Seborrheic eczema is a chronic skin disease, which is characterized by small lesions in the form of nodules, and the gradual formation of plaques covered with thick scales and crusts.When opening the peels open wet surface. Synonyms seborrheic dermatitis appear diseases such as seborrheic dermatitis, a disease Unna, disseboreyny dermatitis and chronic skin disease.
seborrheic eczema refers to a clinical form which is able to occur in people of any age and gender.Often the disease develops as seborrheic dermatitis.
With regard to HIV-infected, the seborrheic dermatitis is able to be one of the first signs of AIDS.A distinctive feature of the disease appears frequently spread across the skin.
Localization seborrheic dermatitis is focused on the head, face, behind the ears, in the folds of skin in the navel, on the skin of the trunk and flexor surfaces.
diagnosis of the disease consists of dermoscopy, scraping on pathogenic fungi, consultation with other specialists, as well
frequency of this disease is not more than 5% of all skin diseases in immunocompromised patients but susceptible eczema percentage is much higher.It was noted that men get sick more often, and the main complaint of patients appears itching, which incredibly enhanced by perspiration.All patients carry the disease worse in the winter, at the same time and a maximum manifestation in the form of rashes.
Seborrheic eczema - Causes
Currently the causes seborrheic dermatitis continue to be studied.A role in its occurrence genes play, pathological changes in the level of the sebaceous glands, bacteria detected in the hair follicles and sebaceous glands, constant stress.Scientists believe that the cause of seborrheic dermatitis appears infectious-allergic origin.Some clinical studies suggest the presence of lesions in places Pityrosporum ovale, sometimes identify staphylococci or fungi Candida.
Hyperactivity sebaceous glands often acts as a predisposing factor.Especially in infants sebaceous glands are very active because of the endogenous production of androgens and therefore the onset of the disease may account for the three-age child.Further, the activity of the sebaceous glands is reduced and seborrheic dermatitis are less likely to develop.
A significant role for the nervous system and, as evidenced by Parkinson's disease.If the patient suffers from polio, or the Syrian-gomielitom, the skin changes are occurring in the field of the trigeminal nerve.Another cause of seborrheic dermatitis zinc deficiency acts, violation against the backdrop of the metabolic processes of essential fatty acids, as well as a lack of vitamin B.
factors that can trigger seborrheic eczema appear gastritis, diabetes, vascular dystonia, obesity, sinusitis, otitis media, SARS, sinusitis, tonsillitis.
Seborrheic eczema - symptoms
About the beginning of the disease say pink-yellow nodules of small size.These nodules increased in size and combined together in plaques infiltrated.Diameter plaques of 2 cm, and they are covered with thick greasy scales.Under the scales open wet surface.For seborrheic dermatitis is characterized by a tendency to protracted chronic course with frequent relapses and difficult treatment.Cosmetic imperfections on the skin of the patient leads to the problems of the psychological plan, people have social phobia, and the basic and the main complaint of patients appears itch that really enhanced when sweating.
Seborrheic eczema head
scalp rash is clearly delimited nature, with a tendency to merge.Often total defeat of the head seborrheic eczema, in appearance resembling a shell.The foci of inflammation often move to the back, and then on the side of the neck.Seborrheic dermatitis lesions often concentrated in the head area of hair growth, as well as on the forehead, and brow area.
Seborrheic eczema - treatment
treatment of seborrheic dermatitis depends on the severity of the disease and can be local or systemic.A good result in the treatment showed physiotherapy techniques: laser treatment, darsonvalization, cryotherapy, magnetic, cryomassage.Fairly well-proven anti-inflammatory and antimycotic therapy.
mild form of seborrheic dermatitis is treated the choice of cream or ointment and solution antifungal drug with corticosteroids.Assign them to two times a day for 4 weeks.It is important not to forget to do degreasing facial skin alcohol solutions with the addition of salicylic acid or resorcinol.During the day, applied to the face powder that contains sulfur.
effective to face the following means: lotion "Zener" cream "Nizoral".At night recommend to make drying of the skin lotion with zinc ihtiola, clioquinol or sulfur.If there is a moist place, it is recommended to treat their brilliant green paint.
Local seborrheic dermatitis treated with corticosteroids, but long-term use can lead to atrophy of the skin, acne, telangiectasia, perioral dermatitis.Babies corticosteroids administered with caution, under special supervision.To recommend a person corticosteroids reduced activity: prednizalon or hydrocortisone.
Shampoo produce anti-seborrhoeic agents with keratolytic and anti-microbial additives.For example, shampoo Vichy Dercos, shampoo "Nizoral" anti-seborrhoeic shampoos with tar, and more.Strong inflammatory remove halogenated glucocorticoids.
Severe seborrheic dermatitis remove keratolytics: salicylic acid, coal tar.When it is peeling, then the antifungal and corticosteroid agents.Additionally recommended calcium supplements, antihistamines, and in cases of further spread of the bacterial infection, the doctor prescribes antibiotics.
If external therapy is ineffective, the systemic antifungal drugs are appointed for up to one week.These include ketoconazole, terbinafine, fluconazole, itraconazole.
In very severe cases shows sebosupressivnye drugs such as (isotretinoin), which has anti-inflammatory action.After four weeks of treatment comes improvement (on the skin).
Integrated therapy for seborrheic dermatitis include multivitamins, antihistamines, sedatives, drugs gastrointestinal tract, antibacterial agents, and eubiotics.