Sharp hroni retsidivirujushhee disease of a leather infetious-allergi geneza.
tiologija and patogenez. tiologija it is unknown. Pathologial hanges in a leather of patients ekzemoj are treated as result omplex sohetannoj pathologies of bodies of digestion, endokrinnyh zhelez, nervously-immune system, metaboli infringements owing to what allergi inflammatory skin reation is formed.
a linial piture. Alloate true (idiopatiheskuju), seborejnuju and mirobi ekzemu. At early hildrens age these versions are ombined and treated by pediatrists as ekssudativnyj a diathesis. True ekzema arises on -- month of a life, it is shown eritematozno- and papulovezikuleznymi by elements with a sharp inflammation, moknutiem, an intensive ith. Borders of the enters indistint, sites of defeat alternate with probably healthy leather. More often vysypanija are loalized on the person, a leather of a trunk and finitenesses. se- ekzema is earlier disease of hildren of hest age and arises on plaes of an abundane of sebaeous glands: volosistaja a part of a head, the person, a leather of auriles, pahovyh, axillary and ervial folds. Defeat volosistoj leather heads (gneiss), auriles and behind auriles quite often beomes ompliated a seondary infetion with eduation purulent korok. The ith is hangeable and less expressed. Mirobi ekzema arises owing to a sensitization of a leather to various mirobi fators (kokkovaja the flora, mushrooms), Persistentsija mirobi antigenes with eduation of the pathologial immune omplexes settling in epidermise and derme, ause a hroni inflammation. Diret dependene of derease immunogeneza from inrease of an allergi status is revealed.
the diagnosis. ah version ekzemy diagnose in view of polymorphism ostrovospalitelnyh ekssudativnyh elements (papuly, vezikuly, erosion with moknutiem).
Treatment. First reveal and eliminate allergizirujushhie endo-and ekzogennye fators, korrigirujut a dietary mode. The general treatment omplex in view of individual pathogeneti mehanisms of proess. Appoint anti-inflammatory, desensibilizirujushhie and antigistaminnye means: preparations of alium, salitsilaty, an asorbi aid, routines, diuretiki, diazolin, suprastin, dip-, peritol, amizil, ketotifen, et. At mirobi ekzeme are shown antibiotis of a wide spetrum of ation in view of antibiotikogrammy and individual bearableness. Tetratsiklin and oletetrin are applied only at hildren years are more senior. Simultaneously appoint immunostimuljatory: dekaris, nukleinat sodium metiluratsil, t-, timolin, et. Patients with ekzemoj and presene fermentopaty appoint eubiotiki: bifikol, baktisubtil, bifidumbakterin and other fermental means of type abomina, festala, digestala, panzinorma, et.
spend Loal treatment aording to ativity of inflammatory reation. At puffiness and mok- appoint lotions from solutions rivanola, furatsilina, tannin, liquids Burova. After elimination moknutija and puffinesses use pastes ( % of --zin, - % paste -, - % dimed--) and ointments (indometatsinovaja, - % of -tar, - % parmidinovaja, - % naf-, et.) After lotions it is widely used fukartsin, liquid Kastellani, furatsilin, rivanol with the subsequent purpose of - % of paste -, ointments and pastes with antibiotis of type linkomitsinovoj, geliomitsinovoj, Dioksidin, Dioksikol, et. Ointments with gluoortioids and antibiotis or antibaterial preparations of type Oksikort, gi-, dermozolon, Kortikomitsetin, lorinden With are widely applied at treatment of hildren with torpidny-, hroni forms ekzemy at all stages. In omplex treatment of patients ekzemoj it is reommended to use physiotherapeuti methods of treatment and sanatorium treatment.