The migrating erythema
The migrating erythema represents a chronic inflammatory disease as a dermatosis which
is caused by a viral or bacterial infection.
The reasons and symptoms of the migrating erythema
In most cases the reasons of the migrating erythema cannot be established, but in some of them the disease is caused by mites of ixodic type or other insects.
After sting within several days there are first symptoms of the migrating erythema – reddening of integuments, a swelling and a small peeling.
This disease has long and difficult character of a current, often passes into a chronic stage and can be transmitted from mother to the child.
The center of the chronic migrating erythema can have a ring-shaped appearance (from 3 to 5 mm) or a taenioid form with strongly inflamed border. At patients with a taenioid form of an erythema the long inflammatory border which passes through a neck, a face and a thorax is observed.
At an initial and secondary stage of a course of a disease reveal an exocytosis, inflammatory disturbances of a derma with infiltration from lymphocytes and labrocytes. Fibrous changes of integuments and in infiltrate are observed define development of big cells.
Diagnosis of the chronic migrating erythema
Diagnosis of the chronic migrating erythema in standard cases does not cause difficulties as the disease is shown in a classical clinical picture with existence of the center of an inflammation which gradually increases and forms a border. The inflammation center with a trace of a sting of a tick within several days reaches the big sizes and has small pigmentation.
For exact definition of the diagnosis appoint a histologic research with the analysis of infiltrate.
The migrating erythema of chronic type differs from an acute erythema which is the temporary inflammatory process caused by a sting of bees, wasps, mosquitoes. Often chronic erythema has an unknown etiology and is followed by sharp pain, heavy hypostasis, an itch and strong burning. For definition like the chronic migrating erythema appoint full inspection, including blood test, an epidermis research, the analysis of infiltrate, the analysis of urine, etc.
The migrating Aftseliusa-Lipshyutts's erythema is the most dangerous form of a disease therefore demands immediate treatment. This erythema is followed by high temperature of a body, consolidation of lymph nodes and yellowish spots which are constantly increasing in sizes with dense filling.
Treatment of the migrating erythema
For
treatment of the migrating erythema appoint antibiotics with a broad spectrum of activity according to type of a disease and a stage of its current. The most effective is treatment at early stages of a disease, but it is not necessary to use independently dermatological and antiseptic medicines without full inspection.
At an initial stage of the migrating erythema the attending physician can appoint to adult patients amoxicillin or doxycycline 2-3 times a day on 40-70 mg/kg. The course of treatment usually makes 7-14 days, and at the long course of a disease – 21-30 days.
At heavy stages of a current of the chronic migrating erythema and in the presence of complications appoint to accept цефтриаксон 1-2 times a day 50 mg, and also register daily intramuscular injections of benzylpenicillin. The course of treatment lasts 14-20 days.
For strengthening of immunity and strengthening of protective functions of an organism at fight against inflammatory process appoint a full course of vitamin therapy.
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