Disease Of The Skin

Ritter's Disease - Causes, Symptoms, Diagnosis, Treatment, Photo

Ritter's Disease is commonly referred to as a severe form of newborn babbling. This infectious skin disease was first described in detail by the French physician Ritter von Rittenersgaynom.

At that time, the exfoliative throat was considered to be a disease of unknown nature, but

, however, later revealed that the cause of the disease was infection.


  • 1 Causes of development of
  • 2 Clinical picture of
  • 3 Methods of diagnosis
  • 4 Treatment of
    • 4.1 Treatment by folk methods
  • 5 Forecast and prevention of
  • 6 Photo

Causes of development of

Exfoliative dermatitis develops as a result of infecting a newborn baby's skin with a golden staphylococcus. Less commonly, Ritter's disease is caused by a mixed staphylococcal and streptococcal infection. Adult infection with staphylococci and streptococci can threaten the appearance and development of eczema.

Infant infections may be transmitted from the mother or from the maternity hospital staff. The development of Ryter dermatitis is due to the immaturity of protective skin functions in newborns and infants under 1 month of age.

Ritter's disease is extremely rare in children older than 1 month. As a rule, patients with exfoliative dermatitis older children undergo treatment with immunosuppressors.

Clinical picture of


Disease may develop in infants aged 1-4 weeks.

Ritter's disease develops in newborns or children aged 1-4 weeks. The first symptom of exfoliative dermatitis is the appearance of a bright red spot around the mouth. In the area of ​​redness there are obvious signs of inflammation.

The inflammatory process of exfoliative dermatitis spreads rapidly throughout the body. Newborns erythema appear in the folds of the skin on the neck, on the abdomen in the umbilical wound region, anogenital area.

With dermatitis of Ritter on the background of reddened and inflamed skin there are large bubbles, which are quickly revealed with the formation of large oily erosions.

Symptom of Nikolsky( characteristic of the exfoliation of the epidermis by pulling the tweezers outside the visible lesions of the lesion) with the ritter's disease is positive. Also, this symptom is observed in the following diseases: exudative multiforme erythema, Dühring's disease and bullous epidoremolysis.

When exfoliative dermatitis in a child can significantly increase the temperature, often there is nausea and vomiting. The inflammatory process can spread to mucous membranes.

Ritter disease occurs in three stages:

  • The first stage is characterized by redness and inflammation of the skin, the formation of blistering. This stage is called erythematous.
  • The second stage of exfoliative dermatitis is called exfoliative. At this stage of the Ritter disease in the tissues of the epidermis, an exudate( transparent liquid) forms, which leads to the appearance of areas of skin flaking( the symptom of Nikolsky).Exfoliative stage is the most difficult period of the disease, since large erosion forms on the skin of the child. Skin lesions are prone to sprawl and fusion. At this stage of the disease, the affected skin looks burned. In addition, at this time there are severe general symptoms - disorders of digestion, temperature increase, weight loss, deterioration of blood parameters.
  • The third regenerative stage of dermatitis of Ritter is conclusive. At this stage of the course of exfoliative dermatitis there is a gradual stihania of acute processes. Erosion heals, vanishes swelling and redness.
  • The severity of the course of exfoliative dermatitis depends on the child's age. The older the sick, the more benign is the ritter's disease. The disease in a mild form has a wiped out clinical picture, without a pronounced stage.

    Heavily complicated course of the disease Ryter attached infections - meningitis, pneumonia, external otitis media, pyelonephritis, etc. In such difficult cases, the fatal outcome of the disease is not excluded.

    Diagnostic Methods

    Diagnosis of the Ritter Disease is performed on the basis of a specific clinical picture, as well as data from the bacteria separating from the surface of the erosion or from the bubbles.

    In order to exclude congenital syphilis, RPR test for PCR diagnostics is prescribed for sick children.

    Treatment for

    For the treatment of Ritter's disease, parenteral administration of antibiotics from a number of cephalosporins is used. In addition, the patient is given anti-staphylococcal plasma and gamma globulin. In addition, with dermatitis, Ritter prescribes the administration of probiotics( lactobacillus and bifidobacteria) to prevent the development of such dysbiosis, as with thrush. You can find out how to restore the balance of microorganisms here.

    In order to prevent the development of dehydration in dermatitis of Ritter, infusion is produced by polyglycine or hemostasis.

    Skin rashes without rash are treated with fucarcinum or a mildew manganese solution. Bubbles are neatly opened, ointments or aerosol formulations containing antibiotics are applied to the lesions. Also, zinc oil, liniment naphthalene and other antiseptic agents can be used for local treatment of dermatitis Ritter.

    In the severe course of Ritter's disease, ointments, which include antibiotics and corticosteroids - Dermasolone, Oxycortic, and others can be used.

    A child suffering from Ritter's disease does not wear blouses and slippers, since clothes can rub the affected skin and cause pain. The baby should not be tightly swaddled in soft boiled and dressed diapers, which are soaked with talcum or special antibacterial powders. However, the best option will be the child's room in a special camera - a cuvée, which automatically maintains the optimum humidity and temperature.

    Treatment by folk methods


    For the complex treatment of the disease, it is possible to use a decoction of the herb of the heron.

    If Ritter's disease occurs mildly, then, in addition to basic treatment, it is possible to apply folk methods. However, before using this or that recipe, you should consult with a pediatrician.

    With Ritter's disease, it is possible to make baths with the addition of decoction of grass heron. This plant is one of the best folk remedies for the external treatment of skin infections caused by staphylococcus aureus.

    For the treatment of dermatitis Ritter cooking broth with herons.300 grams of dry grass need to be poured in two liters of water and boil under low heat for 15 minutes. Then you need to turn off the heating and insert the tool for at least half an hour. After that, broth strain and add it to a baby bath. The cooked portion of broth is enough for 20-25 liters of water.

    To swim a child with exfoliative dermatitis in a decoction of a chicken takes at least 15 minutes daily for the night.

    Forecast and prevention of

    Prevention of Ritter's disease is to carry out regular medical examinations of the staff of the maternity hospital and is matured for the purpose of detecting the staphylococcus aureus. Infection with this type of staphylococcus a pregnant woman threatens the development of folliculitis staphylococci.

    Chambers and rhodazal rooms should be thoroughly cleaned using disinfectants and quartz several times a day. The medical staff should wear medical masks when in contact with newborns.

    No less important is the prevention of exfoliative dermatitis after discharge from a maternity hospital. Mothers and other family members who are in contact with the baby should be screened for carriage in advance by passing strokes of gold staphylococcus from the nose, groin, and genital organs.

    It is very important to properly care for the skin of the baby. For bathing, use only special varieties of soap and apply it no more than once a day. For prevention of dermatitis Ritter you can swim a baby in broths of chamomile, turnips, calendula.

    The prognosis for riterma dermatitis is good, however, with the attachment of septicemia, a possible and unfavorable result.


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