{"id":8206,"date":"2020-04-27T14:50:26","date_gmt":"2020-04-27T17:50:26","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/ampolla-de-friccion\/"},"modified":"2020-04-27T14:50:26","modified_gmt":"2020-04-27T17:50:26","slug":"friction-blister","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/","title":{"rendered":"Friction blister"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFQue-es-una-ampolla-de-friccion\" >What is a friction ampoule?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFQue-causa-la-ampolla-de-friccion\" >What causes the friction blister?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFQuien-recibe-ampollas-de-friccion\" >Who gets friction blisters?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-ampolla-de-friccion\" >What are the clinical characteristics of the friction ampoule?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#Ampollas-de-friccion\" >Friction ampoules<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFDebo-hacerme-alguna-prueba\" >Should I have a test?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#Complicaciones-de-la-ampolla-de-friccion\" >Friction blister complications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFComo-debo-tratar-una-ampolla-de-friccion\" >How should I treat a friction ampoule?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/ampolla-de-friccion\/#%C2%BFPuedo-evitar-las-ampollas-de-friccion\" >Can I avoid friction blisters?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-una-ampolla-de-friccion\"><\/span>What is a friction ampoule?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A friction blister is a blister caused by skin that is repeatedly rubbed against another object. It most often forms on the palms, fingers, soles, sides of the feet, and toes. The top of the blister is rubbed where the skin is thinner, such as the top of the hand or foot, forming an abrasion. On thinner skin areas, friction rubs without blistering.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-ampolla-de-friccion\"><\/span>What causes the friction blister?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A friction blister occurs when there is contact, pressure, and movement between the skin and something that touches it, such as a heel rubbed by a new or unfamiliar shoe.<\/p>\n<p>Pure forces cause the mechanical separation of the layers of <span class=\"term\" data-term-id=\"846\">epidermal<\/span> cells. The gap fills with fluid, forming a subepidermal. <span class=\"term\" data-term-id=\"27\">bulla<\/span> (blister). A blister forms more quickly if the pressure and movement on the skin is severe or if the skin is wet.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-recibe-ampollas-de-friccion\"><\/span>Who gets friction blisters?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Friction blisters occur occasionally in almost men and women of all ages. <span class=\"term\" data-term-id=\"1564\">Exacerbate<\/span> factors include:<\/p>\n<ul>\n<li>Heat: they are particularly <span class=\"term\" data-term-id=\"1676\">predominant<\/span> in tropical climates.<\/li>\n<li>Long or vigorous exercise: they are common in athletes (especially marathon runners) and soldiers; A third of the 872 US soldiers surveyed in Iraq had blisters.<sup>1 <\/sup>Blisters on the palms can arise when paddling, or in children playing on monkey bars.<\/li>\n<li>Carrying a heavy load increases the risk of blisters.<\/li>\n<li>Excessive sweating - <span class=\"term\" data-term-id=\"1928\">hyperhidrosis<\/span> softens the skin so that the skin divides more easily.<\/li>\n<li>Tight, uncomfortable, or new shoes that rub repeatedly on one or two areas of the skin.<\/li>\n<li>Non-absorbent or thin socks: they do not absorb moisture well and do not adequately protect the skin from damage caused by shoes or boots.<\/li>\n<li>Rough or hard fabrics can cause blisters elsewhere, such as armpits or groin.<\/li>\n<\/ul>\n<p>Blisters can also arise in pressure areas such as the hip, as a complication of surgery or loss of consciousness, classically after barbiturate poisoning.<\/p>\n<p>There are some specific diseases that make the skin more fragile than usual, and also cause blisters in response to friction or injury.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"558\">Genetic<\/span> Arrangement: Epidermolysis Bullosa is a group of disorders in which the skin easily blisters.<\/li>\n<li>Immunobullous disease - acquired epidermolysis bullosa.<\/li>\n<li>Metabolic disease - delayed cutaneous porphyria\n<\/li>\n<li>Sun damage - especially overexposure to solaria or tanning beds\n<\/li>\n<li>Certain medications: pseudoporphyria due to nonsteroidal anti-inflammatory drugs or antibiotics (doxycycline)<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-ampolla-de-friccion\"><\/span>What are the clinical characteristics of the friction ampoule?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Rubbing on the skin first peels off the surface cells. More pressure makes the affected skin red, hot and itchy. The red skin turns pale as the blister forms. The ampoule usually contains clear liquid, but the bleeding changes the color to red \/ brown.<\/p>\n<p>Blisters occur where the <span class=\"term\" data-term-id=\"273\">stratum corneum<\/span> (the outer cell layer) is very thick, as is the case on the sole of the foot and the palm of the hands. Where the skin is thinner, friction tends to come off <span class=\"term\" data-term-id=\"85\">epidermis<\/span> completely, resulting in a <span class=\"term\" data-term-id=\"535\">erosion<\/span> (sore).<\/p>\n<p>If the ampoule remains intact, the fluid will be reabsorbed and the damaged skin will peel off a few days later.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Ampollas-de-friccion\"><\/span>Friction ampoules<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='friction-blister-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2689973-5514613' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/friction-blister-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2689973.jpg'>\n<\/div>\n<p class=\"p-small\">Friction ampoules<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='friction-blister-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7972388-3368894' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/friction-blister-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7972388.jpg'>\n<\/div>\n<p class=\"p-small\">Friction ampoules<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='friction-blister-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8216593-1225018' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/friction-blister-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8216593.jpg'>\n<\/div>\n<p class=\"p-small\">Friction ampoules<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='friction-blister-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde4xq-8912004-8955837' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/friction-blister-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE4XQ-8912004.jpg'>\n<\/div>\n<p class=\"p-small\">Friction ampoules<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='friction-blister-6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6781200-7091588' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/friction-blister-6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6781200.jpg'>\n<\/div>\n<p class=\"p-small\">Friction ampoules<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='friction-blister-5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1230583-5497934' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/friction-blister-5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1230583.jpg'>\n<\/div>\n<p class=\"p-small\">Friction ampoules<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFDebo-hacerme-alguna-prueba\"><\/span>Should I have a test?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Testing is not necessary for typical friction blisters. The following investigations may be considered when the blisters are frequent, extensive, or do not heal.<\/p>\n<ul>\n<li>Hispa to verify <span class=\"term\" data-term-id=\"937\">bacterial<\/span> <span class=\"term\" data-term-id=\"145\">infection<\/span> with Staphylococcus aureus or Streptococcus pyogenes (impetigo or cellulite).<\/li>\n<li>\n<p>Skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> of a new friction ampoule for <span class=\"term\" data-term-id=\"129\">histopathology<\/span> reveals <span class=\"term\" data-term-id=\"1038\">intraepidermal<\/span> divided without <span class=\"term\" data-term-id=\"148\">inflammation<\/span>. Specific characteristics may lead to another diagnosis.<\/li>\n<li>Live skin biopsy <span class=\"term\" data-term-id=\"142\">immunofluorescence<\/span>, positive in immunobullous diseases, is negative in the friction blister.<\/li>\n<li>Genetic testing may be requested if epidermolysis bullosa is suspected.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Complicaciones-de-la-ampolla-de-friccion\"><\/span>Friction blister complications<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Intact friction blisters generally heal quickly without scarring. Healing is sometimes delayed. Problems may include:<\/p>\n<ul>\n<li>Pain that hinders performance<\/li>\n<li>\n<p>Wound infection - presents with increased pain and redness around the blister \/ erosion, a red streak going into the groin or armpit, and pus formation. The infection is more common in diabetics and immunodeficient individuals.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"254\">Pyogenic<\/span> <span class=\"term\" data-term-id=\"113\">granuloma<\/span> occasionally it may arise at the site of a blister a few days later.<\/li>\n<li>Scarring due to infection or deeper injury.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-debo-tratar-una-ampolla-de-friccion\"><\/span>How should I treat a friction ampoule?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The friction blisters will heal on their own. However, dressings are useful to protect against further damage. Hydrocolloid ampoule strips can promote faster healing.<\/p>\n<p>Large blisters can be drained by pricking with a sterile needle. If possible, it is best to keep the top of the blister in place, to reduce pain and decrease the chance of infection. If the top of the blister has come off leaving an eroded skin surface, carefully clean the wound and apply a clean bandage.<\/p>\n<p>Infected friction blisters or <span class=\"term\" data-term-id=\"536\">erosions<\/span> It may require <span class=\"term\" data-term-id=\"1330\">current<\/span> Antibiotics or antiseptics for a few days. <span class=\"term\" data-term-id=\"380\">Systemic<\/span> Antibiotics should be used if cellulite occurs. Antibiotics should not be used if the wound is not infected.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFPuedo-evitar-las-ampollas-de-friccion\"><\/span>Can I avoid friction blisters?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If you are prone to friction blisters, the following measures may be helpful.<\/p>\n<ul>\n<li>Well-fitting boots and shoes; wear orthoses if necessary to reduce pressure points.<\/li>\n<li>Neoprene insoles<\/li>\n<li>Moisture wicking socks, changed as soon as they are wet<\/li>\n<li>2 pairs of socks: thinner polyester inner layer and thicker wool or polypropylene outer layer<\/li>\n<li>Leggings to prevent gravel and plant materials from entering the shoe.<\/li>\n<li>Lamb wool padding on and around blister-prone areas<\/li>\n<li>Various proprietary padding, cushioning and protective barrier products available over the counter at your local pharmacy<\/li>\n<\/ul>\n<p>Antiperspirants, petrolatum, or silicone lubrication, powders, and topical skin adhesives have been recommended and may be helpful. However, it has not been scientifically proven to reduce discomfort or improve healing.<\/p>\n<p>A certain hardening occurs with <span class=\"term\" data-term-id=\"1729\">repetitive<\/span> low intensity exercise due to callus formation (epidermal thickening).<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es una ampolla de fricci\u00f3n? Una ampolla de fricci\u00f3n es una ampolla causada por la piel que se frota repetidamente contra otro objeto. Con mayor frecuencia se forma en&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-8206","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8206","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8206"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8206\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}