This article will tell you how to treat streptoderma.
This is a skin lesion caused by the growth of streptococci, harmful microorganisms that are common in our environment. Streptococci attack in most cases smooth skin, while staphylococci tend to settle on hair follicles, as well as sweat and sebaceous glands. Due to the pathogenic effect of streptococci, primary elements or so-called conflicts are formed. They look like bubbles with a clear liquid inside, showing a gradual upward trend. How to treat streptoderma in the nose, we will learn further.
Reasons
It was mentioned above that the main cause of streptoderma are microorganisms called streptococci. These bacteria are able to secrete extracellular toxins and hyaluronic acid, which reduces capillary impermeability inplace of injury. In this case, fluid is released from the vessels, namely blood plasma, which leads to edema, which later turns into blisters filled with inflammatory fluid.
For the development of streptoderma, certain conditions are necessary. Women and children are most susceptible to the disease, as they have very thin and delicate skin. There are also a number of factors due to which streptoderma appears. Among them:
- Scratching affected skin for itchy dermatoses such as scabies or neurodermatitis.
- Damaged skin epithelium, which occurs against the background of a severe runny nose with rhinitis or otitis media.
- Reduced immunity due to chronic alcoholism, exhaustion, lesions of the digestive system associated with impaired absorption of nutrients entering the body.
- Seborrhea.
- Improper child care.
Many people have a question about the contagiousness of streptoderma. Studies have shown that the disease can be transmitted by household means from one person to another. However, the person to whom the disease was transmitted will only become ill if the factors listed above contribute to this.
Routes of infection
Most often, streptoderma affects children between the ages of two and seven. Toddlers often comb insect bites, get abrasions, scratches and other damage. It is through such microtraumas that infection occurs. Also, pathology can enter the body through clothing, dishes or toys if they were touched by an infected child. How to treatstreptoderma in children, we will describe below.
Streptococci are most commonly found on:
- Toys.
- Dishes.
- Clothing, whether it's a coat or underwear. This is especially true for poorly stretched or unironed items.
- In the air and water.
- The mucous membranes and skin of another person. There are carriers of diseases when a person does not know that he is infected. The disease may not manifest itself at all or be expressed in frequent tonsillitis, otitis and inflammation.
Bathing and scratching the affected areas of the skin are the main factors that contribute to the spread of the disease. Increased sweating and excessive secretion of sebum can lead to the development of lesions in the ear and inguinal folds. This variant is most common in people who are prone to obesity or diabetics. Before determining how to treat dry streptoderma, let's talk about the varieties of the disease.
Main varieties
The main manifestation of streptoderma is impetigo. This is an element that is filled with serous fluid and is located on the site of inflamed and reddened skin.
At the initial stage of the disease, a small spot of red color appears. After a few hours, a bubble a few millimeters in size forms on it. This formation is called conflict and in certain cases is formed on the skin without redness and spots. Initially, the bubble is elastic, but after some time it becomes flabby, the contentsbecomes cloudy, becoming purulent instead of serous. It is also possible the appearance of hemorrhagic fluid in the bubble.
Over time, conflicts dry out and a crust forms, which falls off on its own. At the same time, a small pink spot remains on the skin, which eventually disappears without scarring. Between conflicts, unaffected skin can be observed, but in some cases they begin to grow and connect with each other. Thus, impetigo is formed in the form of a ring.
How to treat streptoderma in adults? This is a frequently asked question.
The duration of the course of the disease is approximately a month. The predominant localization of conflicts is the face, limbs, sides on the body. In the conditions of the children's team, the disease spreads very quickly, so it is classified as contagious, that is, highly contagious. Impetigo can be transmitted during playtime, using towels, toys, and other shared items.
In addition to contagious impetigo, there are also other forms of the disease:
- Streptococcal cheilitis.
- Ring simple type.
- Bullous impetigo.
- Surface felon.
- Ecthyma vulgaris.
- Intertriginous streptoderma.
Let's look at these varieties in more detail.
How does it start and how to treat streptoderma in adults?
Streptococcal cheilitis
This form of streptoderma looks like a bubble in the corner of the mouth. In the people it is called zaeda. The bubble bursts quickly. Sometimesthe outer corners of the eyes and the skin around the nasal wings may be affected. Another name for the disease is angular type stomatitis.
Bubbles first form in the corners of the lips, they open up and leave behind small cracks, which are covered with a yellow crust. Since the places where the bubbles appear are always moistened, the crusts quickly fall off. Streptococcal cheilitis is accompanied by such unpleasant symptoms as pain, itching and increased salivation. Factors that can trigger the disease are:
- Conjunctivitis and rhinitis.
- Caries.
- Children's tendency to lick their lips.
- Dentures in the elderly.
- Deficiency of B vitamins.
This type of impetigo is transmitted by using the same dishes and towels, as well as by kissing. The disease often occurs in members of the same family. How to treat streptoderma is interesting to many.
Bullous impetigo
This type of streptoderma is accompanied by the formation of numerous bubbles, the size of which can reach three centimeters. Bubbles are located mainly on the back of the palms, lesions of the feet and legs are less common. When the bubbles burst, the surface remains eroded and gradually increases. Thus, streptoderma is often formed in a chronic form.
The chronic type of diffuse streptoderma affects large areas of the skin, especially on the legs. The shape of the focus is large-scalloped and delimited from he althy tissue by the rim of the epidermis. ATthe focus of infection, the skin turns red, has a bluish tint and is covered with a large number of yellow crusts. After the crusts come off, the surface becomes weepy, a thick and viscous, serous or purulent substance is released on it. Over time, there is an increase in the area of skin lesions, screenings of conflicts appear. When the inflammation subsides, the erosion becomes scaly and the skin stops being weepy until the next inflammatory process occurs.
If the disease does not go away for a long time, eczema joins, accompanied by microerosions, releasing a colorless liquid. The chronic course of streptoderma can occur as a result of malnutrition of tissues with varicose veins of the lower extremities or diabetes. Quite often, the affected areas are surrounded by trophic ulcers. The causes of the development of the disease may be hypothermia of the legs or prolonged stay on the legs.
Ring simple type
Lichen simplex is a dry variety of streptoderma. This disease is most common in children. Localized on the cheeks, around the mouth, on the lower jaw. It looks like an oval or round spot, pink or white in color, has clear boundaries and a scaly surface. In some cases, it may cause slight itching. It often clears up after sunbathing, but the areas affected by lichen tan less, so there is a risk of "spotted" tan.
Lichen simple type most often appears in the spring or autumn. Sometimes there are epidemicoutbreaks in preschools and schools.
Surface panaritium
Its other name is tourniol. This is a type of streptoderma, which is more common in people in adulthood. Conflicts can appear as a result of hangnails, careless manicure, injury to the fingers around the nail plate. Conflicts, first with colorless, and then with purulent content. The phalanx of the nail swells and turns red, soreness appears. After the bubble bursts, erosion forms, which frames the nail along the edge. In some cases, the nail plate moves away and peels off. With a severe course of the disease, impetigo of the nail folds causes the development of such complications as lymphadenitis, lymphangitis, chills, fever, poor general he alth.
How does streptoderma begin in children? How to treat this condition?
Intertriginous streptoderma
Another name for this variety of streptoderma is streptococcal diaper rash. It is localized in the folds of the skin, where there is increased moisture, for example, under the mammary glands, in the axillary and inguinal regions, between the buttocks, behind the ears, in the folds on the abdomen. Pathology is inherent in children and overweight patients.
For intertriginous streptoderma, the formation of many small, rapidly bursting conflicts is characteristic. A large eroded focus appears with a weeping pink surface, around which the epidermis exfoliates. Cracks appear inside the folds of the skin, which are characterized by soreness. Around them screenings of bubbles of various sizes are formed.and stages of formation. Intertriginous streptoderma can lead to such a complication as a fungal infection. This condition is accompanied by itching and soreness. A similar form of pathology is called seborrheic streptoderma.
Common ecthyma
This disease can be triggered not only by streptococci, but also by their combination with staphylococci. Ecthyma vulgaris proceeds as follows: a bubble appears, in some cases it is located around the hair follicle, which is typical for staphylococcal lesions, then dries up, and a golden crust forms on the surface. The formation is multilayered, and after removal, an ulcer remains, the bottom of which bleeds. Ulcer with soft edges, gray coating on the surface and severe swelling. The skin around her turns red.
The primary localization of ecthymia are the shins, as well as the buttocks, thighs and lumbar region. In fact, this is one of the few forms of streptoderma that leaves marks on the skin. This is due to the fact that after a few weeks the ulcers heal, and after them a scar remains, around which pigmented skin is located.
People often ask if streptoderma can be treated? More on that later.
Complications
Signs of streptoderma with timely treatment pass on average after a week. The danger of the disease lies in the fact that against the background of reduced immunity and with a severe course, some complications may develop, namely:
- scarlet fever;
- microbial eczema;
- teardroppsoriasis;
- phlegmon and boils;
- septicemia, that is, blood poisoning, when a large number of streptococci enter the systemic circulation.
The latter, in turn, can cause the following complications:
- Kidney disease, including glomerulonephritis.
- Endocarditis, myocarditis and other heart diseases.
- On the part of the joints, rheumatic fever may occur in the acute stage of the course.
Such pathologies occur in severe chronic form and have an infectious-allergic origin.
How long is streptoderma treated?
The incubation period for the development of the disease in adults lasts about 5-7 days, after which the microbes begin to multiply actively. If this process is noticed in the early stages, then streptoderma is treated quickly, with local antiseptics: ointments, antifungal dressings, and so on. When moving to the chronic stage, the appearance of wounds on the body, open ulcers and abscesses, treatment may take more than one week, and the wounds themselves will not heal for a long time even after successful therapy.
Diagnosis
There are several main factors by which streptoderma is diagnosed. So, the doctor draws attention to the data on the patient's possible contacts with infected people, the presence of an epidemic in various groups, as well as the skin when examining the lesions. In addition, various laboratory studies are carried out, such as microscopy of the contents of conflict and their bacteriological analysis. It isolates streptococci andanalysis is carried out for their sensitivity to antibacterial drugs. Material is collected before antibiotics are given.
The doctor makes a differential diagnosis with the following diseases:
- Staphylococcal pyoderma such as furunculosis etc.
- Pityriasis versicolor.
- Eczema.
- Atopic dermatitis.
In addition, a study is underway to rule out herpes disease. The difference in this case is that the seizures are quickly opened, after which cracks remain, while herpes is in a state of bubbles for a rather long time and does not form wounds after opening. The appearance of herpes is preceded by itching, while rashes appear on unchanged areas of the skin. Streptoderma is characterized by redness of the skin at the initial stage of development, the vesicles do not cause itching, and the crusts itch, but slightly.
You should also conduct a differential diagnosis of streptoderma from chicken pox. At the initial stage, the rash is somewhat similar to chickenpox, but they do not spread over the entire surface of the skin, which is typical for smallpox. In addition, the development of chickenpox is accompanied by an increase in body temperature, while the patient's condition with streptoderma can be called normal.
Any skin rash, whether sores, blisters or rashes, should be seen by a doctor and tested to confirm the diagnosis.
So, how to treat streptoderma?
Treatment
Treatment forstreptoderma should be prescribed by a dermatologist, taking into account the patient's age and diseases in his anamnesis. A common recommendation for all patients is to follow a therapeutic diet that excludes fatty and spicy foods, sweets and food allergens, including chocolate, citrus fruits and strawberries. Preference should be given to underwear made from natural fabrics that do not rub the affected skin areas and do not restrict movement.
When foci of the disease are formed, it is not recommended to carry out water procedures, as this can provoke infection of he althy areas of the skin. Intact skin should be wiped with a damp cloth soaked in chamomile decoction. This measure will have an antiseptic effect on the skin.
How to treat streptoderma on the face is interesting to many. In this case, it is necessary to open the bubbles with a sterile needle, wash these places with a 3% hydrogen peroxide solution, and then carry out an antiseptic treatment of the area (2% salicylic alcohol, Furcocin or 0.5% alcohol chlorhexidine).
And how to treat streptoderma on the head? Particular attention should be paid to streptoderma, which is localized on the scalp. At the same time, the affected tissues are extremely easy to separate from he althy ones. Crusts on the skin form after the vesicles with purulent contents dry up. Therapy may continue for weeks or even months, depending on prevalence.
To eliminate the disease, as a rule, appoint:
- antibiotics;
- disinfectants;
- biostimulants (if there is a strong spread of the lesion);
- immunomodulators;
- physiotherapy.
And how to treat streptoderma at home?
Home treatment involves opening the blisters with a sterilized needle, calcined on fire, or wiped with an alcohol swab. After opening, the liquid is removed, the skin around the foci of the disease is rubbed with brilliant green or "Fukortsin" several times a day. What ointment to treat streptoderma?
In addition, "Zesorcin" or silver nitrate is suitable for the treatment of weeping wounds. Traditional medicine also advises treating wounds with infusions of garlic, onion and yarrow, but only as an aid.
After the formation of crusts, special antibiotic-based ointments are applied to the wound, for example, Levomekol. Zinc ointment will give an additional disinfecting and drying effect.
There is also a modern drug in the form of an ointment, prescribed for streptoderma. This is "Baneocin", which copes well with small foci of seizure, contagious impetigo, depriving a simple type and panaritium. The effect of its use, on average, appears after a week, when the foci of the disease disappear. How to treat streptoderma on the skin?
If the affected areas are quite large, covered with erosions and large blisters, and also in case of a severe course of the disease, antibiotics are prescribed. The most commonly prescribed amoxicillin clavulanate, "Levomycetin" or "Tetracycline". The drugs are taken for no more than five days.
Therapystreptoderma in patients with immune pathologies or diabetes mellitus is carried out in combination with the treatment of identified complications, that is, the adjustment of immunity and metabolism. In case of illness in children, the child is isolated from the team for the period of treatment. How to treat streptoderma on the face in adults, the doctor will tell.
During pregnancy, streptoderma occurs quite rarely and in most cases does not cause complications. However, treatment is necessary before the baby is born so that the disease is not transmitted to the newborn. For the treatment of pregnant women, antiseptic and antibacterial drugs (in the form of an ointment) are used, which are safe for the child and do not enter the bloodstream. If the disease is severe, antibiotics are prescribed, most commonly cephalosporins or penicillins, which are considered safe to take during pregnancy.
Let's figure out how to treat streptoderma in children.
Therapy in children
If your child has any dermatological problems, you need to go to a specialist.
The bubbles-conflicts are necessarily opened, then their subsequent processing is carried out. So the ulcers dry out faster and the inflammation stops. But all the rules of asepsis must be observed. After puncture, the blisters are disinfected with alcohol solutions, hydrogen peroxide. Antibiotic ointments are applied to inflamed skin.
How to quickly treat streptoderma in children?
Erythromycin or ethacridine-boron-naphthalan ointment. Also, the skin around the source of infection is treated with disinfectants, and the areas that are not affected are treated with a decoction of chamomile or oak bark.
How to treat streptoderma in a child on the face?
Wet-drying dressings are applied to the affected area of the face, which are moistened in aqueous solutions of silver nitrate 0.25% or resorcinol 1-2%, 2-3 times a day. Ulcers are treated with antiseptics and drying preparations, for example, brilliant green. Antibacterial ointments are also very effective. They are applied to the area of inflammation. Well suited for children "Levomekol", synthomycin or gentamicin ointment. The bandage is made at night, and in the morning it is treated with a drying agent (brilliant green, fukortsin, salicylic alcohol, etc.). Hormonal drugs for children are prescribed only in the most extreme cases.
For the treatment of streptoderma in children, it is mandatory to take antibiotics of the penicillin series ("Amoxiclav", "Amoxicillin", "Flemoxin Solutab", "Augmentin").
Prevention and prognosis
Everyone needs to know what measures can be taken to avoid infection. So, the following recommendations should be followed:
- Mandatory frequent handwashing, especially after going outside, going to the toilet and other public places.
- Avoid scratching, touching and scratching the skin.
- Frequent cleaning of the face and hands with antiseptic wipes while traveling. This rule is especially true for children.
- Cuts, microtraumas and cracks must be carefully treated with peroxidehydrogen, iodine, salicylic acid and other disinfectants.
- Pay attention to general he alth, immunity and nutrition.
- At the first symptoms of the disease, consult a doctor.
We reviewed the symptoms and treatment of streptoderma in adults and children.
The prognosis for this pathology is favorable, in the vast majority of cases the disease ends in complete recovery. However, in severe cases, scars and scars may remain. Therefore, it is not worth bringing to an exacerbation or complications, it is necessary to consult a specialist in time and undergo the necessary treatment.
How to treat streptoderma, now we know.
