Ectima - Causes, symptoms and treatment. MF.

Ecthma is a deep skin infection that affects the epidermis and dermis of the skin( its second layer).Like impetigo can be primary, as a result of microtraumas, and may be secondary, as a consequence of dermatoses, accompanied by itching( scabies, eczema. ..).

Causes of Ectida

At the present stage it is known that the causative agent is streptococcus. Ecthima occurs very often in immunocompromised individuals due to serious illnesses: tuberculosis, diabetes, HIV, blood and lymph circulation disorders( for example, in the lower extremities), dermatoses, plus skin scars as a result of violation of personal hygiene rules, humid hot climate, poor qualitytreatment of superficial pyoderma.

Symptoms of Ectida

The most frequent localization is the lower leg. Ecthima is characterized at its first stage by the appearance of pustules - a flabby bubble with purulent or purulent-bloody contents. In the further contents the sore with a purulent crust with a characteristic red near-inflammatory aureus is dumped and formed. One can see an increase in the proximity of the lymph nodes.

Eruptions are morbid, may suffer a general condition in the form of fever, weakness. The process is resolved with the formation of a scar.

Diagnosis of ectyme

Differential diagnosis is carried out with herpes, late cutaneous porphyria, varicose and ischemic ulcers of the lower leg, and, of course, with syphilitic ectema. Treat these symptoms with a dermatologist or surgeon, and at the same time with a specialist who treats the patient's chronic pathology if the cause is this. For example, with diabetes - an endocrinologist, tuberculosis - phthisiatrician.

Mandatory analysis, as with all pyoderma, is blood for sugar, and in this case, as you understood from the above, the blood for syphilis and HIV.It is necessary to understand the causes of ecthima for the earliest detection of other diseases and avoidance of a re-recurrence.

Unfortunately, very often you have to resort to surgical treatment with excision of crusts, followed by treatment of the focus with alcohol solutions( brilliant green), the appointment of antibacterial ointments( tetracycline, erythromycin).Inside antibiotics( erythromycin, ciprofloxacin. ..) and vitamin preparations must be prescribed.

From food, sugar should be excluded, as a nutrient medium for microorganisms, and alcohol, reducing immunity, and the action of antibiotics. Vysypnye elements should not be wetted, until you do this doctor.

If there are no other pathologies, then there is no further restriction.

You can add to the treatment and folk remedies. It is better that it was a reception inside, because due to the fact that the hearth is deep, it is doubtful that the folk remedy will well penetrate there and will prove to be fatal to bacteria. Better it still make antibacterial ointments and alcohol solutions. And per os( through the mouth) you can add a tincture of dill seeds, a sheet of walnut, elecampane. It will be a good vitamin therapy.

Complications of the ecstema

Complications of the ecthyme are the same as for all pyoderma: infection in the lymph nodes and vessels( lymphadenitis and lymphangitis), erysipelas, blood infection. Well, distant - this is the formation of scars, with cosmetic defects.

Consultation of dermatologist

Question: How to avoid the appearance of ecthymia in neurodermatitis, if the foci are located in the knee folds?
Answer: The cause of pustular skin diseases in dermatoses are microtraumas during combing and reduction of local skin immunity. Therefore, you need to properly and grammatically treat them.

Question: Is it necessary to regulate the level of sugar in the treatment of ecthymia?
Answer: This is a prerequisite.

Question: Which specialist is better to deal with the scar after the transferred ecstema?
Answer: To dermatocosmetologist or surgeon-cosmetologist.

Doctor dermatologist Mansurov AS