic disorders.
3. Tian Y, Li XX, Zhang JJ, Yun Q, Zhang S, Yu JY, Feng XJ, Xia AT, Kang Y, Huang F, Wan F. Clinical outcomes and 5-year follow-up results of keratosis pilaris treated by a high concentration of glycolic acid.World J Clin Cases. 2021 Jun 26,9(18):4681-4689. doi:10.12998/wjcc.v9.i18.4681
4. Harvard Health Publishing Harvard Medical School. Hyperkeratosis.
5. National Organization for Rare Disorders. Lamellar Ichthyosis.

By Angelica Bottaro
Bottaro has a Bachelor of Science in Psychology and an Advanced Diploma in Journalism. She is based in Canada.

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