在宅看護実習前に学生に身につけさせたい実習態度−訪問看護ステーション実習指導者に対するアンケート調査−

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  • A case of superficial hyperkeratotic candidiasis of the palms.
  • 手掌の角質増殖型皮膚カンジダ症の一例
  • ザイタク カンゴ ジッシュウ マエ ニ ガクセイ ニ ミ ニ ツケサセ タイ ジッシュウ タイド--ホウモン カンゴ ステーション ジッシュウ シドウシャ ニ タイスル アンケート チョウサ

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We report the case of a 43-year-old man with superficial hyperkeratotic candidiasis of the palms. The patient is the owner of a Japanese noodle shop and had been in good health had taken no medication during the preceding year. He has suffered from erosio interdigitalis blastomycetica-like lesions on his left hand for several years. On June, 7, 1989, he visited our hospital because he developed scaly erythema with hyperkeratosis on both palms. The palms exhibited slight erythema with hyperkeratosis and exfoliative scales. Marked maceration with a white horny layer was present in the web spaces and creases of the palms. Isolated organisms from the lesions were identified as Candida albicans (type A). Laboratory studies were within normal ranges. The patient was sensitized with 1% DNCB, and received topical antifungal reagent for 8 weeks. The lesions had almost completely disappeared within 4 weeks, while fungal elements were not detected by direct examination using the KOH method after one week of treatment.<BR>To our knowledge, 14 cases of superficial hyperkeratotic candidiasis of the palms including our patient have been reported in Japan. Six of these developed in patients with severe underlying diseases, while, the remaining 8 cases developed in healthy persons. In these later cases the topical application of an antifungal reagent such as imidazole cream might be quite effective, although this disease have been considered to be refractory.

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