How to treat microbial field. What is a microbial eczema and is it possible to cure a disease? Microbial eczema: systemic treatment

Eczema refers to inflammatory skin diseases that are not transmitted from person to man, being completely unsuccessful. As a rule, eczema is represented in chronic form with temporary exacerbations.

The history of the disease of this disease can be hereditary or allergic, it can develop under the influence of exogenous and endogenous factors. Also, neuroendocrine, immunological and psychological violations can also be attributed to the culprits.

Microbial eczema, the treatment and symptoms of which we will look at today, most often occurs in a person with weakened immune protection. With the low level of immunity, the body becomes more susceptible to pathogenic microorganisms that fall into it.

This is primarily about such common pathogens as staphylococci and streptococci.

Etiology and pathogenesis

Why does microbial eczema occur, and what is it? This disease is classified as secondary pathology, as it develops against the background of an already exhaust. Depending on the cause of its appearance, it is divided into several species:

  1. Sicoziforous - observed in people with inflamed hair follicles. The skin is formed by mobble inflamed itchy areas of red. Localizes in the field of chin, upper lips, armpits, as well as genital organs.
  2. Varicose - develops on the legs at a started case.
  3. Nummular - has the foci of the rapid shape, with a diameter of from 1 to 3 cm, with serous-purulent crusts. Most often manifested in hand.
  4. Mitotic - appears if available.
  5. Paratravamic - develops around long-standing injury, especially long non-heaven wounds.
  6. Eczema nipples - forms in women during breastfeeding period, as well as on the background of scabies. It is characterized by the appearance of red inflamed spots around the nipple, which are strongly moat.

The appearance of eczema may indicate problems with the gastrointestinal tract, kidneys, problems in humoral regulation of the body. Also, there is also disabammagloglobulmia, a decrease in the number of T-lymphocytes, and an increase in the number of in lymphocytes. These symptoms mean that the true cause of the occurrence of the disease is immune failure.

Risk factors

People belong to the risk group:

  • in a state of stress;
  • with digestive problems;
  • with impaired endocrine system;
  • with a weak immunity;
  • with manifestations of allergic diathesis;
  • with allergic diseases;
  • low personal hygiene.

It should be noted that in the pathogenesis and launch of the disease, it is the last factor that plays a huge role. In most cases, lesions are localized on legs and hands due to their high sweating and low hygiene in these places.

Symptoms

The main symptoms of microbial eczema should include inflammatory lesions of the skin, accompanied by various rashes (papulas or vesicles), as well as wet erosion. The process of rash is usually accompanied by a strong itch.

The foci have large-ended edges and merge over time, not leaving in the affected area of \u200b\u200bhealthy skin. On the surface of foci of inflammation of the microbial eczema, a large amount of purulent crust is focused.

Incorrect treatment of microbial eczema or traumatic effects on lesion foci can lead to the appearance of secondary rashes of an allergic nature. Such rashes are distinguished by polymorphism and are represented by red-empty stains, vesicles, spots and papulas.

When progressing the process, these rashes merge, forming sections of mocking erosions, and apply to previously healthy areas of the skin. Thus, the microbial eczema is transformed into true.

Microbial eczema: photo

What does notide data look like in the photo, we suggest familiarizing with the pictures.


Treatment of microbial eczema

When they found a microbial field, the main task of treatment implies the maintenance of the body as a whole, because eczema, as a rule, has a chronic nature of the flow, so it is very rare to get rid of it completely.

The treatment of microbial eczema on the legs or hands depends on what is the history of the disease and the results of the studies. It is directed primarily on the therapy of the main pathology and the impact on the chronic focus of inflammation.

Depending on the causes of the origin of the disease, it is necessary to treat fungal lesions of the skin, pyodermia, sicosis or other appropriate pathology. In the case of varicose microbial eczema, treatment includes reception of drugs to improve blood circulation.

  1. Careful personal hygiene, but the exclusion of long-term contact with water areas with microbial eczema.
  2. Prevention of body overheating, as well as injury to the affected area.
  3. Eliminating chronic infection foci.
  4. Wearing linen made of natural fabrics.
  5. The diet is predominantly milky vegetable with the addition of meat dishes, porridge, fruit with the exception of citrus. Restriction of taking fluid, alcohol, canned and acute food.
  6. In the varicose form of microbial eczema - wearing dense rubber stocking or binting of legs, treatment of varicose veins.

In addition, treatment includes reception, sedatives, antiseptic and antibacterial agents.

Local therapy

At home, you can use local treatment of microbial eczema on hand or legs, it is as follows:

  1. Movement of lead water, as well as 1% resorcin solution, Castellani fluid treatment.
  2. When echesis was triggered by a bacterial causative agent, ointments are used in the composition of which include antibiotics, for example, baccaken, deteption.
  3. If the foci of inflammation has minor mocking spots, drugs are used with the content of tar, naphthalean ointment.
  4. In the case of a fungal causative agent, antifungal ointments are used, for example, exoderyl, lawscell.

With a more severe form of the disease, it is necessary to use conventional therapy using hydrocortisone ointments and glucocorticosteroid tools that will help you to stop recurrence. In certain cases, such methods for receiving these drugs are used constantly with additional supporting vitamin B and with intramuscularly.

After removing the acute phase and the relief of the process, irradiation should be applied on the affected area of \u200b\u200bthe skin with therapeutic ultraviolet. To consolidate the success of treatment, therapeutic dirt is used. It is necessary to protect the skin from the effects of frost, snow, sun, rain, and also cover them with aseptic dressings.

Eczema is an inflammatory disease that manifests itself on the surface of the skin and changes its appearance. The reasons for this disease are not yet clear, despite the fact that it is often found quite often.

Symptoms and reasons

Infectious eczema is most often manifested in adolescents and the elderly. If a person has any disease that is very depleting immunity, then an eczema may occur in this case. Also, for the reasons for its development can be attributed:

  • any pathological condition of the skin of fungal, viral or bacterial origin;
  • seams remaining after surgery or injuries;
  • abrasions, fistulas, ulcers;
  • refusal to treat fungus;
  • lack of vitamins in the body;
  • hormonal imbalance;
  • the weakening of the protective forces of the body;
  • genetic component and too sensitive skin;
  • varicose disease.


Eczema infected is a skin condition that occurs as a consequence of any of its damage. It is for this reason that this disease amazes most often the hands and feet of a person - they are more than any other part of the body are injured. Various microbes easily penetrate into the open wound, and in case of their ingress in the deep layers, eczema may develop.

The causative agents of the disease, as a rule, are staphylococci, streptococci and fungi. Eczema treatment must begin to eliminate the cause of its development.

The main symptoms of infection include the occurrence of peculiar foci of compacted skin, having obvious contours and an inflamed appearance. Due to the fact that the top layer of the skin occurs, there may be peeling, bubbles with liquid content, purulent crusts and cracks.

Skin manifestations are necessarily accompanied by a strong itch, which is especially hard to transfer with children.. The child is able to injure the already damaged surface by permanently combing.

The disease passes several stages in its development:

  • 1 Stage: Appearance on the surface of the skin of itching spots of red.
  • Stage 2: infection, occurrence of characteristic rash.
  • 3 Stage: The appearance of moknutium due to opening of bubbles.
  • 4 Stage: Formation of plaques with a crust.

With the further development of the disease, foci can affect healthy areas of the skin. Typical manifestations of infected eczema can be seen in the photo.

Diagnostics

When signs of the disease, it is necessary to contact a dermatologist and survey:

  • To clarify the diagnosis, it may be necessary to carry out bacteriological sowing. This is done in order to identify an accurate pathogen of the disease. With the help of sowing, the susceptibility of microorganisms to antibiotics is also determined - this will help determine further treatment.
  • If there are reasons to assume the fungal nature of the eczema, then you need to hand over the scraping on mycoses.
  • In some cases, it may be necessary to histological research of the skin fragment from the affected hearth. This method eliminates other diseases.

How to treat

After establishing an accurate diagnosis, the most important is the timely appointment of adequate treatment. Therapy will be aimed at eliminating the cause, as well as the impact on the lesion foci.

Medical therapy

Medicase treatment includes:

  • depending on which the eczema causative agent was identified, antibiotics or antifungal drugs are prescribed;
  • means against manifestations of allergies;
  • anti-inflammatory drugs;
  • antiseptics;
  • hormonal drugs;
  • means regulating the immune system;
  • soothing preparations;
  • vitamins and minerals.

Reception of medicines is aimed at eliminating pronounced symptoms. After passing such a course, it is necessary to use special ointments and creams - this will help prevent the disease repetition.


Listerin is considered a highly efficient outdoor tool. It is good because it does not contain hormones and any chemical components.

Quinte-naphthalic ointment will be able to quickly remove the moisture, itching and inflammation, and zinc-naphthalic ointment will be able to heal. It is extremely effective thanks to a pronounced antibacterial and antiseptic effect.

Methods of physiotherapeutic treatment

Physiotherapy is appointed with infectious eczema on the legs and hands together with drug treatment:

All of these manipulations are aimed at securing the results of drug therapy. It is also necessary to take care of the skin from the negative impact of direct sunlight, snow, rain and frost.

Folk remedies

People's methods of treatment of microbial eczema are good as additional measures to combat this disease. Herbs and decoctions are suitable for internal use:

A good effect can be provided by medicinal plants used in the form of a row and compresses to the foci of eczema:

  • Oak bark, St. John's wort, mint and a series are coordinated. This decoction is used in the form of compresses.
  • Black radish needs to cut into thin slices, apply to the wounds.
  • Cucumbers are used for compresses. They can be brought to the wounds bandage and leave for the night.
  • Fish fat rows are used in a liquid form for applying for a bint and applying to patients.

A good healing action is provided by baths. In 7 liters of water, 1 tablespoon of cailyine is added. In the bath, hands or legs hook for 10-15 minutes. Then you need to give the skin to dry, without wiping it. The procedure can be repeated for three weeks.

Prevention

Preventive measures to combat infectious eczema include:

  • Personal hygiene. The shower must be taken twice a day using funds for their skin type. In no case cannot take other people's hygiene. Periodically, it is necessary to change personal hygiene objects (urine, toothbrush). Mandatory is washing the hands after visiting places of high cluster of people. All arising wounds must be carefully handled by antiseptics..
  • Compliance with the right nutrition is an important moment of preventing eczema. In the diet, you need to include food rich in vitamins, there is a sufficient amount of fruit, but not allowing too much citrus consumption - they are distinguished by increased allergenity.

Good effects have hardware procedures - it contributes to the overall strengthening of the body.

Update: October 2018

Eczema refers to the group of widespread skin diseases and is a chronic inflammation of surface layers of neuro-allergic nature. The eczema is characterized by polymorphism of rash, the tendency to the wetting and a very stubborn flow, so with eczema on hand, treatment must be complex, individual,

The disease brings significant psychological discomfort to its owner, since the rashes are most often localized in open areas of the body (foot, arms and face). The disease occurs cyclically, with periods of remission and exacerbation. The question is what to treat to the eczema in the hands is relevant, since many therapeutic directions have insufficient effectiveness, and the disease again and reiterates itself.

Why occurs eczema on hand?

Some doctors still refer to an exisure to a group of idiopathic diseases, i.e. with unexplained etiology. Indeed, the true causes of the development of eczema have not yet been studied to the end, but there are a number of factors that have been proven to play an important role in the emergence of a particular type of eczema:

Idiopathic eczema Just the type of eczema, the exact cause of the development of which is not yet established. It is believed that in its occurrence, various internal and external factors have a certain role, such as:

  • emotional-mental tension
  • psychotracting situations
  • vegeto-vascular dystonia
  • diseases of thyroid gland
  • diabetes
  • diseases of digestive organs
  • healthy factor

Atopic eczema There are people with a significant tendency to allergic reactions (allergic to pollen plants, food, animal wool). Also, the risk group of this type of eczema includes people with hereditary predisposition to atopic diseases (for example, with bronchial asthma, asthmatic bronchitis, see).

Professional eczema It develops with long-term negative effects on the skin of certain chemicals - chromium, nickel, formaldehyde, dyes, detergents. Professional eczema initially manifests itself in a typical place of contact of the skin with a chemical stimulus - on hand, and then it is capable of spreading to other areas of the skin.

Microbial eczema Amuses areas of leather with a long present inflammatory process of microbial or fungal etiology.

There are also such types of eczema as seborrheyne, which develops against the head of the head of the Malassezia Furfur, persistent on the skin and varicose eczema, which is localized on the skin of the lower extremities and develops due to poor blood supply against the background of varicose disease. And also children's eczema, which is most often localized on the skin of his forehead, cheeks, chin. But such types of diseases very rarely arise in their hands.

The total causes of eczema on their hands - the effect of internal and external stimuli, with a specific predisposition of the skin of a congenital or acquired nature, as well as the features of the epidermis, expressed in the propensity of the development of microcubirite epidermitics, which is characterized by increased susceptibility of the body to a number of irritants.

Some researchers have the following provoking factors affecting the emergence and progression of eczema:

  • microelements nutrition deficiency
  • lack of vitamin B6.
  • invazy worms (see,)
  • deficiency of unsaturated fatty acids;
  • violation of the kidney of exchange
  • intestinal dysbacteriosis, gallbladder inflammation (see,)
  • immunodeficiency as congenital and acquired

Symptoms Eczema on Hands

  • Idiopathic eczema

it is characterized very tangible. The rashes are most often localized in the open parts of the body, including on their hands - they can be erythematous, papulese, bubble and characterized by symmetry. The acute process begins with small bubble rashes, which during chronitization of the process merge and open, forming point erosion. Chronic course of the disease leads to skin fluentification.

  • Atopic eczema
  • With professional eczema

the open areas of the body are amazed at the point of contact with the stimulus (neck, face, forearm, handbrushes). The progression of eczema leads to the spread of lesions to other areas of the skin. Disease manifestations are typical and very similar to idiopathic eczema.

  • Microbial eczema

the most often becomes the complication of the gun-skinned skin and is localized around the Russian Academy of Sciences, in places of burns, ulcers and fistula. Initially, the process is limited - there is a one-sided lesion with a detachment of the horny part of the skin along the periphery and or exudate in the center, which then swears in the peel. Near the main foci there are surveying elements. With a prolonged course of microbial eczema, symmetric skin sections are typically affected. Itching is small.

Treatment

How to treat an area in your hands? Chronic eczema of the hands and other parts of the body is characterized by the duration of the flow. Treatment is prescribed individually for each patient and takes into account the type of eczema, the degree of expression of the inflammatory process and the individual characteristics of the patient (age, general condition, the results of treatment, etc.). To the question of how to treat an area in his arms, you can answer in one word - comprehensively.

General medication therapy

Pathogenetic therapy is the main type of treatment, without which it is impossible to cure ancase in the hands. This type of therapy is aimed at leveling or weakening the negative effect of the external environment or changed functions of the internal organs.

When the eczema is diagnosed on the fingers of the treatment, treatment often includes non-specific therapy for desensitizing actions: autohemotherapy, hemotransphus, and hirudotherapy, lactotherapy.

In severe eczema, hemosorption, enterosorption and plasmapheresis are carried out.

Bostimulators are prescribed: coursework injections of the extract or placenta of 1.0-1.5 ml.

With severe neurotic disorders, assign:

  • the doctor may appoint sodium bromide inside 5-15 ml 3 p / day
  • bromomfora also three p / day for 2 weeks
  • only by appointment of a doctor tranquilizers in small doses - nosheps, phenozepam, hlopid no more than 10 days
  • sedable vegetable agents - Novopalsit, Pans, Valerian, Peony Tincture, Sedassen

Enterosorbents and preparations to reduce intoxication:

  • Among the energizes, polyfepan, multisorption, enterosgel, atomsyl,) can also be distinguished by a brief course no more than 10 days
  • Intravenous injections of sodium thiosulfate 10-20 injections of 10 ml. or calcium chloride
  • With a mycotic eczema, a solution of hexamethylenetetramine
  • Calcium gluconate intramuscularly 10-20 injections

Hormonal therapy

The stubborn eczema of the fingers is treated between the fingers is treated with hormonal drugs, which are used only by appointment of a doctor, a brief course, with a gradual cancellation of the drug and only in cases of extreme necessity. Reception of corticosteroids has serious side effects and a number of contraindications, can contribute to the development of infectious processes, the exacerbation of chronic diseases, since reduces immunity (see).

Especially dangerous their long-term or frequently uncontrolled use. When localizing eczema only on the hands, fingers can be limited to the use of only local hormonal products, but in the case of the generalization of the inflammatory process, it is possible to assign and oral hormonal therapy, it lasts no more than 10-15 days in moderate, controlled doses:

  • corticotropine 40 units daily (800-1000 units per course)
  • prednisone at 20-40 mg daily
  • triamcinolone 10 mg daily
  • dexamethasone 2.5 tablets daily

Vitaminotherapy

Vitaminotherapy is shown for the treatment of any kind of eczema on hand. However, given the latest studies of scientists to drugs containing synthetic vitamins, it should be very careful (see):

  • Vitamin E (Oil Solution)
  • Ascorbic and nicotinic acid
  • Vitamins of group in injections
  • Folic acid

Antihistamines are shown in any form of eczema on hand:

  • In the acute process, the parenteral administration of diphenhydraminamine, chloropiramine, and semicircular
  • With moderate severity of 1 tablet inside 2 weeks 3 p / day
  • Then you can use drugs 2 and 3 generations, such as Ebastin (Kestin 300 rubles. 10 pcs), Cetirizine (Zetrin 150 rubles. Zyrtek, Zodak, Parliament), Loratadine (Claishens, Claritin, Lomilan, Loragexal, Larattin), Fexofenenadine (Telfast , Fexadine) Desloratadine (Erius, Lordestin, disall) see full.
  • And it is also possible to use ketotifenis - stabilizers of membranes of fat cells

Immunomodulators

  • Phagocytosis stimulants, these include polyoxide, lycopid, prodigiosis
  • Timomimetics is Timogen, Timalin, Immunophan
  • According to the indications, it is possible to use a glassy body, a solution of humisol, plasmol, placenta extract, apply them to treat eczema on hand and body only during chronic process.

With dysbacteriosis, digestion disorders

When the eczema is combined with pancreatitis, other diseases of the gastrointestinal tract, gastroduodenitis are prescribed salts of bile acids, enzyme preparations, pepsin - it is Pancreatin, Ermal, Creon, Festal, Solisim, Enzystal, Panzinorm Forte, Mikrazim, Pangrol, Gasteneram, Pepfiz, BioMim. If the eczema in the arms is accompanied by a disorder of the intestine microflora (see), probiotics courses are used, such as lactobacterin, (see).

With microbial eczema

In the presence of a purulent process with microbial eczema, antibacterial agents are used. To maximize the effectiveness of the treatment, it is better to produce pre-sowing flora and determine the stability and sensitivity of the eczema pathogen to specific antibiotics. Macrolids are usually used, 2 generation cephalosporins, fluoroquinolones and aminoglycosides. When attaching fungal infection is shown or local treatment with antimicotics - ointments, creams.

Local medication therapy

Various aqueous solutions, powders, suspension, paste and ointment are shown. The choice of a particular dosage form and the method of local treatment of eczema on hand is determined by the type of eczema and is based on the prevalence, localization and degree of severity of inflammatory elements.

Microbial eczema - At the same time, the form of a skin lesion on cortical formations, the following solutions apply on the pustulas:

  • Dyes - "Zelenkaya", a solution of the gentiality, methylviolete
  • It is possible to use aerosols and creams of Polcorkolone, Panthenol, Levovinoxol (see List)
  • In extreme cases, a brief course of treatment in the form of a lunch solution with solutions of lactate, resorcin

With limited forms of eczema, for example, hand brushes, showing low-imaging agents and brown-powered compounds with an anti-inflammatory effect in the form of a dressing or a bullset:

  • liquid Burov
  • lead water
  • solution of resorcin 1-2%
  • zinc sulfate solution or copper 0.1%
  • silver nitrate solution 0.25%
  • 2-5% phenol solution
  • 0.5-1.0% Menthol Solution
  • citric acid solution 1%
  • podofillin ointment from eczema on hand 0.1%
  • dimedrol paste 2-5%

In the case of an acutely occurring process with a good effect, powders from white clay, zinc oxide, wheat starch are possessed. After anemia of the acute phase, indifferent pastes and ointments are prescribed, zinc oil.

If there is a swelling, moisture, erythematous lesion, the presence of erosions, except for resorcin, use rims from galascorebin solutions, boric acid, tannin, from the medicinal herbs - the beams of the Hypericum, chamomiles.

When the acute inflammatory process begins to serve a lassary mixture, a zinc paste, the addition of additional antice, antiseptic tools, such as - naphthalan pasta, ichthiol, born-zinc. In the case of chronic eczema in the hands of a zinc ointment, the following ointments can be added - born naphthalane, methyluracyl, dermatol, which enhance the anti-inflammatory effect.

Also, the testimony uses corticosteroid ointment from the eczema on their hands, among which it is possible to allocate with eloc, skin-cap (there is a powerful corticosteroid drug in it, which is not specified in the instructions), Calestoderm, Advantan, Flutzinar (see a complete list of all hormonal ointments with Their side effects in the article). With a microbial eczema, it is better to use not pure hormonal ointments, but with the addition of antimicotics, antibiotics or antiseptics - Lorinden C, Celleztoderm with Garamcin, Trimistin, herbort, Kremed.

Physiotherapeutic procedures

Physiotherapy techniques contribute to the resolution of inflammatory elements and are an important component of treatment. Apply:

  • 2-4-chamber baths
  • , baths with mineral water
  • aerotherapy, Electroson
  • dimedrol inhalations
  • total galvanization
  • diad dartimatherapy
  • segmental impact of ultrasound
  • ultraviolet irradiation
  • ultrafonophoresis of external medicines
  • , ozokeritotherapy
  • , ozone therapy
  • low-frequency magnetic field
  • igloreflexotherapy
  • paraffin Appliques

Diet pattern

It is recommended to refuse acute and salty foods, strong meat broths, egg squirrel, fried meat, game, smoked, conservation, cheeses, sausages, spices, coffee, chocolate, alcoholic beverages. Preparation of protein products (meat, fish) should be carried out by a dietary way. In general, a light milk-vegetable diet is shown.

Folk remedies from eczema

When there is an eczema on the hands of folk remedies are very effective and used, as an addition to the main treatment, either act an alternative to it ineffectiveness.

  • Baths with salt

Dry eczema hand is well treated with salt water. Salt (preferably sea) is added to hot water, approximately 2 tablespoons per 1 liter of water. Such baths with eczema on their hands are made in a basin with a solution and are there until water cools. You can make such a procedure daily before the onset of noticeable improvement.

  • Home emulsion

With a wet eczema, a home emulsion helps. A small jar is driven one curly egg, 50 ml of vinegar (table) and water is added. This mixture is then thoroughly mixed to the state of the emulsion. This mixture is lubricated by the affected skin and covered with a cloth on top. In the morning, it is impossible to wash the dried film, and in the evening you need to repeat the procedure. Approximately during the week, the mocking is allowed and smelted dry skin.

  • Calando juice

A good therapeutic action has a calangean medicinal juice, which should be regularly lubricated to the affected skin.

  • Mother and stepmother

Remove the unpleasant symptoms in the form of itching and treat the mother and stepmother, which must be missed through the meat grinder and add pair milk to it. The affected areas are lubricated by the resulting composition for the night and torn by cellophane. Relief occurs after 2-3 procedures.

Anti-inflicted treatment and prevention of exacerbations

During the remission, the histoglobulin coursework is carried out. Important importance of personal hygiene rules and timely treatment of intercource diseases is important. Compliance with the diet helps to significantly extend the period of remission. The affected skin should be protected from any negative impact, both when performing homework and in production.

According to medical statistics, every third person at least once in his life fell eczema. The disease amazes the surface layers of the skin and is accompanied by a pronounced itch. The appearance of the eczematosis foci delivers unpleasant experiences to the patient: they are moat, covered with crusts and look extremely not aesthetically. In some cases, pathogenic microorganisms become the reason for their appearance - microbial eczema develops.

The reasons

Microbial eczema is very different from other infectious lesions of the skin. Its feature is that inflammation is not the microorganism itself, but the immune system of the patient. An important role in maintaining a pathological process plays a violation of nervous innervation in the zone of an eczematized hearth.

The disease develops against the background of hereditary predisposition to it. In this case, in the body you can detect minor changes in the cell composition of immunity. Such a situation leads to a tendency to allergic reactions: immune cells with excessive force react to antigens and damage their own tissues.

In the case of microbial eczema, immunity sensitization occurs: it has already come across the causative agent and know how to react to it. Therefore, the re-entering of the same agent causes them a violent reaction, which leads to the formation of foci of inflammation. Eccerto sections appear as a result of the introduction of the pathogen in the epidermis.

Representatives of conditionally pathogenic microflora can cause the disease, which inhabit the epithelium. In some states, the skin becomes permeable for them and they penetrate into deeper layers of epidermis. The most frequent pathogens of eczema are:

  • streptococci;
  • staphylococci;
  • proteus;
  • klebsiella;
  • gonokokk;
  • meningokok.

Types of disease

By the duration of the flow, the microbial eczema may be:

  • Acute - lasts less than 3 months, all signs are pronounced: the leaf is formed on the skin, the surface of which will die and zudit.
  • Subacle - from 3 months to six months, characterized by focal redness and skin seal, the surface is peeling.
  • Chronic - more than six months, on the site of an eczematous focus, the skin is dense, the color is different from the surrounding tissues.

Also isolated types of microbial eczema by the nature of the clinical picture:

  • nummular or gloaching - foci of the rounded shape, have a smooth border, arranged on their hands;
  • pararetmatum - foci of various shapes and size, localized in the place of skin damage (postoperative wounds, trophic ulcers, abrasions and cuts).

Clinical picture

Symptoms of microbial eczema develop gradually, passing through the following steps:

  • erythematous - single or several red spots appear on the skin, which can increase in size and merge with each other;
  • papulse - small nodules of bright red color are formed on the surface of the spots - Papulas;
  • vesicular - translucent bubbles filled with colorless serous fluid or yellow pus appear on the nodules;
  • moknutia - bubbles open up, barred damaged epithelium. It is wet, bright red and thin, droplets of serous fluid and pus are visible on its surface;
  • corking - liquid dries and forms dense gray-yellow crusts on the surface of the focus;
  • peeling - Regenerating epithelium actively multiplies and the speed of having the cells of its cells increases - scales appear on the skin.

Translated from Latin Eczema is boiling water, which accurately characterizes the clinical picture of the disease. First, the skin bluses, as if warming up, and after its surface bubbles appear. Chronic eczema proceeds with remissions and exacerbations: the spot on the site of the hearth may not disturb the person for a long time, but at some point it starts to mock again.

All external symptoms of eczema are accompanied by unbearable itch, patients are often combing the skin to blood. Only in one case itching can be expressed weakly: if the focus is formed in the zone of insufficient innervation, for example, in the field of trophic ulcers on the legs.

Read more information about eczema.

1. Microbial (paratravamic) eczema
2. Common microbial eczema

Diagnostics

Diagnostizes the disease doctor dermatovenerologist on the basis of the appearance of the hearth and the history of the patient. To clarify the diagnosis of "microbial eczema", it can assign:

Therapy

The treatment of microbial eczema is to get rid of the patient from inflammatory changes on the skin and itching as soon as possible. Therefore, it is carried out comprehensively, affecting all possible mechanisms for the development of pathology. The treatment is carried out outpatient, but the patient must observe the security mode: to rest on time, avoid stress and excitement, eliminate contact with allergens.

At the time of the acute stage of microbial eczema, a diet should be followed with the exception of citrus, chocolate, eggs, seafood, nuts and honey - those products that can provoke an allergic reaction.

General therapy

Includes a wide range of preparations in the form of tablets and injections:

  • antihistamines - eliminate the manifestations of the allergic component of the eczema: swelling of the skin and its itch (Loratadine, Messrisdoline);
  • desensitizing - weaken the manifestations of allergies, introduce their intravenously (calcium gluconate, sodium thiosulfate);
  • diuretics - are shown in swelling as a result of varicose veins (furosemid, diakarb);
  • immunomodulators - normalize the power of the immune response (levomizol, methyluracyl);
  • antibiotics - eliminate the pathogen of the inflammatory reaction, can be in the form of tablets and intramuscular injections (azithromycin, lincomycin, doxycycline, cefazolin). The antibacterial drug picks up a doctor, given the alleged microflora of the focus and the results of Bakposev.

Complex therapy results for 7 days

Local therapy

Cold bulls are made to disinfection of the hearth: applied to the affected skin gauze tampon, moistened in a cool 2% rinchic acid solution. Sweets a thin layer of zinc paste is drying. Treatment of inflammatory changes is carried out with ointments:

  • Trieders - 2 times a day for two weeks;
  • Pigaphort - from 2 to 4 times a day for two weeks;
  • Lorinden A - 2 times a day for two weeks.

They can be combined with antibacterial ointments, which are also delivered by a thin layer on the centers of eczema 2-3 times a day (clindamycine gel, tetracycline ointment, erythromycin ointment). Zelenka, Fuccin and Methylene Blue will speed up the drying of erosions and the formation of crusts followed by healing.

Of the physiotherapy methods in the treatment of microbial eczema, it is local:

  • ultraviolet irradiation;
  • electrophoresis of medicinal preparations;
  • laser therapy.

With eczema, it is useful to take warm baths with coniferous extracts for 15-20 minutes before bedtime. They will reassure the nervous system and accelerate the healing of the focus.

Almost every person came across problems that hit the skin. Some of them can be traveled independently, while others require proper and urgent treatment. This number includes eczema, which can provoke serious consequences. It is important to seek the doctor in a timely manner when the first clinical manifestations are found.

Under the microbial eczema, the development of inflamed areas on the skin is meant. This disease is transmitted to another person. More often in patients diagnose the chronic form of pathology, but the affected foci can be exacerbated and flow into the sharp stage. The disease progresses after imminent immunity, so the body begins to react to the penetration of various pathogenic bacteria and microorganisms.

Endogenous and exogenous factors (allergic or heredity) can lead to the development of eczema. The most likely perpetrators of the progression of the disease are reduced immunity and protective forces of the body, the psychoshegetative, violation of the work of the endocrine system. "

Existing varieties

Microbial eczema is divided into several species. It is important to notice the first symptoms in time and seek qualified help.

What types are there

  1. Nummular. This form of the disease has several characteristic differences. On the surface of the skin there are round inflamed sections of a small size. Their borders have quite clear outlines, the dermis swells, purulent crusts appear.
  2. Varicose. Progresses in venous insufficiency in the patient. In damaged areas, ulcers, eczematous sections, swelling, moderate itching appear.
  3. Post-traumatic. This form of the disease is manifested in violation of the healing process of the skin after surgical intervention obtained by the abrasion.
  4. Sicoziforous. Human follicles are inflated. The characteristic features include inflamed foci, having a crimson tint. Their internal contents are purulent.

Localization on the legs

Eczema on the legs occurs for various reasons that affect the development of the disease. There are several varieties of eczema on the legs:

  • true form (has a chronic form, it happens dry and wet);
  • microbial (arises in places where there are wounds, inflammatory processes, burns through which microbes penetrate);
  • micotic (progresses with the development of fungal infection);
  • professional (appears with frequent contact with stimuli - chemicals, mechanical damage).


Localization in the arms

It is divided into several types:

  • idiopathic (progresses with psychotrauming situations, vegetative-vascular dystonia, thyroid problems);
  • aTOPICAL (arises in people as a result of contact with allergens - pollen plants, animal wool, household dust);
  • professional (with contact with chemical irritants);
  • microbial (has microbial or fungal etiology).

Photo of the disease. May be unpleasant for viewing


What does microbial eczema look like (photo)

Microbial eczema manifests itself in a similar way, like other dermatological pathologies. Red spots with bubbles arise on the skin. They can have dry crusts or internal contents. A person feels a moderate or excessive itch.

Photo of the disease. May be unpleasant for viewing


Photo of the disease. May be unpleasant for viewing


The disease presented has a property sharpening. In this case, the bubbles independently open, the surface becomes wet, after which dry crusts occur.

Causes of occurrence, etiology microbial eczema

The first clinical manifestations occur in places where ulcers often occur, there are abrasions, damage to the skin after operational intervention.

Eczema microbial etiology manifests itself in different parts of the body, regardless of gender and age. Special attention should be paid to people who have varicose veins or fungal infections in the body. Below are the likely pathogens, which lead to the progression of pathology:

  • In hemolytic streptococcus;
  • golden and epidermal staphylococcus;
  • klebsiella;
  • proteus;
  • gonorrhea.

The microbial eczema can manifest itself as a background disease, when a person decreases the barrier function of the skin. Do not forget about constant contact with different microbes and products of their vital activity.

Symptoms

The microbial eczema manifests itself in the form of inflamed foci, which have a clearly limited contour. It is characterized by a reddish tint, the cell layers along the periphery can turn back. In the center of the hearth can be formed by Papula. These are small sublime areas that do not have an inner cavity.

If vesicles arise on the surface of the microbial eczema, then serous fluid is formed in their cavity. These are mocking areas with purulent crusts. There are small rashes around inflamed foci, which can gradually spread throughout the body. Their form asymmetric, edges are often uneven. Patients feel strong discomfort, on the skin appear irritable areas that are peeling.

Photo of the disease. May be unpleasant for viewing


Effects

If patients did not apply for help to a doctor or deal with self-medication, then there is a high probability of spreading an infectious inflammatory process.

A person is gradually affected by healthy skin sections. In addition, a rash of an allergic nature can join.

What is dangerous disease?

With untimely treatment, the microbial eczema can become true. The inflammatory process is accompanied by an excessive itch, therefore a person cannot control its actions. If it is strongly combing the affected areas, then pathogenic bacteria and microorganisms can spread faster on the skin. In places of combustion, scars remain, serious viral diseases are developing.

Chronic form

Under the chronic form of bacterial eczema, they imply a multifactorial disease that can manifest themselves in different areas of the skin. Most often, symptoms of pathology arise on the face and hands of hands. The chronic form of microbial eczema occurs as a result of improper treatment of acute disease.

For this reason, patients are recommended to strictly adhere to the prescribed treatment regimen and not use the funds of traditional medicine without consulting the attending physician. Chronic disease can manifest itself with insufficient observance of diet and personal hygiene.

Diagnosis of microbial eczema

The main method of diagnostics is a bacteriological study. For this take the scraping of biological material. In order for the patient it does not hurt, you can enter an anesthetic drug when interfering with a damaged area. With the help of a microscope, pathological irrigated cells can be detected. If you put them in a favorable environment, then experts will be able to discover bacterial pathogens.


To make the doctor correctly diagnosed and prescribed treatment, it is necessary to accurately determine the type of microorganism, which led to the progression of the disease. It is important to establish the reaction of bacteria on the introduction of a particular drug.

In the running form of pathology, histological research is carried out. For this take profound tissues of inflamed areas. Thanks to this, experts will establish a degree of lesion of lymphoid soft tissue.

The doctor needs to make the primary examination of the patient and determine visual changes on the skin. Differential diagnosis is installed with the symptoms of psoriasis, other varieties of dermatitis and eczema. If there are suspicions of the progression of true eczema, then in this case, the blood analysis is prescribed.

Treatment methods

Therapeutic treatment of microbial eczema should be based on the reception of medicines, compliance with a strict diet, personal hygiene.

Therapy is assigned for each patient individually. The doctor must determine the severity of the disease.

Outdoor treatment, ointment

For outer treatment, rims on the skin with the addition of resorcin (solution of 1% concentration), lead water, alcohol solution of diamond greenery are used. The most effective local medications are a Castellani (Fuccin) tool, which is recommended to apply under the acute stage of the disease.

If vesicles begin to mock, then it is advisable to use naphtalan, ompheiol ointments, tar-based drugs. When the bacterial form is detected, the use of antibiotic ointments is recommended is baccaken, detect and drapolen.

Below is a list of ointments that effectively destroy fungi. They are prescribed to patients in the diagnosis of fungal causes of the disease:

  • exoderil;
  • locoid;
  • loceral.

If inflamed foci quickly apply to healthy skin, then it is advisable to use ointments and spray with corticosteroids. They quickly remove the symptoms and swelling of the dermis.

General treatment, antibiotics

  • it is impossible for a long time to be in the sun, so as not to injure the damaged areas of the dermis;
  • it is important to carefully monitor the hygiene, it is impossible for a long time to water the dry crusts of the eczema;
  • the underwear should be made of natural material;
  • change nutrition (more vegetable food and dairy products add to the daily diet);
  • you can not use alcoholic beverages;
  • limit water drinking and other liquid;
  • exclude canned food and acute food.

Systemic treatment consists of receiving the following medicines:

  1. Antibiotic drugs. This is ampicillin, doxycycline, cefazoline, ciprofloxacin.
  2. When the fungus is detected, patients are prescribed antimicotics (fluconazole).
  3. Systemic corticosteroids and cytostatics. The most effective attributed triamcinolone, prednisone, methotrexate, cyclosporin.
  4. Preparations that block the active production of histamine in the body - Loratadine, Supratin. They help to quickly remove clinical symptoms, excessive itch.
  5. It is advisable to introduce sodium thiosulfate and calcium chloride inside veins.
  6. Preparations of sedative action - infusion of valerian, dyeing, sleeping pills, bromine.
  7. Vitamin complexes.

Physiotherapy

When progressing the disease, patients can do several physiotherapy procedures:

  • magnetic waves;
  • ultrasound;
  • ozone baths;
  • laser impact on affected areas.

Folk remedies

Means of traditional medicine applicable at home, it is advisable to use with the initial stages of pathology:

  1. Tincture of healing herbs. To prepare them need to collect a series, nettle, kidney birch, dry Calendula's inflorescences, St. John's wort. Each ingredient takes 25 grams in 25 grams and stirred thoroughly. The collected herbs poured steep boiling water. Duration of infusion - 3 hours. The bulls are applied to the empty skin for 40 minutes.
  2. Broth based on pine cones. Take only 2 large bumps that have already ripe enough and revealed. They are poured with boiling water, bury and leave to appease during the day. You can take inside half an hour before meals or process the skin.
  3. Elder. This is a good antiseptic. For cooking, bubble flowers are taken and brewed in a glass of boiling water. It is necessary to insist for a couple of hours in tightly closed dishes. Before use, it is necessary to strain the tool. It can be taken inside before eating or make a bummer on the affected skin.
  4. To improve immunity and protective forces use dandelion roots. They are pre-crushed and poured boiling water. The dandelion root is dried and finely crushed. One tablespoon of raw materials poured 250 ml of steep boiling water. It is necessary to insist the means 2 hours, after which the infusion is filled. You can take inside or make a bummer.

Prevention and precautionary measures

  • pIODERAMIA (USDERS) requires processing with antiseptic means and proper therapy;
  • wounds and other damage on the skin require adequate processing;
  • if the gypsum is put on the skin, then careful care should be ensured;
  • at the time of treatment, allergic food, chocolate and candy should be excluded from the diet;
  • it is necessary to teach chronic diseases, varicose diseases, infectious diseases.

If patients casually relate to their own health and do not comply with all the recommendations of the doctor, the secondary rash of an allergic nature can develop on the skin. Patients may encounter an infectious inflammatory process. It is important to seek to see a doctor in a timely manner to determine the progression of the disease at the initial stage.

Microbial eczema is a disease of skin inflammation that requires proper treatment. You can use ointment, bullion, antibiotic drugs, physiotherapy procedures and means of traditional medicine. Treatment is prescribed individually depending on the location of the rash and the intensity of symptoms.

This video describes the types of eczema.

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