- Types disease
- symptoms of ringworm
- Diagnosis and treatment
ringworm - a fungal skin disease in which there is hair loss, skin and nails.His pathogens - two species of parasitic fungi: Trichophyton and Microsporum.The first lead to the development trihofitii, second - microsporia.
This is one of the most common childhood diseases.
fungus can penetrate the body through minor injuries, scratches.At risk are babies with weakened immune systems.
Depending on the source of infection of the disease is divided into two types:
When anthroponotic form fungus is transmitted from person to person by contact with skin scales, hair on the skin.Infection can occur through hygiene items, household (combs, underwear, towels, hats), or by direct contact.
zoonotic form is more common .When her source of infection are sick animals.For trihofitii characterized by infection of horses, cows, calves, rodents (guinea pigs, mice, hamsters) for microsporia - from cats an
peaks form zoonotic disease depriving comes at a time of occurrence of offspring of cats (the end of the summer, autumn).
As a result of investigations it was revealed that those in the hair, fur, skin flakes fungi retain the properties of up to 1.5 years or more, in the soil - about 2 months.Cases of infection when children play in the sandbox.
What contributes to the development of the disease?
favorable background for the development of ringworm are the following factors:
- weakening the body's defenses;
- vitamin deficiency or vitamin deficiencies;
- skin damage;
- presence of chronic or acute diseases occurring.
Infection can occur as a result of non-compliance with the rules of hygiene, in conditions of high humidity.
single focus may spread as a result of washing with a sponge or washcloth.
disease are three types of ringworm:
Each species has a certain incubation period.
In the most common type of surface it lasts from 5 days to a week, and at infiltrative-suppurative may be 2 months.
Regarding the chronic type, its development is associated with incomplete or incorrect treatment of the surface stripping.
To distinguish ringworm from other diseases, read the article about the kinds of lichen, where you can find a brief description with photos.to the content ↑
symptoms of ringworm
Children suffer from ringworm more often adults.It affects the scalp and smooth skin.
on the child's head begin to appear covered with white scales spots.They can be either small or large.Hair loses shine, begin to break off at the level of 4 to 8 mm.From them are characteristic of hemp.This process gave the name to the disease.
nail plate affected much less frequently.they peel off, crumble, becoming grayish With the development of the pathological process.
When placing the focus on the skin nodules appear, eventually turning into patches of round or oval in shape (may initially be one spot).They are covered with scales, crusts.Patients complain only to the emergence of low-energy itching.
Inflammation is missing, except for the cases when the infection is recorded by scratching the lesion.
With weakened immunity possibly severe course of the disease, which is characterized by festering rash, fever, swollen lymph nodes.
With a significant lesion of the skin and advanced stage disease may complete baldness and preservation of deep scars.
reason take the child to a dermatologist should be the following signs:
- presence on the head or skin pinkish-red round or oval spots with clear or blurred edges;
- strong peeling spots and the appearance of copious dandruff (skin flakes);
- dull and brittle hair;
- itching of varying intensity, causing the child is constantly scratching.
Diagnosis and treatment
confirm the presence of disease can only be seen from the patient's dermatologist.
For diagnosis, a special fluorescent lamp (Wood), in the light of which the lesions produce characteristic green glow.Also, pieces of leather carried examination under a microscope and culture of skin scales and hair samples in the nutrient medium.For three days in the presence of his colonies observed mikrosporum growth.
Early treatment of ringworm in children leads to a full recovery.
If pathogenic focus is on the skin and does not apply on the hair, you can restrict local treatment.
Typically, in such cases, using antifungal agents for medicines, and the ointment base.
- In the morning, the affected area should be lubricated 2-5% alcohol tincture of iodine.You can also use tools on the basis of iodine tincture: iodinol, povidone-iodine, yodobak.
- Then use any anti-fungal ointment.
- Once a week is recommended to use drugs terbinafine: Lamisil (in the form of a spray or cream), ekzifin, Zalain (1 or 2 times a day).
- three times a day for 3-4 weeks of use funginal, kanesten, clotrimazole.
- Mikogel, fungur, miconazole - twice a day for 2 to 6 weeks.
- Lotseril, Batrafen, ekzoderil - 2 weeks twice a day.
- You can also use salicylic-sulfuric tar ointment and ointment Wilkinson.
Apply them to be in the evening of 3 to 4 weeks.
With the spread of infection on the scalp or vellus hair along with local treatment should be taken into antifungals.
Local therapy is almost similar to the process described, but in this case iodine tincture is recommended to combine with fungicidal ointments.The hair on the affected area should be removed.
When localization pathogenic focus on the head hair it is necessary to shave once a week or 10 days, then wash with the usual soap and brushes.
is recommended to use special medicated shampoos with antifungal composition: Friderm-tar, Nizoral, betadine.The procedure should be carried out every day to lubricate the affected iodine chamber.
vellus hair removal performed using Arievich ointment.Preparing it by mixing the salicylic, lactic acids with the addition of petrolatum.Applying it twice a day for 3 or 4 days.
From hair can also get rid of using kollodiynoy film (salicylic acid + lactic acid + + collodion resorcinol).The film was allowed to stand for 3 days, after putting her salicylic compress, and then removed from the hair.
If amazed eyelashes and eyebrows, the hair is removed manually.After that, the edge of the eyelid is applied antifungal agent - in this case the brilliant green solution (methylene blue).
When microsporia appoint griseofulvin.Its dose is 22 mg per 1 kg weight.Treatment plan: three times a day before meals.it is recommended to take with vegetable oil (1 tablespoon) for optimal assimilation.
Every day patients examined for mushrooms.When the negative first assay dose should be reduced: starting to use the drug in a day (14 days), then twice weekly (as 14 days).
general course lasts 6-8 weeks.
the treatment of griseofulvin is necessary to carry out a blood test on a daily basis, because the drug prevents the absorption of B vitamins, in some cases, provokes eosinophilia, leukopenia, reduces non-specific immunity.
When receiving griseofulvin administered as immunomodulators and multivitamin complexes.
If there are certain contraindications to the use of these two groups of drugs, ispolzuyutpreparaty ketoconazole (oronazol, Nizoral).However, they are highly effective and have some side effects.
After treatment, patients for 3 months should be under medical supervision.After that date the inspection is carried out by means of culture and fluorescent lamps.
Negative results indicate complete cure.