Erythrasma
Short characteristic of a disease
The erythrasma is a skin disease which is caused by Corynebacterium minutissimum bacterium. The disease affects an upper layer of skin, without extending to hair and nails. If to examine skin under Wood's lamp, then affected areas will have red color. Most often the erythrasma strikes men.
Erythrasma origins
The main reasons for emergence of an erythrasma the increased perspiration, change of normal pH of skin in the alkaline party, maceration, mechanical injury of skin, constant stay in the warm and wet room is considered.
The activator of an erythrasma can live a long time on integuments, but under conditions, favorable for bacteria, there comes the course of a disease.
The erythrasma – an infectious disease, can be transferred in the household way, when using someone else's personal care products, on the beach, in the pool, and also at sexual contacts with the patient or the carrier of an infection.
Erythrasma symptoms
Due to the feature of a structure of skin and the increased sweating, the erythrasma meets at men more often. The main localization of a disease – a skin fold. Here for bacteria optimum conditions are created: humidity and the increased temperature. A favourite habital of bacteria are the internal surfaces of hips, axillary hollows, smelled. The erythrasma happens in interdigital folds, on a penis prepuce, pleated a stomach. At women the erythrasma can appear under mammary glands. An erythrasma people of advanced age are ill more often.
The disease in the form of spots with a clear boundary, color – from red with a brown shade to yellow-pink is shown. The size of a spot can vary from scarcely noticeable points to several centimeters. A form of spots – round. The edge can have more intensive coloring. Spots can merge, forming the big centers of defeat. At development of an erythrasma the skin peeling is observed.
The erythrasma can not prove in any way, and the patient can notice on a spot body absolutely accidentally. At accession of consecutive infection the itch and morbidity in the place of defeat are possible.
The erythrasma can take the chronic form with the periods of remission and an aggravation. Most often the disease becomes aggravated during the summer period as at this time optimum conditions for reproduction and life activity of bacteria are created.
Diagnosis of an erythrasma
Diagnose an erythrasma on the basis of survey of the patient and raying of affected areas under Wood's lamp. Under beams of this lamp affected areas have a coral-red shade owing to allocation by bacteria of water-soluble porphyrines. It is necessary to remember what before diagnosis of an erythrasma by means of Wood's lamp cannot be washed or something to process affected areas as the painting pigment which is allocated by microorganisms can be washed away.
It is possible to determine an inguinal erythrasma by characteristic ledges at the edges. On skin at the same time maceration is observed, the inflammation, bubbles appears.
The inguinal erythrasma needs to be separated from a rubromikoz of inguinal area. Symptoms of a disease are similar, but at an edge rubromikoza discontinuous, and the inguinal erythrasma has continuous edge of defeat.
Treatment of an erythrasma
Apply disinfecting ointments to treatment of an erythrasma, such as erythromycin or sulfur-tar.
Treatment of an erythrasma by means of ointments lasts seven days, during this period it is necessary to rub twice a day ointment to places of defeat. At accession of an infection, it is possible to process the centers of defeat of 5% salicyl alcohol or 2% spirit tincture of iodine.
If the disease has an extensive zone of defeat, carry out treatment of an erythrasma by antibiotics.
For achievement of the best effect at treatment of an erythrasma recommend to sunbathe in the sun or to carry out ultra-violet radiations. They promote dehumidification of skin and more bystry healing.
At identification of an erythrasma all bedding, towels and clothes which the patient used needs to be disinfected. During treatment of an erythrasma the clothes which are worn by the patient need to be erased and ironed the hot iron every day.
For prevention of repeated infection every day for a month after recovery it is necessary to process skin folds of 2% salicyl alcohol and to strew with talc.
Prevention of an erythrasma
Prevention of an erythrasma includes respect for all hygienic norms, everyday holding hygienic procedures, a careful wipe of skin folds after acceptance of a bathroom or a shower.
Important factor in prevention of an erythrasma is prevention of perspiration. For this purpose it is necessary to wear clothes from natural fabrics, to use deodorants from sweat, and also to watch hygiene of skin folds. Buying new clothes, before durable it needs to be washed.
The most rare disease – a disease the Kura. Only representatives of the tribe Faure in New Guinea are ill it. The patient dies of laughter. It is considered that eating of a human brain is an origin of a disease.
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