It should be understood that this disease is not so harmless, and correct diagnosis requires attention, experience and knowledge. I would like to pay special attention to herpes of smooth skin. Cosmetologists are faced with the fact that patients take herpetic vesicles for ordinary pyoderma (pustules) and eliminate them mechanically. As a result, the spread of skin lesions is faster and it becomes dangerous. Read on estet-portal.com what facts contribute to preventing the correct diagnosis and what forms of herpetic skin lesions are.
What forms of herpetic infection can we meet in common practice
The occurrence of vesicular or erosive rashes on the skin and mucous membranes, severe subjective symptoms (itching, burning, tingling, redness) allow doctors to visually diagnose herpes infection, start antiviral therapy in a timely manner and inform the patient about the infectious nature of the disease and the danger of infecting others.
But it is not always possible to make a diagnosis in the shortest possible time, as more and more often herpetic infection occurs in an atypical form.
Under the influence of ongoing therapy, typically occurring herpes can significantly change and acquire an abortive course. In this case, the elements in the lesion bypass separate stages of development. In these cases, the lesion may be represented by a diffuse element (without a clear localization), an edematous spot on an erythematous background, an ulcerative or necrotic defect, as well as other manifestations.
Help in making a diagnosis when a patient presents with abortive herpes of the skin can be provided by a correctly collected anamnesis, in which there is an indication that the patient had rashes typical of herpes in the past.
Some facts contribute to preventing the correct diagnosis of a herpes infection
- violation of the usual cycle of development of herpetic elements in the lesion;
- unusual localization of the focus and anatomical features of the underlying tissues;
- the predominance of subjective sensations in the focus.
How are atypical forms of herpetic skin lesions divided and how do they differ from each other:
- Disseminated form of herpes - the appearance of two or more typical foci of herpetic elements on distant areas of the skin. At the same time, synchrony of clinical manifestations is noted.
A migratory form of herpes, which is characterized by a change in the localization of rashes with each new recurrence of the disease.
The abortive form proceeds without the formation of vesicles - vesicles. It appears as pink or pinkish-yellowish spots with indistinct borders of rounded or irregular outlines with slight swelling. Sometimes, at the site of the typical localization of herpes, there is a burning sensation, itching. However, it is characteristic that the rash does not appear. Subjective sensations disappear within a day.
- Hemorrhagic-necrotic and erosive-ulcerative forms of the disease are the most severe manifestations. In the hemorrhagic-ulcerative form, on an edematous-hyperemic background, grouped vesicles with serous-purulent contents appear, which have a hemorrhagic character. In the process of reverse development, necrosis is noted at the site of hemorrhagic eruptions, followed by the formation of scars. The main feature of erosive-ulcerative herpes is the presence of extensive, long-term non-healing ulcerative defects.
- The edematous form of skin herpes is characterized by a sharp localized swelling of the tissues without the formation of vesicles. It often develops in areas of the body rich in loose fiber: on the eyelids, lips, scrotum. With the spread of edema deep into and along the periphery, elephantiasis (elephantiasis) may develop.
Zosteriform skin herpes is characterized by the location of the rash in the projection zone of a particular nerve. Typical localization - limbs, torso, face. The clinical picture of this form of herpes is characterized by severe symptoms of neuralgia and general intoxication (fever, headache and muscle pain). - Kaposi's eczema herpetiformis is one of the most severe forms of herpes simplex. The disease develops in children suffering from simple childhood eczema or atopic dermatitis, 1-2 weeks after contact with a patient with herpes. The appearance of a rash in children is accompanied by symptoms of general intoxication up to impaired consciousness. Rashes are always accompanied by itching, burning, soreness, regional lymphadenitis, lymphangitis. Often, the mucous membranes of the mouth, nasopharynx are involved in the pathological process. Possible damage to the eyes, central and peripheral nervous system, internal organs.
Summarizing, it can be noted that in atypical forms of skin herpes, any one of the stages of the development of the inflammatory process in the focus (erythema, vesicle formation) or one of the components of inflammation (edema, hemorrhage, necrosis), or subjective symptoms ( itching), which give the appropriate name to the atypical form of herpes (edematous, abortive, erosive-ulcerative, hemorrhagic-necrotic). According to the intensity of clinical manifestations, atypical forms can occur with pronounced symptoms as manifest (edematous, erosive-ulcerative, hemorrhagic-necrotic) or as subclinical (abortive). And if, with atypical forms of herpes, manifested by the formation of vesicles and erosions, which can transform into blisters and ulcers with the addition of, for example, a necrotic component,
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