Licensed books on medicine
<< Previous || Next >> |
Eczema is a serous inflammation of the skin with a chronic acute relapsing course and polymorphism of the elements of the rash (small seropapules or vesicles against the background of edematous erythema by wetting and crusting; large-pitted foci, erythematous-scaly spots, etc.). Eczema of the external ear is relatively common, especially in children.
Et and about l about d and I. The disease usually develops as a result of irritation of the skin of the auricle and ear canal by secretions from the ear in acute and chronic purulent otitis media (microbial form), iodine preparations, with prolonged exposure to coal and cement dust, etc. (allergic form). Eczema can occur as a manifestation of intolerance to various substances (allergic form) or on the basis of a number of common diseases (diabetes, some forms of metabolic disorders).
In childhood, the onset of eczema exudative diathesis, rickets, often tuberculosis. Eczema of the external ear appears after a traumatic effect when infection penetrates and the local resistance of the body weakens.
During the disease, acute eczema (eczema acutum) and chronic (eczema chronicum) are distinguished. In the first case, the surface layers of the skin are mainly involved in the process, in the second - the surface and deep layers. In the chronic form of eczema, the skin of the auricle and the external auditory meatus thickens, as a result of which its lumen narrows significantly, cracks appear at the entrance to the external auditory meatus.
In childhood, the weeping form of eczema is more common, in adults, weeping and dry; with the latter, profuse peeling of the epidermis of the skin occurs.
K l and n and with to and to kartin and. The initial stage of acute eczema is characterized by hyperemia, thickening of the skin of the auricle and the external auditory canal due to infiltration. The auditory meatus sharply narrows. Patients complain of constant and painful itching in the ears. As a result of scratches, abrasions and scratches occur. Small vesicles with serous contents appear, when they spontaneously open, their serous fluid flows out, and weeping appears.
Contact of the liquid with air leads to the formation of grayish-yellow crusts. Joining a secondary infection leads to the development of limited or diffuse external otitis media.
In the presence of common diseases in a patient, eczema takes a chronic course and the process spreads deep into the skin. The disease often recurs.
D and a g n about with t and to and is based on the data of the anamnesis and clinical symptoms (redness, thickening of the skin, weeping, peeling or peeling). The acute form must be distinguished from erysipelas of the outer ear, otitis externa, and fungal infection of the outer ear. With erysipelas, there is no itching, palpation of the affected area is sharply painful, the border of inflammation is clear. With eczema, the opposite is observed. The fungal process is diagnosed with the help of a special mycological examination, in particular, the study of scraping from the skin of the ear (native preparation) under a microscope and culture cultures on nutrient media to identify the type of fungus.
Treatment. Eczema therapy involves the treatment of the underlying disease that caused eczema. Of the general funds, antihistamines (zaditen, etc.), immunomodulators (prodigiosan, etc.) are prescribed. A daily hygienic toilet of the affected area is produced daily with ether or alcohol (without water). To mitigate itching, dusting with talc or zinc oxide is used. A good therapeutic effect with a wetting form is provided by daily irrigation of the affected skin with oxycort aerosol. When peeling, ointments are prescribed - oxycort, hecorton, celestoderm, etc., which give a good result. Apply a 1.5% solution of brilliant green, zinc ointment with fish oil, 3% yellow mercury ointment, ointments with ichthyol, ASD (5%), etc.
Crusts are removed after preliminary softening with vegetable or liquid paraffin, then oxytetracycline or prednisolone ointment is applied.
Medication is combined with physiotherapy - UV irradiation in suberythemic doses and UHF. Particular attention should be paid to the general condition of the patient, especially the child. Prevention of eczema consists in eliminating all the irritating factors that contribute to the development of dermatitis. Washing of the ears with water should be excluded, since it worsens the course of the process, strictly observe hygienic care of the ear during suppuration from the middle ear in acute and chronic otitis media. It is necessary to rationalize nutrition, to treat common diseases (intestinal, metabolism, etc.).
| << Previous || Next >> |
| = Skip to textbook content = |
Eczema is a very common skin disease. This disease develops unevenly, with tremors: the exacerbation phase, accompanied by some swelling, is replaced by a chronic phase, which is characterized by thickening of the skin and the appearance of scales. Eczema can be caused by both internal and external causes. In children, eczema is often accompanied by asthma or some other allergic
Eczema is a chronic recurrent erythematous-vesicular skin disease caused by serous inflammation of the papillary dermis, which is caused by various exogenous and endogenous factors and is characterized by polymorphism of elements. The primary morphological element is the vial. There are acute and chronic forms. The word "eczema" comes from the Greek ekzeo, which means "boil."
Chr., A relapsing disease with strovoinflammatory symptoms due to serous inflammation of the dermis and epidermis. Etiology: polyetiologic. Immune disorders lead to the appearance of eczema (in patients, IgM deficiency; T-lymphocyte deficiency). Therefore, microorganisms persist in the dermis and epidermis. There may be post-traumatic eczema around the wound. Have a question about
Eczema is a chronic inflammatory disease of the upper layers of the skin (epidermis and papillary dermis), which is based on both external (infectious and allergic) and internal (metabolic disorders, diseases of the digestive system, liver, kidney, etc.) factors. Cats, especially long-haired cats, get sick more often than other mammals. Most often, eczema suffers
- Theme 4. Eczema. Atopic dermatitis. Neurodermatitis
Eczema is one of the most common chronic recurrent skin diseases. Eczema occurs at any age and accounts for about 30% -40% of all skin diseases. Eczema often affects urban residents (60-65%), less often rural (30-35%). In 80-85% of patients, eczema is common disseminated in nature. An increased incidence of eczema is observed in childhood and old age.
Eczema (ekzema) is a disease of the surface layers of the skin, accompanied by polymorphism of the rashes. Eczema affects all farm animals, as well as dogs and cats. Etiology. Exogenous causes include mechanical (cracks, scratching), physical (effects of high temperature and direct sunlight, in sheep - after shearing), chemical (effects of drugs, content
- Auditory canal eczema
Cause Frequent local irritation of the skin of the ear canal with general eczema. Predisposing factor for eczema of the auditory canal is suppuration from the ear in chronic suppurative otitis media, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and incorrect use of ointments and lotions. Symptoms of Itching. He can be so
- Eczema. Etiology, pathogenesis, treatment
Eczema is understood as a chronic persistently recurring skin disease manifested by a characteristic eczematous inflammatory skin reaction (in the form of grouped small vesicles) caused by various exogenous and endogenous factors that lead to the development of multivalent skin sensitivity in patients. Etiology and pathogenesis. Eczema is a disease of the whole organism with
- Eczema vaccine
A complication of eczema, or neurodermatitis, developing 5-10 days after vaccination or contact with a vaccinated person. Mostly children are ill. However, vaccination against chickenpox is still not widespread. The onset is acute, with a violation of the general condition, an increase in temperature to 40 ° C. Rashes of vesicular-pustular elements with a depression in the center of eczematous foci and near
- Eczema. Clinical manifestations
Clinic. Eczema can begin acutely or chronically and subsequently usually lasts a long time with a tendency to relapse. Any area of the skin can be affected. In the acute phase, eczema is manifested by a rash on the hyperemic and slightly edematous skin of small closely grouped papules that quickly transform into tiny vesicles (the so-called microvesicles), which are located in groups and do not
It is rare; in some patients it is combined with purulent disease of the nose and paranasal sinuses. In the acute course, the usual skin signs are well pronounced redness, swelling, sometimes wet skin, superficial desquamation of the epidermis, in some places vesicles, crusts at the entrance to the nose; skin cracks are possible. The process sometimes extends (especially in children) to the skin in the face, ear, head.
- Contact allergic eczema
Cause Violation of the normal immune response of the body in contact with an allergen (type IV allergic reaction). Most often, allergens are: - metals (cobalt, nickel, chromium); - Compositae plants (chrysanthemums, chamomile (arnica), plantain); - cosmetics; - medicines; - fabric dyes; - fashion jewelry made of nickel-containing jewelry alloys; - fittings