Erythrama - causes, symptoms, clinical picture, treatment
- 18 Jul 12:00
- Disease Of The Skin
Erythrism is a chronic skin disease of bacterial origin that affects the upper layers of the skin in the area of large skin folds. Nails and hair under eritrism are not affected.
Most often, erytramy suffers from the representatives of a strong sex, this is due to the characteristics of male skin and increased sweating in men. The disease most often affects the inguinal folds, feet. In people with excess weight, wrinkles on the abdomen can be affected, and women often suffer from breast skin.
- 1 Causes of the disease
- 2 Clinical picture
- diagnostic methods 4 Treatment of
- 4.1 Treatment by folk methods
- 5 Prevention and prognosis
- 6 Photo
disease Erythrism traditionally belongs to a group of keratomycosis, although the disease is not caused by fungi but by bacteria. Thus, eritrama is a pseudomycosis, and the causative agent of this skin disease has nothing to do with fungi.
Corinebacteria, which cause the development of erythrazma, multiply in the stratum corneum of the epidermis, so the disease causes damage only to the surface layers of the skin.
Erythrama is a contagious disease, although its contagiousness( contagiousness) is relatively low. The transmission of pathogens occurs by contact, it can be infected with eritrism when using the patient's words, while walking barefoot in public baths, with sexual or just close contacts with the patient.
The development of eritrhma contributes to a damp warm climate, increased sweating, causes maceration of the skin and the appearance of adolescents, insufficient level of hygiene. However, too frequent washing, especially with the use of antibacterial gels or soaps, leads to changes in the pH of the skin, which contributes to the development of erythrazma.
Eritreas begins with the appearance of rounded forms in large skin folds. Sometimes spots have festonchatye edges.
The skin in the area of spotting is not inflamed. The color of rash during eritrism may range from yellow to reddish brown. The diameter of the spots may be different, they may be very small or reach several centimeters in diameter.
As the disease progresses, an increase in the size of the spots is observed, they are combined with each other, forming a large part of the affected skin. When eritrism, the skin is abruptly released against the background of a healthy, the stain has a smooth, covered with small scales. As the erythrazma develops in the center of the spot, darkening occurs due to hyperpigmentation.
As a rule, during erythrama is not accompanied by subjective sensations. Only a small fraction of patients report itching. Because of the absence of severe symptoms, patients with eritrism often do not consider it necessary to seek medical advice.
In the absence of treatment for eritrhma proceeds long, the disease may last more than 10 years. In this case, the periods of remission alternate with periods of exacerbations.
As a rule, exacerbation of erythrism is observed in the summer, as the warm weather and increased sweating creates the best conditions for bacterial breeding.
Complications of erythralmia are often observed in patients with diabetes mellitus, hyperhidrosis, obesity. In such patients, skin lesions are often supplemented with the appearance of hyperextension, eczema, the addition of bacterial infections.
To cause complications of erythrism can also result in constant friction of the affected area of the skin, its contamination. With the development of complications, itching, burning sensation, and soreness appear.
The basis of diagnosis of erythrama is the study of the clinical occurrence of the disease and the conduct of microscopic research. When studying scales of skin, taken from the places of damage under a microscope, you can see thin twisted threads and spherical cells, which are arranged in chains or groups.
A luminescent method of investigation is used to diagnose eritrhasm. In the beams of the Wood lamp, the places of defeat under eritrism are fluoresced with red light of a brick or coral hue.
It is necessary to differentiate eritrhasm from rubimikoza - a fungal disease that has a similar symptomatology. A distinctive feature of eritrism is the formation of a continuous roller around the site of the defeat. In addition, in this type of disease is never affected by hair and nails. In addition, pseudomycosis, in contrast to true mycosis and psoriasis, occurs without pronounced itching.
The difference between erythralmia and skin lesions in the lumbar spine is the localization of the centers, as well as in the characteristic glow of the study under the Wood bulb.
In the treatment of erythrama, it is often possible to limit the use of local funds. For treatment, erythromycin or sulfur-oily ointment is used. The medicinal product is rubbed into the lesions twice a day. The course of treatment is 7-10 days. After the treatment, stains on the skin will not disappear immediately, and after a while.
If the focal points of the skin are large or there is evidence of the presence of an attached infection, systemic antibiotics may be prescribed. In addition, the treatment of the skin with solutions of aniline dyes can be prescribed.
A good effect in eritrhasm gives irradiation with UV rays. Patients may be assigned local ultrasound. In the summer, it is recommended that in the morning and evening hours it is in the sun, exposing the radiation to the site of the defeat.
To prevent re-infection, it is necessary to disinfect the patient's personal belongings - clothes, towels, shoes, linen, including bedding. Things are recommended to be washed daily and ironed, shoes are washed and treated with antiseptics.
If erythrazma is a consequence of systemic disease, the patient should be referred for consultation to a specialist. At increased sweating, special treatment for hyperhidrosis, including the complete removal of sweat glands in the areas of erythralmia, may be prescribed.
Treatment by folk methods
In addition to therapy prescribed by a physician for the treatment of erythrazema, herbal treatments can be used.
- Wash affected skin with decoction of oak bark, chamomile, St. John's Wort, immortal.
- To get rid of erythrism, you can use alcohol tincture of leaves of walnut or bud buds. To prepare the means, the plant material is mixed with vodka in a ratio of 1 to 10. Insist the preparation a week, then strain and wipe with cotton swabs soaked in tincture, the skin affected by eritrism.
Prevention and prognosis
With adequately selected therapy, the prognosis for eritrism is favorable. If treatment is not available, the disease will occur chronically, possible complications.
Prevention of erythrama development is to support dry skin in the folds. It is necessary every day, and in the heat, and more often, to wash the skin. After water procedures it is important to carefully soak the skin with a soft towel.
To eliminate excessive sweating, which is a provocative factor in the development of erythrama, it is necessary to use antiperspirants, special powders. After buying new clothes do not wear it without preliminary washing. In addition, you should refrain from wearing synthetic fabrics, preferring natural materials.