Rubromycosis( rubrofitia): signs, treatment, prevention, complications, prognosis

August 19, 2017 23:00 | Mycosis

One of the dermatomycosis is rubromycosis, which is more often manifested in the area of ​​inguinal-femoral folds, brushes, feet.If the pathology affects the nail plates, they thicken, fragility increases, subungual hyperkeratosis arises.A dermatologist-mycologist can diagnose this fungal disease.

Features of the disease

The causative agent of mycotic dermis disease is Trichophyton rubrum. Significant enzymatic activity of this fungus provokes infection of the dermis of the feet, large folds.In rare cases, the defeat of gun, long hair.

The fungus has 3 varieties:

  1. Furry.
  2. Gypsum-shaped.
  3. Velvet.

The most aggressive specialists consider the gypsum form of the pathogen, it more often infects the dermis of the foot.Of all the foot diseases that are fungal in nature, the rubromycosis is 60 - 80%.

classification

Dermatologists have created a classification based on the localization of the infection.In practice, it is accepted to distinguish 3 forms of pathology:

  • stop;
  • brushes;
  • generalized.

    People become infected with a fungus through contacts with the sick, and also through some things from everyday use( general).
  • Inoculation( the introduction of living microorganisms) is facilitated by the use of different medications( cytostatics, antibacterial, hormones).
  • Dispersal by spores occurs when the vascular tone is disturbed, circulatory disruptions within the lower extremities.Experts have not yet established the exact period of incubation of the fungus.If there was a person's contact with the spores of this fungus, he may not get sick, but simply remain his carrier for a long period.Having transferred this pathology, a person does not develop immunity to this type of fungus.
  • It is noted that a significant role in the occurrence of rubromycosis is given to the imbalance that arises between the immune status and secondary suppression( complete suppression of physical activity), a violation of the tone of the vessels of the legs.

Symptoms

Feet

When the incubation period of the fungus ends, the interdigital folds( all) are affected.After infection of these areas, the dermis is infected on the sole.On the development of infection indicate such external symptoms:

  • pattern on the dermis acquires clarity;
  • dermis becomes dry;
  • can be seen mucoid exfoliation;
  • diffuse hyperemia.

Without proper therapy, the infection penetrates to the rear, side of the foot, fingers.The universality of development of pathology in children is the presence of exudation, which complicates the diagnosis of the disease.If chronization of rubromycosis has occurred, the infected nails remain, other areas of the dermis.

Brushes

Infection on the hands is considered a consequence of self-infection, only in exceptional cases this pathology acts as a primary disease.Clinic rubromycosis of the hands is similar to the signs of the pathology of the feet.At the periphery of the diseased region of the dermis there is a discontinuous cushion, it can pass to the palm( the back part).

Dermatologists most often determine nail fibromyosis if the patient has other diseases of the dermis.A characteristic feature of pathology is the simultaneous infection of all nails.White, yellowish stripes appear inside the nail, on its edges.

If the hypertrophic form of the disease develops, there is a thickening of the nail plate, its fragility, crumbling, the formation of yellow strips.If the form of the disease is atrophic, there is a thinning of the nail, its destruction, the remains of the nail plate are visible only near the bead.In some cases, the nail plate is peeled off from its bed.

Smooth skin smoothing in humans( photo)

Generalization

Generalized rubromycosis.The pathology is generalized for the following reasons:

  • trophic changes in the dermis;
  • use of medicines( antibiotics, cytostatics, hormones);
  • internal disease;
  • disorders in the nervous, endocrine system.

Important:

  • In erythematous-squamous form of the disease, intolerable itching appears.There is peeling, hyperpigmentation, intermittent cushion edematous.
  • In follicular-nodular form, a deep lesion of the dermis on the feet, hands, legs, forearms, buttocks was noted.Patient areas can merge, grow along the periphery.

Body

With rubromycosis of the body, there is a lesion of interannual folds, a dermis from below the mammary glands.If people are overweight, all folds will be affected.The lesions have such external signs:

  • infiltration;
  • peeling going from center to edge;
  • intermittent scalloped roller;
  • redness;
  • papules, crusts on the platen.

Diagnosis

Thanks to a careful examination, the expert will be able to accurately diagnose.To confirm the diagnosis, you may need:

  • cytological examination;
  • seeding;
  • culture examination.

In addition to these diagnostic methods, a diffodiagnosis with certain diseases is also required:

  • microbial eczema;
  • psoriasis;
  • red flat lichen( nail plates);
  • favus;
  • pyoderma of the nails;
  • eczema;
  • lupus erythematosus;
  • trichophytosis;
  • skin tuberculosis.

Treatment of rubromycosis of the inguinal region, nails, smooth skin, face, feet is described below.

Treatment

The direction of therapy depends on which symptoms are most pronounced in the disease under consideration.It is necessary not only to treat external manifestations of the fungus, but also to normalize the work of the digestive tract, to heal systemic diseases.

Therapeutic method

For the treatment of wetness, edema, locally used cooling, soothing gels, lotions.For maximum quality cleaning of the nail surface use:

  • branche;
  • soap and soda bath.

After cleansing the nail from the horny masses, after passing a thickened skin detachment proceed to the dermis treatment by means of mycotic agents.Doctors advise to use ointments with terbinafine, oxyconazole.The general course of therapy is to take the same drugs, but in the form of tablets( ingestion).Treatment can be delayed for 1 - 6 months.

The pathology of nails can be treated with the use of special antifungal plasters, varnishes.Very serious cases can not be avoided without surgery, which involves removing the nail plate.

Rubromycosis of the smooth dermis begins with the use of antifungal ointments, drugs prescribed inside. Experts advise at the same time to adhere to the diet.It consists in the use of foods rich in vitamins A, E( they are needed for the speedy regeneration of the dermis), the predominance of protein foods.

Drug medication

If the patient is allergic to spores of the fungus, which he inhales, the doctor will prescribe the desensitizing medications to reduce the production of histamine:

  • "Fexofenadine".
  • "Loratadin".

After removal of the inflammation, the specialist can prescribe keratolytic drugs.They should contribute to the detachment of the thickened epidermis.This is necessary to ensure that antifungal ointments are effective.

For the destruction of spores of fungus it is necessary to perform such actions:

  • change of linen( bed, bed).It must be done daily;
  • washing clothes with the addition of soda;
  • double ironing.

Prevention of disease

To prevent re-infection, it is necessary to perform the above actions aimed at eliminating the spores.It is necessary to regularly inspect employees of such establishments:

  • saunas;
  • sports complexes;
  • baths;
  • swimming pools.

When visiting the above institutions, you should undergo a dermatologist's examination.To avoid the spread of fibromycosis within the family, you need to have individual bath accessories, linen.

Complications

In fungal pathology there are complications, they are concluded in:

  • cosmetic defects;
  • lesion of the nail plate, which does not disappear very long.

Forecast

If the treatment was started in a timely manner, the patient followed all the instructions of the specialist, the prognosis will be favorable.

More information about rubrophytic( rubromycosis) can be found in the video below: