Microbial eczema: patient management algorithm

Microbial eczema – a dermatological disease of a neuroallergic nature, characterized by a persistent, long course, variability of clinical manifestations and the absence of long periods of remission. According to various sources, it accounts for up to 30% of the total number of diagnosed cases of pathology.

More often it occurs in senile and elderly people at the site of chronic long-term non-healing infectious lesions of the skin or against the background of dermatoses of various etiologies. There are several subtypes of microbial eczema that differ in clinical course and cause.

For more on how to recognize microbial eczema and what to do if it is found, read on estet-portal.com in this article.

• Etiological and pathogenetic features of microbial eczema
• Clinical manifestations and current classification
• Microbial eczema: therapy and diagnosis features

Etiological and pathogenetic features of microbial eczema

Microbial eczema manifests itself in pathological sensitivity of local cellular immunity to metabolic products and toxins produced by pathogenic flora. This often occurs against the background of disorders of neuroendocrine regulation, the functioning of the digestive system. The pathological process begins with the introduction of the allergen into the underlying layers of the dermis and epidermis.

In microbial eczema, the duration of sensitization differs depending on the general condition of the patient and takes from several days to 1 – 5 years. At this stage, there are no symptoms of the disease.

During the clinical manifestation phase, lesions appear on the skin, the number and prevalence of which increases with each recurrence. At the same time, for the development of an exacerbation of microbial eczema, a lower concentration of the allergen is required.

Read the most interesting articles in Telegram!

In 56% of patients, the disease occurs as a secondary process against the background of chronic dermatological lesions (atopic dermatitis, psoriasis, true eczema). Less commonly, sensitization is formed to persistent bacterial or fungal flora. Clinical manifestations and current classification

With microbial eczema, clusters of rash areas are characterized by uneven edges, covered with bloody or purulent crusts, ulcerations.

Nummular microbial eczema is accompanied by the formation of profusely weeping rounded lesions, up to 30 mm in diameter. Usually the rashes are located on the hands, but can cover other parts of the body.

Complex therapy of vitiligo The paratraumatic form of dermatosis develops against the background of vascular lesions in combination with a focus of infection in the area of ​​postoperative scars and other skin lesions. Accompanied by swelling, redness, the appearance of areas of accumulation of infiltrate. The rashes are covered with crusts of a yellowish tint. Varicose microbial eczema proceeds:

•    against the background of thrombophlebitis and varicose veins;

•    in case of hypersensitivity to external agents in the form of ointments;

•     with well-defined rash and moderate itching.

Sycosiform microbial eczema is a consequence of purulent inflammation of the follicles and is characterized by the spread of the pathological process beyond the areas of hair growth. Usually lesions are localized above the upper lip, in the area of ​​beard growth, armpits, on the pubis.

When a dermatologist saves a life: skin infections in the intensive care unit Eczema of the nipples and pigment circle develops in women in the form of a bright red weeping rash. Most patients note its occurrence after damage to delicate skin during breastfeeding. This form of pathology is characterized by

persistent course. Microbial eczema: therapy and diagnostic features

The main task of detecting microbial eczema is to confirm the preliminary diagnosis made after the initial examination, and to determine the type of pathogen for adequate treatment.

 Therapeutic effectiveness of histamine blockers in eczema If infectious eczema is suspected, a scraping is prescribed to the patient, followed by a bacteriological examination to determine sensitivity to antibiotics.

Instagram! Therapy is carried out using antimicrobials active against pathogenic flora, emollients and anti-inflammatory agents. Inside, medicines are prescribed to correct the activity of the immune system, antihistamines, sedatives, and vitamins. Mandatory physiotherapy (PUVA, UHF, ozone therapy).

YouTube channel:

Share: