Colorful lichen ( pityriasis versicolor ) on the skin - Causes, Symptoms and Treatment .MF .
colorful or pityriasis versicolor - a fungal disease of the skin retsediviruyuschee.First described in 1853 by Robin.More common in young people.In 40 - 60 years, the frequency decreases.
Causes of multi-colored lichen
causative agent of the disease is a yeast-like fungus that retsediviruyuschee in superficialis layers of the skin and thus refers to keratomikozam.Its Latin name Pytosporum orbicularae.The fungus that is conditional - pathogenic, ie it can cause disease under certain conditions, such as: excessive sweating, changes in the chemical composition of sweat (pH closer to alkaline), oily seborrhea of the skin, slowing down the renewal, long-term treatment with hormonal drugs.
Symptoms of multi-colored lichen
disease occurs in 3 forms:
1st form of tinea versicolor , the most typical and frequent - it eritematoskvamoznaya form, characterized by the appearance of non-inflammatory patches of brown to "the color of coffee with milk."
Against the background of tanned skin, they will be w
spots initially small, then increase in size and to them we can see barely noticeable defurfuration.Itch will or he will not be significant.Favourite localization process - chest, back.Less zoster occurs in the shoulder and abdomen.Children can uvidit pathogenic process and on the scalp.When treatment with iodine, these spots will be allocated on a background of healthy skin.The aggravation of the disease usually occurs in the autumn - spring period.
second form , it is called follicular.Thus on inflammatory background, we see the emergence of papules and pustules magnitude of 2 - 3 mm in diameter.The process is often accompanied by itching.The development of this process contribute to an adverse medical history for other diseases: diabetes, hormone treatment.
When invert the form of multi-colored lichen lesions localized in the natural folds of the skin.
Symptoms of multi-colored lichen, invert form
Diagnostics multi-colored lichen
Differintsialnaya diagnosis is carried out with such pathologies as syphilitic leukoderma, vitiligo, psoriasis.For an accurate diagnosis it is necessary to consult a dermatologist.
Diagnosis "chromophytosis" already exhibited by visual inspection.It can also be used microscopy skin flakes with the discovery of the causative agent, the iodine test.The doctor may shine on the hearth fluorescent lamp of Wood, in the light of a characteristic reddish spots preobretajut - brownish glow.
Treatment of multi-colored lichen
main treatment multi-colored lichen - a local therapy by various disinfectants (salicylic - resorcinol alcohol solution of iodine, lamizila spray), an antifungal ointment (clotrimazole, mifungar, mikoseptin).Just antifungal shampoos (ketokonazol, Nizoral) are available in the industry.
In the second form, and distributed process prescribed tableted drugs with fungicidal action (terbizil, rumikoz).
any special power supply is not required.The only thing to say about the most frequent changes of underwear and bed linen.
After treatment, the skin looks like the skin of a healthy person, no spots are left.Limit yourself to anything not worth it.
Folk remedies from multi-colored lichen
You can use folk remedies, but first it is necessary to diagnose correctly, and this can only be done by the doctor.Usually from tinea versicolor use folk remedies onion, garlic tar yes.What is the smell, for example, from a man after using tincture of birch tar or onions and garlic?Work colleagues or members of the household, I think you "thank you" will not tell.The best probably means is the use of cranberry juice, apple cider vinegar.But before that, still check with your doctor.
Complications multi-colored lichen
main complication of this disease - it is a cosmetic defect.No gift of the people, which will not be treated for lack of concern, saying: "He has a skin like a leopard."And of course you need to mark the transition of the disease in the second form, which is less common.
Prevention multi-colored lichen
for specific prevention, I appoint my patients use Nizoral - shampoo 2 times a week for a month at the beginning of each spring - autumn period, or only in the area of head and ostestvennyh folds.This helps to prevent the disease and access to a doctor.
as nonspecific prevention - hygiene, sweating correction.
doctor Consultation chromophytosis
question: Is pityriasis versicolor occur in animals?
Answer: No, it is a typical anthroponosis (found only in humans).
Question: If a partner is found pityriasis versicolor, Do I need to undergo preventive treatment?
Answer: No.As I have said, that the disease is not contagious.Sam fungus lives on normal, healthy skin and the disease does not occur.Dermatologic needed only when symptoms appear.
Question: I chromophytosis.Do I need to take medication if there were white spots after the south or to wait, when will come a tan?
Answer: Absolutely.For the prevention of relapse.And he is likely to come.
Dermatologist A. Mansurov