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Exudative-catarrhal diathesis



Exudative-catarrhal diathesis is a peculiar state of reactivity in young children, characterized by a tendency to recurrent infiltrative-desquamous lesions of the skin and mucous membranes, the development of pseudo-allergic reactions and a prolonged course of inflammatory processes, lymphoid hyperplasia, and lability of water-salt metabolism.

The etiology and pathogenesis have not been fully studied, but a hereditary predisposition and the influence of environmental factors play a special role.

Clinical manifestations. Such children are characterized by a large body weight at birth (especially if the child is the first in the family); early appearing and long lasting in the conditions of proper care of diaper rash; disappearing and reappearing seborrhea of ​​the scalp; and also significantly higher than the age norm weight gain, which can fluctuate under the influence of adverse conditions. Positive skin tests for exogenous allergens can be determined, even before the various clinical manifestations of allergic diathesis. With an objective examination of the child, a puffy pale face, a decrease in tissue turgor (pasty type), thinness or excessive body weight, geographical language, abdominal pain, flatulence are noteworthy. In the first year of life, children have increased nervous excitability, irritability, sleep disturbance, decreased appetite, children become moody and nervous. Children do not tolerate large physical exertion. Often, children with immunoglobulin A deficiency develop chronic foci of infection, peripheral lymph nodes, spleen increase, prolonged subfebrile conditions appear, and infectious diseases become protracted.
Only in infants can dirty-gray or brown seborrheic scales be found that resemble a bonnet or shell on the scalp (gneiss), most often they are located on the crown and crown of the head. The course of gneiss is usually favorable, but in some children it passes into seborrheic eczema (redness, swelling, weeping, increased crust formation), which is observed in older children. In children of an older age group, eczema can transform into neurodermatitis.

The diagnosis is established on the basis of the anamnesis and clinical data. The differential diagnosis is carried out with erythroderma, true eczema, dermatitis, immunodeficiency, psoriasis, and intestinal malabsorption syndrome.

Treatment. There is no special diet for the treatment of exudative-catarrhal diathesis. Good nutrition is needed. Breastfeeding is better to continue. In the diet of the mother, it is necessary to reduce the amount of fats, carbohydrates, table salt, as well as allergens if possible. Used in the treatment of drugs that help reduce itching and permeability of the vascular wall, sedatives: 3-5% C solution of sodium bromide, diphenhydramine or antihistamines in an age-related dosage. Vitamins B 5, B 6, B 12, B 15, A, C are also prescribed in therapeutic doses for at least 3-4 weeks.

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Exudative-catarrhal diathesis

  1. Exudative-catarrhal diathesis
    Exudative-catarrhal diathesis is the ability of hereditarily determined congenital and acquired body properties to respond with an increased reaction of the skin and mucous membranes to individual external stimuli. Exudative-catarrhal diathesis is caused by genetic factors (genetic burden - in 70-80% of children), age-related features of the enzyme system of the digestive tract and
  2. Exudative-catarrhal diathesis
    Exudative-catarrhal diathesis (ECD) is a constitutional feature of the child, in which there is a tendency to recurrent infiltrative-desquamous lesions of the skin and mucous membranes, the development of allergic reactions, the prolonged course of inflammatory processes, lymphoid hyperplasia, and the lability of water-salt metabolism. E p i d e m and o logue. According to domestic authors,
  3. Exudative-catarrhal diathesis - ECD
    Diathesis in essence is not yet a disease, it is a predisposition, a special tendency of the skin and mucous membranes to inflammatory processes. This condition leads to violations of the NS and internal organs. ECD is detected most often at the age of 3-6 months, and its pronounced symptoms can be observed during the first 2 years of life. Etiology. In the occurrence of this anomaly the constitution has
  4. Exudative-catarrhal diathesis
    -sm skin lesions: gneiss, seborrhea, milk crust, diaper rash, eczema dry and weeping, neurodermatitis, pruritus -sm lesions of the mucous membranes: "geographical language", conjunctivitis, blepharitis, rhinitis, pharyngitis, laryngitis, bronchitis, vulvovaginitis , bowel dysfunction - cm functional changes in the nervous system - hyperplastic cm: enlargement of peripheral lymph nodes - criteria
  5. Inflammation. Definition, essence, mediators of inflammation. Local and general manifestations of exudative inflammation, morphological manifestations of exudative inflammation. The answer is the acute phase. Ulcerative necrotic reactions with inflammation.
    1. The main processes that develop in the body in response to tissue damage are 1. amyloidosis 2. inflammation 3. regeneration 4. formation of granulomas 5. hyperplasia of cell ultrastructures 2. Inflammation is 1. hyperplasia of cell ultrastructures 2. restoration of lost structures 3 uncontrolled growth of cellular elements 4. exudative-proliferative response to damage 5. cellular
  6. Exudative inflammation
    Exudative inflammation is a type of inflammation in which the exudative phase of inflammation predominates. Depending on the nature of the exudate, it can be different. 1. SEROSE - serous fluid predominates in the exudate, flows easily, but sharply, culminates in resorption of the exudate, less often sclerosis. It is often localized in the serous or cerebral membranes, as well as in parenchymal organs. 2. Purulent -
  7. Exudative (pericardial) pericarditis
    With effusive pericarditis, a fluid accumulates between the heart and its pericardial chemise, which makes it difficult to conduct an electrical impulse from the myocardium to the recording electrodes. An electrical impulse reaches them noticeably weakened. Therefore, an ECG is a sign of exudative pericarditis is a significant decrease in the voltage of all the teeth of the atrioventricular complex in all
  8. Alterative and exudative inflammation
    1. What is alteration: a) the reaction of the microvasculature b) damage to tissues and cells c) proliferation of cells d) increased vascular permeability e) the formation of exudate The correct answer: b 2. What is the type of exudative inflammation: a) mucoid swelling b) interstitial inflammation c a) inflammation of the mucous membranes d) catarrhal inflammation e) turbid swelling Correct answer: g 3.
  9. Exudative pleurisy
    The cause of exudative pleurisy - acute pleural inflammation, accompanied by an accumulation of inflammatory effusion in the pleural cavity (serous, hemorrhagic, purulent or chylous) may be pneumonia, tuberculosis, cancer of the lungs and pleura, collagenosis (rheumatism, rheumatoid arthritis, systemic lupus erythematosus) processes of the abdominal cavity (intrahepatic,
  10. Types of Diathesis
    The Constitution is a combination of relatively stable morphological and functional properties of a person, due to heredity, age, and prolonged intense environmental influences, which determines the functionality and reactivity of the body. Diathesis is a genetically determined characteristic of an organism that determines the uniqueness of its adaptive reactions and
  11. Exudative inflammation
    It is characterized by the predominance of exudation and the formation of exudate in tissues and body cavities. • The nature of the exudate depends on the state of vascular permeability and the depth of damage, which is determined by the type and intensity of the action of the damaging factor. • Depending on the nature of the exudate, there are: serous, fibrinous, purulent, putrefactive, hemorrhagic and mixed inflammation; on the
  12. Anomalies of the constitution (diathesis)
    The concept of “constitutional anomalies” (diathesis) was introduced into clinical pediatrics in the late XIX - early XX centuries and corresponded to the concept of “hereditary predisposition”, which was due to insufficient information on heredity, genetic and molecular mechanisms of the development of diseases. The development of genetics and molecular biology has made it possible to decipher many aspects of heredity and
  13. Exudative allergic otitis media
    The named disease is an exudative inflammation of the mucous membrane of the middle ear, usually allergic in nature, without the development of classical signs of acute inflammation, while the microflora does not play a significant role in the pathogenesis of the disease. In recent years, allergic otitis media (otitis media allergica), which is characterized by specific
  14. Neuro-arthritic diathesis
    Neuro-arthritic diathesis is a combination of hereditarily determined congenital and acquired morphological and functional features of the body, characterized by impaired purine metabolism or a parallel impaired functioning of organs and systems (adrenal glands, liver, central nervous system, etc.). Neuro-arthritic diathesis is characterized by increased nervous excitability,
  15. Lymphatic-hypoplastic diathesis
    Lymphatic-hypoplastic diathesis is a combination of hereditarily determined congenital and acquired morphofunctional characteristics of the child’s body, which determine the possibility of developing thymus and lymphatic apparatus hypertrophy in children, adrenal gland hypoplasia, thyroid and parathyroid glands, elements of the cardiovascular system and some other
  16. Multimorphic exudative erythema
    cyclically occurring disease, characterized by erythematic-papular and bullous rashes on the skin and mucous membranes. shells. The etiology is unknown. Pathogenesis: infectious-allergic and toxic-allergic (drug). Clinic. It begins acutely, often with an increase in temperature to 38 - 39 ° C, malaise. Against this background, after 1-2 days, mainly on extensor surfaces
  17. Neuro-arthritic diathesis
    Neuro-arthritic diathesis (NAD) refers to constitutional abnormalities with impaired uric acid metabolism, accumulation of purines in the body, and instability of lipid and carbohydrate metabolism. Neuro-arthritic diathesis is a hereditarily determined dysmetabolic syndrome, which is based on impaired purine metabolism and mediator functions of the nervous system. Characterized by increased
  18. Lymphatic diathesis
    Lymphatic diathesis (lympho-hypoplastic) is a hereditary deficiency of the lymphatic system associated with a decrease in the function of the thymus gland as the main organ that controls the maturation of lymphocytes. The disease is manifested by a generalized persistent enlargement of the lymph nodes, dysfunction of the endocrine system (decreased adrenal function,
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