TB skin - Causes, Symptoms and Treatment .MF .
TB skin - a disease resulting from lymphohematogenous spread of tuberculosis infection, with the defeat and subcutaneous fat.
causes of lupus
disease is caused by Mycobacterium tuberculosis of both human and bovine type.Infection is more common in children, through both external and internal environment through (from other agencies).Currently, lupus is very rare.
Because the skin is an environment not conducive to the growth and reproduction of pathogen contamination from the external environment is possible only if a massive infection through broken skin.In such cases, the site of entry of the pathogen occurs primary affect.
Secondary same forms develop in people on a background of reduced immunity in individuals who have had tuberculosis at other sites.
Infected with tuberculosis of the skin can be from a patient with tuberculosis of any localization.
Symptoms of lupus
1. Primary tuberculosis.
A. Acute primary tuberculosis:
- primary tuberculosis affect;
- milliarny acute tuberculos
- skrofuloderma primary (hematogenous).
B. Chronically current primary tuberculosis:
- skrofuloderma secondary;
- fungozny tuberculosis;
- scattered form of skin tuberculosis (compacted erythema; papulonekrotichesky tuberkulez- disseminated tuberculosis milliarny person rozatseopodobny tuberculosis Lewandowski, scrofulous lichen).
2. Secondary tuberculosis.
- exogenous form of skin tuberculosis:
a) warty tuberculosis;
b) milliarno - ulcerative tuberculosis.
Primary tuberculous affect more common in children.On the skin there are single nodules, pustules, erosions or ulcers with inflammatory reaction of the surrounding tissue, accompanied by an increase in adjacent lymph nodes.
Acute milliarny tuberculosis skin - difficult flowing form, often with fatal consequences.At the present time practically does not occur.It is characterized by a rash on the skin of the trunk and limbs of pink papules with a bluish tint, in the center of which there are sores.
Skrofuloderma primary often appears in children in recent years in the elderly, and persons receiving long-term corticosteroid therapy.In the deep layers of the skin appear one or several painful knots, increasing in the future, the skin over them becomes bluish tint.The formation of cold abscess, which can be opened with the formation of a fistula.When healing the deep scars are formed.
Skrofuloderma secondary different from the primary that is related to the lymph nodes, deep ulcers and more severe scarring.
Fungozny tuberculosis usually occurs in the fistulas and ulcers in patients with bone tuberculosis.Formed cyanotic, maloboleznennye, dense infiltrates.There is a connection of a secondary infection, and they get a mushroom shape.It occurs very rarely.
compacted erythema occurs in the form of two types: nodular Bazin and peptic Hutchinson, is the most common form of skin tuberculosis.On the flexor surface of the tibia, often symmetrical, located maloboleznennye knots tight.As the increase in the lymph nodes, the skin over them becomes pinkish-bluish tint.In the future, the focus of their form ulcers with granulation at the bottom.
Papulonekrotichesky tuberculosis manifested symmetrically arranged on the face, ears, chest, abdomen, extensor surfaces, buttocks, painless, dense knots.It is characterized by erythema, presence teleangeoektazy (vascular webs and stars), pinkish papules with pustules in the center, to dry in the crust, after the rejection of which formed scar.
scrofulous Ringworm is more common in children and adolescents is currently not common.Characterized by the appearance on the skin of the side surfaces of the chest and abdomen, upper and lower extremities symmetrically arranged dense knots with scales on the surface.
lupus localized predominantly on the face.The primary element is a hump lyupoma - spherical, pinkish in color, soft, painless.
Verrucose lupus occurs as a result of skin contact with infected sputum mostly surgeons, veterinarians, pathologists at the hands of the skin damage when working with contaminated material.Rarely.
Milliarno ulcerative tuberculosis MbT occurs in the mucous membranes or the skin in places of transition to the mucosa around the orifices.It starts with the appearance of thick, pink nodules, abscesses, ulcerate.Painful ulcers can increase the depth of up to 1.5 cm at the bottom of the ulcer revealed yellow grain Trelew -. Tiny abscesses.Sometimes there is an increase in the surrounding lymph nodes.
tests for suspected lupus
Produce tuberculin starting from Pirke patch testing, with negative reactions put the Mantoux test.In chronic course of the process the sample can be negative.
bacteriological diagnosis is carried out in patients with skrofulodermoy, ulcerative Sealing form of erythema and lupus.For the study taking pus from ulcers, punctate of the nodes.A biopsy is best done after 1.5 months from the onset of the disease, because at that time formed the TB structure.
Just spend radiological lung examination to exclude their defeat.
In lupus, there are two characteristic symptom: "apple jelly" - a pressure-sensitive glass translucency on a yellow background of a bright brownish infiltrates and symptom of Pospelov - with pressure probe bellied formed impression.
If you find yourself in the above symptoms should consult a dermatologist for a complete examination.Then, if the diagnosis is confirmed, the sick will be referred to a TB specialist for further evaluation and selection of treatment.
Treatment of tuberculosis of the skin
Treatment of tuberculosis of the skin follows the same pattern as the treatment of pulmonary tuberculosis.The main drugs are isoniazid, rifampicin, ethambutol, pyrazinamide and streptomycin.Local obkalyvanie isolated pockets of streptomycin.Using gepatoprotektorov as antibiotics affect liver function.
TB skin responds well to treatment if the pills are not to miss.Duration of treatment between 6 months to two years, depending on the severity of the process and stability of mycobacteria to antibiotics.In the initial stages of the better pass-patient treatment, at least two months, followed by transition to ambulatory monitoring.
When tuberculosis is useful to take in the form of infusions and decoctions: mother-and-stepmother, quince, eucalyptus, elder, aloe, cranberries, knotweed, spruce, strawberry, walnut, lilac, pine, licorice, plantain.Kumysoterapiya always been acceptable for tuberculosis (a complete protein and vitamins).Before taking any folk remedy, better to consult a doctor.
Diet for tuberculosis skin
During treatment requires high-protein diet - fish, meat, dairy products, milk.It is necessary to increase the caloric content of food using sugar, honey, bakery products, etc.Meals should be strengthened, but not excessive.You need to eat more vegetables and fruits.The liquid is not limited.
rehabilitation after suffering lupus
Rehabilitation includes possible treatment at the beautician or surgeon in connection with the formation of rough scars on the skin.
complications of tuberculosis of the skin
Complications include: formation of cold abscess, slowly healing ulcers, fistula.
lupus With proper treatment, recovery is always happening.
be fatal tuberculosis skin almost does not occur, it is possible defeat in generalized tuberculosis, for example, bones and lungs.
Prevention includes avoiding contact with people with TB, if any.For children, this BCG vaccination to generate immunity to tuberculosis.For adults, the annual fluorography.
doctor phthisiatrician Kuleshov LA