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Suggest Treatment For Pompholyx

Posted on Mon, 12 May 2014

Question: Hello Doctor, my mother is diagonised with Pompholyx, Palmar. She is prescribed to take medication consisting 1)OMNACORTIL 10 MG 2) VOZET 5 MG 3) FLUTIBACT OINTMENT(night) 4) Dermadew Aloe Cream( morning) but its not helping and making it worse again. Symptoms are itching and many small blisters in a almost circular fashion on both palms, simillar circles in several places on the plams, feet less affected. currently not using any detergent material.

Answered by Dr. Dr. Rahul Kumar (6 hours later)

Brief Answer: medication correct Detailed Answer: Hello Pompholyx is an endogenous eczema. It has no relation to use of detergents. The medication prescribed is correct. However dose of omnacortil needs to be increased. Also a stronger steroid cream will give faster relief. Please meet your treating doctor and discuss regarding these. Thank you

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (2 hours later)

Hello doctor, thank you for your comment. If you can be little more elaborate on the causes of Pomoholyx and palmar. My mother was advised not to use any detergent material, that is why I mentioned it. I read some where that some times it can happen because of urine infection, is it possible and also steroid consisting creams can worsen the situation. Please let me know.

Answered by Dr. Dr. Rahul Kumar (12 hours later)

Brief Answer: Patch test to be done Detailed Answer: Hello As I mentioned, Pompholyx is an endogenous eczema. Most common causative agent is thought to be ingested metals. These enter our body with food and water. A person is allergic to these, develops pompholyx. You are correct, there are theories that it can be related to infection anywhere in body. However none of these are proved and hence steroids must be given for the benefit of the patient. I advice you to get patch test done for her, In this test various metal samples will be tested on her skin to find out the one causing allergy. Let me know if you have any other doubts. Thank you

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T