Herpetic eczema - causes, symptoms, diagnosis, treatment
- 20 Jul 22:45
- Disease Of The Skin
Herpetic eczema in medicine is considered as one of the variants of developing herpes in the background of chronic dermatosis or limited neurodermatitis. Other names of the disease sound like Kaposi's syndrome, vaccineformular pustulosis, etc. Most commonly,affects children between the ages of six and three years. Rarely herpetic eczema occurs in adults and adolescents.
- 1 Causes of development of
- 2 Symptoms of the disease
- 3 Methods of diagnosis
- 4 Treatment of
- 5 Prevention of the disease
- 6 Photo
Causes of development of
Causes of the disease may be different. Basically, such a disease as herpetic eczema, occurs in young children who are artificially fed and have in the history of the first months of life, atopic dermatitis. The causative agent of the infection is a herpes simplex virus type I or II.Babies can get infected with herpetic eczema in contact with parents who suffer from herpes in the oral cavity or person. In addition, eczema can occur in patients with Daryna's disease, with burns, mushroom mycosis, ichthyosis.
Infection and the development of eczema can occur after contact with the carrier of the virus or airborne droplets.
It happens that rash of herpes complicates during an illness such as seborrheic dermatitis. In an adult, the risk of developing a disease is low. The following categories of people fall into the group of risk:
- Low immunity, weakened by frequent viral diseases,
- Patients who apply long-term corticosteroid treatments for local treatment,
- People who take medications for artificial respiration in organ transplants.
The fact that the disease is prevalent mainly in young children is primarily due to the fact that the child reduces the level of antibodies to HSV that were given to him from his mother during the fetal period by up to 6 months. At the same time, the own antibodies to the herpes virus will be able to isolate the child only for 2-3 years. That is why the symptoms of herpetic eczema can often be seen in babies for about a year. In the period of exacerbation of the disease it is very important to adhere to hygiene. It is advisable, for a while, to abandon toys for the child, since the particles of the virus can be stored on household items for up to 10 hours.
Symptoms of the disease
Most common in herpetic eczema is acute onset. In the prodromal period of the disease in patients may be observed lethargy, drowsiness, passivity. Usually this state lasts for several days. As a result, the general condition of a viral infection worsens, there is a rise in body temperature, which can reach 40 degrees.
Symptoms such as accelerated breathing and pulse are also noted. With severe course of the disease, tachycardia and shortness of breath may appear. To beat the high temperature with herpetic eczema by usual feverish is quite difficult. The period of the fever may last about a week and end after the appearance of the first rash. The main sites of lesions in eczema are the face skin, the hair follicles, the upper limbs, especially the forearm and the brush. Less rash appears on the feet, legs and torso.
In patients with a history of chronic dermatosis, chicken can spread throughout the skin. Rashes on mucous membranes with this disease are usually ephemeral and rapidly transformed into erosion.
Most rashes with hermetic eczema are abundant, and its elements are adjacent to each other. However, there is also a disorderly location of papule vesicles, as in a disease such as chicken pox.
The following features are characteristic for rash with herpetic eczema:
- bleeding erosion;
- hemorrhagic crust.
The first few days of new elements appear periodically, not only next to the main cell, but also on unharmed places. In the disease, the pathological process, in addition to the skin can spread to the mucous membrane of the oral cavity, genital organs, as well as affect the eye shells. In the latter case, the disease usually develops into conjunctivitis or keratoconjunctivitis.
In some patients with herpetic eczema there is a stomachache disorder that develops in its dilutions and frequencies. In rare cases, serious complications are observed, especially in young children. The duration of herpetic eczema usually 10-20 days.
The main thing to remember is that the diagnosis is carried out by the infectious agent. It is this doctor who will be able to determine the correct treatment of the disease after the tests performed and other diagnostic procedures. Therefore, in the event of rash or other symptoms of infection, should immediately contact a specialist, especially if herpetic eczema is suspected of a young child.
It is necessary to differentiate the diseases of the smallpox, pyoderma( impetigo, gangrene pyoderma, etc.) and vakniniy. In order to diagnose "herpetic eczema", specialists use cytological, virological, immunological methods, etc.
The most common method of diagnosis of herpetic eczema is Tzank's test, which is a cytological study of the composition of herpetic vesicles. However, with this method, there may be difficulties with the differentiation of eczema from other infections caused by the varicella-zoster virus.
A culture virology study is considered to be more reliable. This method is a selection and identification of the virus. It allows you to determine the cause of the disease with maximum accuracy, however, it is rather labor-intensive and resource-intensive.
For the diagnosis of herpetic eczema, a specialist will need to restore the whole picture of the disease, for which a detailed patient survey is conducted. So, it is important to know whether there is any patient of any type of dermatoses, whether there was contact with a patient with herpes in the last few days, body temperature, etc. In addition, a visual examination of rashes is performed, which are very specific in the case of herpetic eczema.
Blood test is a prerequisite for the final diagnosis of the disease.
A specialist will need information such as PCR to confirm the course of the disease, the presence of IgM blood serum for HSV type 1 and type 2.It is also recommended to study the immune status of the patient, which may then have to be adjusted after the end of the acute stage of the disease.
The difference between herpetic eczema and herpes simplex is mainly due to the fact that in the latter case, first of all, mucous membranes are affected. Rashes appear, most often, on unchanged skin. With herpetic eczema, rashes are usually on the background of different types of dermatosis.
The treatment of the disease should be comprehensive and take into account the general condition of the patient, especially the course of the infection. Therapy of herpetic eczema is carried out in a hospital environment, as it requires constant observation of a specialist, especially for children under the age of two, as it is often the appearance of complications. Antiviral drugs for external use in this disease should be prescribed no later than two days after the appearance of rashes. For children with this purpose actively apply acyclovir or viferonovaya ointment, viadrabetic cream.
It is not strongly recommended for external use of corticosteroid ointments in herpetic eczema.
In addition, an antibacterial therapy is conducted, the purpose of which is to prevent the infection of erosive wounds. To increase immunity during treatment, anti-herpetic immunoglobulin is prescribed, the course of therapy lasts 3-5 days. In order to reduce itching and burning, especially during the period of attenuation of the disease, it will be necessary to use antihistamines. Among the most popular are dimedrol, suprastin, tavegil, etc. Also, in case of herpetic eczema, calcium gluconate is prescribed. The dosage of all drugs is determined by a specialist individually and depends on the age and weight of the patient.
In the initial stages of rash eczema can be treated with a solution of diamond green alcohol. Hemorrhagic crust in patients with herpetic eczema in any case can not be shot violently. Similar actions lead to injury to the skin, resulting in severe cracks, bleeding, and in the future, after healing of the wound, coarse scarring in place of eczema.
In the treatment of herpetic eczema, the effective use of interferon drugs. They naturally stimulate immunity and have a broad antiviral effect. For children with herpetic eczema is recommended viferon, issued in the form of candles. In addition, it will be necessary in the treatment of the disease taking vitamins, diet and drinking regime. Liquid should be taken in large quantities. If treatment is given to a child of infancy, infected with herpetic eczema, then it is recommended to leave breastfeeding. Even if the disease did not touch the eye, the advice of an ophthalmologist is desirable to avoid an unpleasant situation.
Prevention of herpetic eczema primarily involves the observance of personal hygiene. For young children, prone to various types of dermatosis, contact with people infected with herpes should be limited. When the first signs of the disease appear, immediately consult a specialist and follow all his recommendations. You can find out which specialist you will need to contact in the presence of herpes.
In a timely manner, treatment with this disease usually has a positive effect. However, it should be remembered that herpetic eczema is dangerous because it can affect the occurrence of serious complications. But proper care, correct therapy, observance of the regime and observation of specialists will allow enough quickly to bring health to the norm and get rid of eczema.