Streptoderma - Causes, Symptoms and Treatment .MF .
streptococcal or strep pyoderma - is an infectious skin disease that develops as a result of the introduction into it of pathogens, Streptococcus.In this case the most important beta - hemolytic streptococcus group A. It is known that the microorganism is pathogenic not only for the skin.At its effects on the human body often affects the heart and kidneys, are developing a variety of autoimmune diseases and allergic dermatitis.
healthy human skin performs a good barrier function of the penetration into the organism of various pathogenic agents.However, when exposed to the human body and various factors of the internal environment, this protective effect is greatly reduced.This should involve the skin and dirt, and impaired local blood circulation (varicose veins), and the local impact of high and low temperatures.Various skin microtrauma also contribute to the penetration of pathogens into the skin.This and abrasions, and stings, and raschёsy and abrasions.Reduced immune defense
symptoms of streptococcal
The most common manifestation of streptococcal impetigo is .This most often affects thin and thin-skinned skin of the face (around the nose and mouth) or other open skin areas of the body (hands, feet, shins) in children and women.Impetigo is characterized by sudden onset.On the background of the skin appears flushed bubble, the size of a pea, filled with turbid yellowish contents.This bubble rapidly increases in size up to 1-2 cm, then opened, revealing erosive surface fragments of the epidermis at the periphery.Almost instantly there is drying of this element to form a honey-yellow crusts.Metamorphosis of these elements is accompanied by intolerable itching.Raschёsy contribute to the rapid infection of healthy skin and spread around the periphery of the process, where such new rash elements are formed.Thus formed extensive lesions.An additional factor in the spread of infection are household items (towel, pillow case, and others.).In this case, there are multiple infected skin, unrelated geographically.So the picture of classic impetigo.
Recently, increasingly began to appear features of the development of bubbles.When the cystic form of impetigo appear elements of the rash, blisters with thicker tires.This element does not have a tendency to peripheral growth and opening.In this case the skin of the hands and observed numerous small bubbles with serous-purulent contents.Such bubbles with a tight lid and often hit okolonogtevoy roller.Outwardly, it looks like a bubble shaped like a horseshoe with the relevant content.This form of skin lesions called streptococcus turniol .Often you can find the bubbles, large size, drying soil in the center and at the periphery surrounded by a roller containing serous-purulent contents.
Most often patients with impetigo worried itching and dryness of the affected areas.Sometimes, children with extensive skin lesions and the presence of comorbidities may be at increased temperature and swollen lymph nodes, located close to the lesions.
When recovery at the site impetigo leaves no blemishes and scars, post-inflammatory hyperpigmentation apart.
Streptococcus can also affect the deeper layers of the skin.This is called streptococcal ecthyma , in which there is an abscess with serous-purulent contents, not imbued hair, tending to peripheral growth and rapidly increasing in size.Such a short time in the crust shrinks element greenish-yellow color, which, unlike impetiginoznoy sits tightly on the skin.With the rejection of the crust exposed painful ulcer, with irregular rounded edges and purulent discharge.Because ecthyma affected germ layer of the skin, the healing of the element takes place with the formation of a highly visible scar.Ecthyma most frequently located on the lower extremities.
Pictured strep ecthyma
Due to the fact that streptoderma is an acute skin lesions and tends to spread rapidly, then the appearance of simtomov like a bubble and itching you must immediately contact thedoctor.In this case, to confirm the diagnosis will be assigned to the microscopic and mycological study of skin flakes.It is understood that while self unacceptable when used as antibacterial ointments diagnosis can not be confirmed.Treatment
To eliminate proliferation of peripheral skin around the hearth is wiped with disinfectant solutions (boric or salicylic alcohol) at each change of dressing, namely, 2 times a day.
At the initial stage of a pathological process in the presence of blisters and erosions on the background of reddened skin necessary to carry out external procedures.Quick and positive effects have a wet-drying bandage with various aqueous solutions (1-2% resorcinol, 0, 25% silver nitrate).The therapeutic effect depends on the implementation of such procedures art.Sterile gauze cloth, from 6-8 layers soaked in a treatment solution at room temperature, pressed and superimposed on the damaged surface of the skin.After 15 minutes, the same re-wetted cloth prepared solution and wrung again streptoderma cover portion.Thus, in the hour and a half going on carrying out manipulations with the wet-drying up bandages.During the first days of treatment streptococcal wet-drying bandage held thereby should be repeated 2 to 3 times, with intervals for 3 h.
Cracks in the corners of the mouth - perleches , must be lubricated 1-2% silver nitrate for 2 to 3 times a day.
Tires bubbles should be opened with all aseptic rules.Subsequently, the bubbles on the treated bandage with antibacterial ointments such as tetracycline streptocidal ointment or ointment for 12 hours two times a day.On the cover as it is necessary to use ointments with disinfectants: 3% rivanol, ethacridine-boron-Naftalan and eritromitsinovaya ointment.
With strong and unbearable itching, to exclude active infection appointed antihistamines such as "Claritin" "Telfast" standard therapeutic doses.In the same vein children daily lubricate the nails with an alcohol solution of iodine.
In marked inflammation on the periphery of the hearth, in the short term can be used outside of hormonal agents ( "Triderm", "Lorinden A, C").Keep in mind that long-term use of these funds appear irreversible changes on the skin in the form of thinning it.In this regard, the outer hormonal agents should not be used without medical supervision.
With widespread nature of the process, when the temperature rises and an increase in regional lymph nodes inside the appointed antibiotics (penicillins or cephalosporins, semi-synthetic).
In protracted and slow process justified the appointment of vitamin (A, B1, B6, C, P) and immunostimulatory therapy (autohemotherapy and appointment pyrogenal courses).
ostrovospalitelnyh After removing the effects of ultraviolet radiation is appointed rate suberythermal doses to the affected skin.
For external treatment of streptococcal has proved itself to use folk remedies.
Folk remedies for the treatment of streptococcal
To create a drying effect on the skin is recommended to use infusions of various herbs in the form of wet-drying bandage.To exclude the possibility of additional skin sensitization preference for the least allergenic herbs such as chamomile or oak bark.
the whole period of treatment streptoderma prohibited the use of sanitary bath and shower.Instead, healthy skin rubbed with a cloth moistened with chamomile infusion.
diet with the exception of acute, fat and sweet reduces the allergic disposition of the body, which leads to a decrease in exudation (soak the wound), thus contributing to the drying chamber.
With Allergic patient's mood and when properly conducted and untimely treatment of strep exposure may cause increased skin sensitivity to microbes and cause more difficult to treat disease - microbial eczema .On accession to the main process of eczema can be judged by the appearance on the background mikroerozy flushed from which separated drops of serous fluid.
In kindergartens children with streptococcal isolate and assign quarantine for 10 days.
healthy lifestyle, a balanced diet and regular hygienic care are good conditions for immunity to streptococcal skin lesion.
Consultation of dermatologist on streptoderma:
1. and streptococcal pyoderma - the same thing?
No, not really.Pyoderma - a skin lesion as a result of the introduction into it of any pathogenic piokokka.Most often it is - Streptococcus and Staphylococcus.Depending on the type of microorganism diseases are named: streptoderma and stafilodermiya and pyoderma - is the common name of pustular skin diseases.
2. Can not making any analysis to determine which of the pathogen caused by skin lesions?
determined without analysis, of course, is impossible, but you can assume.For example, it is known that streptococci cause superficial serous exudative nature of the lesion, do not penetrate the skin appendages (hair follicles, sebaceous and sweat glands).Such damage is prone to peripheral growth, often located in the folds and is accompanied by severe itching.
3. Why kindergartens detection streptoderma imposed quarantine?
Children poorly formed immunity, so streptococcal outbreak in such collectives arise very quickly.The reason is small children in close contact with each other, with the same toys.
4. How many days must elapse from the time of infection until the first element?
In medicine, this is called the incubation period of streptococcal and lasts about 10 days.
5. Can a grown man infected by a child?
course, such contamination is possible through close contact with infected skin or children through shared items with a child.
6. I heard somewhere that the cracks in the corners of the mouth are often caused by streptococcus.Is that too streptoderma?
Such cracks are called Zayed and in fact it is - erosion, surrounded by a collar of the horny layer left after opening the bubbles and surrounded by honey-yellow crusts.Most often, this skin damage caused by Streptococcus, and permanent Lip licking and increased salivation maceration leads to the development of (skin swelling as a result of the impregnation liquid), thereby reducing the barrier properties of the skin and the reproduction of it in a pathogenic organism.In this case, the aggravating factor is vitamin deficiencies of vitamin B2 deficiency in riboflavin.As regards the increased salivation, the more often it is the result of teething in children wearing dentures in adults, as well as a sign of worm infestation, which is necessary to conduct additional tests.
7. Why obese people are prone to streptococcal skin folds?
known that this process is most often localized in the groin, mezhyagodichnoy, axillary, BTE and folds under the breasts.This contributes to increased sebum secretion and flow, then the allocation of sugar, which violates the integrity of the skin and contributes to the development there streptococcus.
8. My daughter near the nose, after the rejection of yellow cake, remains pigmented spot with a bluish tinge.What now, this spot would be on her face all the time?
hyperpigmented spots after streptococcal skin lesions remain for a short time and then fade.
9. What is white lichen faces?
This is a form of streptococcal that manifests melkootrubevidnym peeling, against a background of red and pink spots.Most often occurs in children and in people long held in the open air and the sun.It promotes the development of this process, vitamin deficiencies of vitamin A retinol.
Dermatologist Kuklin ETC.