Treatment of dermatomycosis: basic methods

To date, diseases of fungal diseases of the skin and appendages are very widespread, while the social status and place of residence of people does not have any significant significance. This encourages doctors and scientists to look for new methods of diagnosis and therapy of dermatoses.

According to average estimates, dermatomycosis affects more than half the world's population, with different age categories. Recently, dermatomycosis has become more common in children.

What causes dermatomycoses

Dermatomycoses are caused by fungal infections - dermatomycetes. They are in large numbers in a natural environment, but not all are dangerous to humans. But some dermatomycetes are very contagious for humans. A favorite place for the defeat of these fungi is tissues and human cells that have keratin in their composition. These targets include hair, nails and surface layers of the skin.

Fungus can not penetrate into deeper layers, so the disease is considered superficial mycosis( dermatomycosis).Intruded into cells and tissues, dermatomycetes can be due to their active enzymatic system. Mushrooms peeling off with the skin fall into the soil - it is a natural reservoir for fungi of this genus, and in it they can persist for a long time.

Several types of fungi belong to dermatomycetes - microsporium, trichophytum and epidermophytum. All of them are able to process keratin of the human body. The source of infection of these fungi can be both animals and humans. Trichophytums and microspores live on animals and can be transmitted from them to humans, and trichophytums are transmitted only from person to person. Also, there are some types of microspores that live only in the soil.

Fungal diseases mainly refer to very contagious( infectious) diseases, they can be transmitted from person to person, from animals to humans and even through soil to infect a person. But the greatest spread to date are fungi, transmitted from person to person.

How it is possible to diagnose dermatomycosis

External manifestations of dermatomycosis do not allow to make an unambiguous conclusion in favor of this or that disease, for their diagnostics laboratory analyzes are necessary. Usually to determine the type of fungus is used microscopy scraping. To this end, use skin scales, nails, pieces of hair, the contents of the bubbles. In the future, the material is treated with special solutions, which allow a good review of the pathogen. This method is called a KON test.

Another fairly new and modern method is also used - the color of the test material with whitefluorine white with further microscopy.

The combination of these two methods is very convenient because they allow us to identify both young forms of fungi and old ones.

In order to accurately establish the causative agent, also the sowing of the material on the nutrient medium is used - the culture method. Unfortunately, this method is not completely reliable, more than half the cases, the fungus can not be isolated.

With the help of modern technologies, physicians also try to identify the pathogen. So, the method of direct DNA-diagnostics, PCR diagnostics, proved itself well. These studies in just 24 hours make it possible to judge the type of causative agent of dermatomycosis.

Inguinal dermatophytosis

Inguinal dermatophytosis is also called intertriginous skin mycosis. This disease is recorded in every tenth person with fungal skin lesions. The causes of inguinal dermatomycosis are all the same fungi - trichophytum, microsporum and epidermophytum, in some cases there may be mixed infections, then besides these fungi, fungi of the genus Candida are registered.

Symptoms of dermatomycosis have rather characteristic manifestations:

• Pinkish brown spots that slightly rise above the surface of the skin;
• Spots are round or oval in shape and slightly flaky;
• Spots tend to gradually increase in size and merge with other similar foci, as a result of which the skin is covered with a patterned pattern represented by multiple spots;
• Initial localization of spots is the inguinal zone, but later they can leave this area and affect the inner surface of the thighs, buttocks, lower third of the abdomen. In men, the skin of the scrotum and penis may be involved in the process;
• After a while in the center of the spot pale spots are formed, the skin ceases to be strongly peeled off, the redness from the spots goes away - so the reverse development of the spot begins;
• However, the peripheral parts of the spot remain red, with a clear border and a roller rising along the contour - the so-called cord symptom.

The process has a prolonged recurrent course, without treatment it can last for years. Its activation can be provoked by excessive sweating, rubbing the leg on the leg. The most frequent return of the disease occurs in the warm season, and especially in the heat. Full people most often suffer from this disease.

Often patients try to cure dermatomycosis independently with the help of hormonal ointments, however this does not give a complete cure, so the disease acquires a chronic course.

Treatment of inguinal dermatomycosis

If there is only a lesion of the smooth skin of the inguinal zone, then the main treatment of dermatomycosis consists of antimycotic ointments. Despite the huge selection of antifungal ointments, the most commonly used:

1. Terbinafine - synthetic agents of the allylamine group. Produced in the form of ointments or tablets. It acts at the earliest stages of the disease, suppressing the enzymatic activity of fungi.
2. Terbinafine generics - Thermic. It is available as a spray.

Ointment from dermatomycosis is less preferable, especially during the hot season, because when it is used, a greenhouse effect and rolling down the preparations in the natural folds of the skin occurs. In this respect, sprays are much more convenient to use.

Thermic spray is also convenient because it prevents the skin from becoming wet, itching, and has an anti-inflammatory effect. In this case, there is a significant decrease in redness and swelling of the skin. That is why this drug is recommended not only for treatment, but also for the prevention of inguinal dermatomycosis. To this end, it can be used once a day, in an amount sufficient to stop hyperhidrosis( increased sweating).

The preparation should be sprayed from a short distance to the groin area and adjacent areas. To treat this remedy, it must be used for up to two times a day for a week. Already after the first few times patients notice a fading of symptoms and improvement of the condition.

With respect to other preventive measures, it should be said that fungi are very fond of heat and moisture, so to prevent skin infection, care should be taken to avoid excessive moistening of the inguinal zone. In this case, it is recommended to use cotton underwear as a type of shorts, for men it is recommended to wear boxer briefs.

People suffering from diabetes or obesity should also use drying ointments, talc, sprays, besides linen. The same applies to lovers of swimming pools, saunas, baths, massage procedures.