Dyshidrotic epidermophytosis
Symptoms and treatment of epidermophytosis dyshidrotic
Dyshidrotic epidermophytosis
Dyshidrotic epidermophytosis refers to fungal skin diseases. It usually begins acutely and often proceeds with complications in the form of a secondary infection. The disease can subside in the cold season and flare up in the summer. A well-chosen treatment can relieve a person of the symptoms of this type of epidermophytosis, but even in the case of systematic therapy, the likelihood of relapse remains.
Symptoms of dyshidrotic epidermophytosis
Dyshidrotic epidermophytosis is manifested by the appearance of small bubbles under the stratum corneum, which can be compared with swollen sago grains. Connecting with each other, they form rather massive areas of the affected skin. The serous fluid inside the vesicles then becomes purulent, over time it dries up and a crust forms in place of the vesicles, which subsequently falls off.
In some cases, after opening the vesicles, weeping areas of the skin with an erosive surface, bordered with corneous crusts, open. Symptoms of epidermophytosis dyshidrotic may reappear after a break, while the affected areas of the skin may grow along the periphery.
For epidermophytosis of the feet, localization is characteristic of the soles, the arch of the foot, in the interdigital spaces. As a manifestation of secondary infection, rashes can also occur on some other areas of the skin, more often on the palms. In this case, the process is of a neuro-reflex nature. If rubrophytons are involved in it, then symptoms characteristic of rubrophytosis appear on the palms.
Typical symptoms of epidermophytosis dyshidrotic during histological examination are spongiosis of individual areas and thickening of the epidermis. In the serous contents of the vesicles, leukocytes may appear over time. Several bubbles can form large bubbles, some of them subsequently break open, others form a homogeneous mass without a clear structure. When conducting microscopic examination, mycelium of fungi in the stratum corneum of the skin can be detected. On the surface layers of the skin, foci of inflammation can be seen.
Dyshidrotic epidermophytosis in the initial stage is acute, starting with the violent process of the formation of bubbles and eroded areas of the affected skin. In the course of the disease, inflammatory processes begin on the skin, which are accompanied by a general deterioration in the patient's well-being. Secondary infection can cause the formation of lymphangitis and lymphadenitis, which are quite painful. The course of the disease is associated with the pathogenicity of the pathogen itself and in some cases it can be hidden.
Diagnostics is carried out taking into account the clinical manifestations characteristic of epidermophytosis dyshidrotic, and the results of microscopic examination.
Treatment of dyshidrotic epidermophytosis
At the stage of acute inflammation, the treatment of dyshidrotic epidermophytosis is carried out with compresses from gular water, an alcoholic solution of resorcinol, and silver nitrate. If the inflammation inside the blisters is insignificant, they are pierced and the exposed skin area is smeared with methylene blue or an alcohol solution of iodine and a bandage is applied. If the inflammatory reaction inside the blisters is more pronounced, after their puncture, they are treated with naphthalan paste or other medicinal pastes. When exudative processes subside, baths for feet and hands with a decoction of oak bark can be effective. To prepare the broth, take 100-200 grams of oak bark and 1 liter of water.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".
