Erythrasm( pseudomycosis): causes, treatment, diagnosis, symptoms
Dermatologists refer to eritism as a chronic skin pathology.This pathology is still known as pseudomycosis with a bacterial origin.It is mainly manifested in areas of large folds of the epithelium.
Features of the disease
The disease under consideration acquired its name due to the reddish glow of the diseased areas of the dermis during the luminescence study."Erytrazma" in the Greek.Yaz.Means red color.
This disease is usually fixed by dermatologists in the adult population.Men are more likely to be infected.This pathology occurs in them for a long period, with a certain feeling of discomfort, the patients are not observed.
Earlier, in dermatology, this pathology was credited to fungal diseases along with otrepidoid deprive, favus, microsporia, actinomycosis, trichophytosis, epidermophyte.This classification can be explained by the fact that in flakes removed from the lesion area under the microscope, it was possible to detect thin, twisting threads similar to the mycelial fungus.
Modern dermatology looks at this disease differently.Experts attributed it to pseudomycosis.They explained their action by the fact that the clinic of the disease is similar to the fungal epithelial lesion, although its etiology is completely different.
Let's find out what is the cause of erythrasms, from this video:
The disease provokes corynebacterium minutissimum. This bacterium is endowed with poor pathogenicity, low contagiousness( infectiousness).It can be observed on the upper layer of the epithelium, where it is represented by a saprophytic microorganism.Infection usually occurs by contact:
- sexual intercourse;
- through personal care products;
- when visiting the pool, bath;
- walks barefoot( for example, on the beach).
The causative agent is noted only on the surface layer of the skin( epidermis).With the development of pathology of the nails, the hair does not affect the infection.What facilitates the penetration of bacteria inside the epidermis?These factors include:
- friction, maceration of the dermis;
- violation of the protective properties of the epidermis;
- hot, too humid climate;
- change in the pH of the dermis;
- individuality of the organism;
- frequent washing with soap;
- non-observance of hygiene in the field of skin.
About what symptoms for pseudomycosis erythrasis are related, we will tell below.
The onset of the disease is detected when non-inflamed light brownish spots appear with a rounded shape on the epithelium.They can also have brownish, brick, yellowish brown color.In the diameter of such manifestations of the disease are different.The edges of the formation are usually round, sometimes also scalloped.
In the process of growth, fusion of small formations into a huge lesion is observed, which is clearly delineated from the healthy epithelium.The surface of the erythrasma is usually smooth, on it are formed small, odor-shaped scales.In the center of this defeat, there can be a change in color( brown pigmentation appears, blanching of color).
Erythrazma is located on the epidermis of large folds.In men lesions are observed in the following areas:
- around the anus;
- inner thighs.
In women, erythrasma manifests itself in the following areas:
- is a buccal;
- under the mammary glands;
As for full people, they, regardless of gender, lesions can occur on the folds of the abdomen.
The patient does not feel any discomfort at all. Rarely, when there is a slight itch.Because of the lack of subjective sensations, patients often do not turn to the dermatologist for the occurrence of this pathology.
Usually a dermatologist easily recognizes a similar problem in its peculiar clinic, localizing the areas of infection.In addition, with the slightest doubt, you can conduct a luminescent study through a Wood lamp.With it, a red-coral glow appears on the spots.Before carrying out such an investigation, the dermis in the affected area should not be treated with anything.When washing with water, treatment with any other means, the pigment which produces the pathogens of the disease can be washed away.
Specialists also prescribe microscopic scraping.Soskob from the affected area contains sinuous threads, like a mycelium, coccoid cells.
Disease should be differentiated from such pathologies:
- perianal dermatitis;
- pink lichen;
- microbial eczema;
- skin candidiasis.
If it is difficult to differentiate the pathology, specialists direct the seeding of the scraping to the tank.This procedure is necessary to determine the pathogen.To select drugs for systemic antibiotic therapy, it is necessary to establish the sensitivity of bacteria to antibiotics.
Let's find out how to treat erythrasma.
You can fight this disease with medication, folk therapy, and local drugs.It is usually sufficient to use some local medicines.
From physiotherapeutic procedures, a positive result was observed after ultraviolet therapy.The action of the beams is manifested in:
- antiseptic effect;
An ideal alternative to the procedure with ultraviolet in the summer is to stay under the sun.It's enough 30 - 40 minutes.
On whether erythrasma is susceptible in women and men to treatment with ointments and antibiotics, we will tell below.
The drug for the therapy of erythrasms is prescribed by a specialist individually taking into account the type of inflammation( acute, chronic), localization, prevalence of the lesion.If the affected area is large, antibiotics will be required.
When a local drug is prescribed, a dermatologist usually advises you to lead an allergy test in a small area of the dermis. The concentration of the drug should be weak.
Usually the following medicines are used in the therapy of this pathology:
- Sulfur tar oil( 10%).
- Erythromycin ointment.
- Salicylic alcohol( 5%).
- Alcohol solution of iodine( 2%).
- Glycerin-salicylic alcohol( 5%).
- A solution of hydrochloric acid( 6%).
- Salicylic-resorcinol alcohol.
- Camphor alcohol( 2%).
- Aqueous solutions of aniline dyes.
- Erythromycin Inside.
Next, consider the treatment of erythrasma folk remedies.
In popular ways
In the therapy of erythrasms, you can also take advantage of folk medicine.To this end, use such tools:
- Alcohol tincture on birch buds.
- Decoction of oak bark.
- Decoction of the immortelle.
- Chamomile broth.
- St. John's Wort.
Also noticeable effect from the use of baths with decoctions prepared from herbs.The most common infusions are:
- of oak bark;
- from mint, St. John's wort, sage;
- from oregano, currant leaves, chamomile, succession.
Prevention of erythrasms
Preventive measures in our case are divided into:
- Primary .This group includes:
- skin hygiene;
- fight with increased sweating;
- rejection of tight clothing;
- fight against excess weight;
- drying of wrinkles;
- rejection of synthetic fibers.
- Secondary .This group of measures is necessary to prevent recurrence of the disease.The events are held for a month after the patient cures erythrasma.They suggest the treatment of skin folds with alcohol( camphor, salicylic), applying talc.
Complications of the disease in question are usually treated during the summer period.They consist in the appearance of:
- enhanced redness;
- edema of the epidermis;
- diaper rash;
Complications most often threaten patients with obesity, hyperhidrosis, diabetes.
If adequate therapy is provided, the prognosis for patients is usually favorable.In the absence of any treatment, complications may occur, and a chronic form of the disease may also develop.