Odruvidny deprive in children
Lishay is one of the types of inflammation on the skin that is caused by different types of fungal pathogens. It manifests as a color disturbance, deformity or a rash on the upper part of the epidermis.
One of the most common is pityriasis, which is common in children of different ages. This form of dermatosis has certain characteristics and needs attention due to the age of the young patients.
- Causes of the disease
- Symptomatic mycosis
- Types of disease
- Diagnosis of the disease
- The treatment of mycosis
- Prevention of disease in children
Causes of the disease
The disease has long been known to dermatologists and is often found under the names of "colorful" or "beach" pityriasis in children. It causes a fungus such as Pitirosporum oval or round subspecies, which refers to the conditionally pathogenic part of the human microflora. The causative agent is almost always on the skin of a healthy child, without harming him.
The growth of fungal colonies on the skin begins under the influence of a number of internal or external factors that weaken the body of a small patient:
- lowering the body's defenses against a background of frequent colds or inflammation of the respiratory system;
- stress associated with studies, exams or relationships in the family;
- mental overstrain;
- excessive sweating and skin moisture;
- non-observance of the usual rules of hygiene;
- chronic diseases, which are accompanied by inflammation of the internal organs.
Dermatologists note that cases of revealing pungent lichen in children whose parents are excessively carried away by antibacterial compounds for washing and bathing are becoming more frequent.
The level of the disease with pityriasis is greatly increased in the warm season. Shrivel rhinitis in children does not pose a threat to family members and peers surrounding the child. Fungus is transmitted through a handshake, toys, personal things, but does not develop into inflammation with high immunity.
Dermatologists speak of a genetic predisposition to pityriasis. They note that the disease often occurs in children whose parents or relatives also have a history of this disease. They are more prone to the appearance of lichen spots on the skin and relapses.
Most of the sick children fall to the age of 10 years. Perhaps, this feature is associated with the formation and sharp fluctuations in the hormonal background of a teenager, which reduces immunity, provokes stressful situations. In pre-school children, pityriasis is more rare and often associated with a viral disease.
Peregrine lichen in children is prone to constant and accelerated growth of the pseudomycelia of the pathogenic fungus in the upper layer of the epidermis. This provokes the emergence of a small inflammatory reaction in the stratum corneum, the formation of a huge number of necrotic scales. They resemble small wheat bran, so they became one of the reasons for the specific name of the disease.
The incubation period in the development of pityriasis is from one to three weeks in a teenager and only a few days in a preschooler. It completely depends on the level of the immune system of the child, his emotional state.
The first manifestations begin in the form of small spots on the neck, forearm, upper back, face or chest. Much less often pityriasis in children affects the skin on the legs, buttocks or in the genital area and perineum. Such foci can have different nuances of color: from gently pink to brown.
There is a certain feature that dermatologists consider a characteristic symptom of pityriasis: such foci do not completely sunbathe in the sun, in sharp contrast to the darkened skin.
Most pathogenic fungi penetrate into the roots of cannon hair on the skin, where an ideal environment is created for their further development. Most spots are small in size, but in a neglected situation their diameter reaches 15 centimeters. They are not characterized by pronounced itching and soreness.
Types of disease
There are several basic forms of pityriasis, which differ visually:
- Erythematosquamous: differs in the arrangement of spots only in the upper part of the trunk and with unexpressed inflammation of the subcutaneous layer.
- Follicular: on the red foci additionally appear small pustules, which constantly itch and cause the child discomfort. This form is often found in children after a course of treatment with antibiotics.
- Inverted: spots are localized only in large skin folds, remaining for a long time almost invisible.
All the forms of otaroid lichen considered have a similar treatment plan and do not influence the choice of therapy methods.
Diagnosis of the disease
When referring to a specialist, the main task is the correct and complete diagnosis of pityriasis in a small patient. It has a similar clinical picture with manifestations of vitiligo, psoriasis, eczema or other types of mycosis that occur in children.
Therefore, the research includes several methods:
- Illumination of spots in the Wood lamp, which gives a characteristic green or red glow.
- Microscopy of the material taken by scraping from the center of the peeling. Under the microscope, the filaments of the mycelium of the pathogenic fungus are well defined, as well as the possible accompanying microorganisms, pathogenic bacteria.
- Test with iodine: the stains are treated with a conventional iodine solution. The foci of lichen are distinguished by a dark color against the background of the healthy skin of the child.
The treatment of mycosis
When treating a child, specialists try to limit themselves to local therapy, which does the least harm to a fragile organism. Therefore, the basis of treatment is the use of special antifungal ointments and creams:
- Mikospora (Bifosina);
- Lamizila (Fungoterbina, Terbiksa);
With severe inflammation and the appearance of pustules, the affected skin of the child should be treated several times a day with salicylic or zinc ointment, resorcinol alcohol or glycolic acid.
In follicular form, children complain of irritating itching, which can be removed with the use of antihistamines:
In some difficult situations, it is necessary to use more concentrated antifungal drugs in the form of tablets. Experts can recommend a short-term course of Oronazole, Mycosorol or Orungala. Treatment is carried out under the control of a dermatologist, who selects the optimal dose for the child and controls the manifestation of side effects.
With the appearance of pityriasis lichen on the scalp of the scalp, it is possible to the above mentioned ointments add daily washing with special shampoos of therapeutic effect such as Keto-plus, Zinokap or Nizoral. This will help to quickly eliminate the disease and its unpleasant symptoms in the form of strong peeling.
Prevention of disease in children
Responsibility for the health of the child lies entirely with his parents, so it is necessary to provide children with comfortable conditions, especially in the adolescent period. The main methods of prevention doctors call:
- maintenance of immunity at a high level, the correct regime of the day, vitamin-enhanced diet;
- selection of quality clothing and underwear;
- the explanation of the rules and principles of daily hygiene;
- ensuring a calm environment in the family and communicating with peers.
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