Shankriformnaya pyoderma - causes, symptoms, diagnosis and treatment
Shankriformnaya pyoderma - Atypical chronic inflammatory skin lesions, characterized by the similarity of the clinical manifestations of a syphilitic chancre, which is reflected in the title. A symptom of this disease is the development of a single ulcer (sometimes multiple formations), mostly localized in the genital area, or on the red border of lips, chin, neck. Diagnosis of pyoderma shankriformnoy performed serological and microbiological methods, play a supporting role as general clinical blood tests, dermatologic examination. Treatment of this disease produce antibiotics, antiseptics, anti-microbial agents.
Shankriformnaya pyoderma
pyoderma - a rare dermatologic disease pyo-inflammatory, which is related to chronic ulcerative streptostafilodermii (mixed pyoderma). For the first time this pathology was described in 1934 by Hoffmann, who noted the similarity of its significant clinical manifestations of a chancre of syphilis. In some cases, this leads to misdiagnosis and, as a consequence, to the wrong treatment shankriformnoy pyoderma. This form streptostafilodermii quite rare, with the same frequency affects both men and women. In clinical dermatology shankriformnaya pyoderma it relates to the atypical species of deep chronic inflammatory skin lesions, which also rank as ulcer-vegetating pyoderma and pyogenic granuloma. The disease can appear at any age, an important role in its development plays a decreased immunity activity and the presence of other purulent lesions of the skin or other organs.
mange or other diseases accompanied by itching), facilitates the infection of non-compliance with rules of personal hygiene. In rare cases, the cause can be shankriformnoy pyoderma skid infection hematogenous route. Contributing factors to the development of this pathology are the reduction in the activity of immunity as a result of diabetes, malnutrition, debilitating diseases. Men shankriformnaya pyoderma often develops on the background of phimosis.
After penetration into the tissue the bacteria begin to multiply rapidly, there is inflammation, which leads eventually to the characteristic clinical picture of the disease. To date it is not known the reasons why chronic inflammatory process in this way takes place at shankriformnoy pyoderma - presumably this is due to the peculiarities of the organism reactivity. No clear relationship could not be detected between this disease and certain groups of microorganisms. For this reason shankriformnaya pyoderma relates to the atypical purulent inflammation of the skin lesions.
lymphadenitis, it may sometimes be an increase in temperature. Lymphadenitis seen an increase in regional lymph nodes (inguinal, cervical), their tenderness, but they are not soldered to surrounding tissues and among themselves. Increasing the temperature at shankriformnoy pyoderma recorded rarely, a fever may indicate a complication of the disease - accession sepsis, metastatic pathogen transfer to the development of abscesses in internal organs.
Dermatologist at survey reveals ulcers, localized mostly in the genital area, while questioning it appears that there are no subjective symptoms. Histological examination (at shankriformnoy pyoderma erased only when symptoms and unclear) reveals marked dermal edema, acanthosis, diffuse infiltrate consisting mainly of lymphocytes and neutrophils.
For the treatment of pyoderma shankriformnoy permissible begin only after a precise and reliable confirmation of the diagnosis and exclusion of syphilis. Applied as a local antiseptic and antibacterial agents in the form of ointments, solutions and systemic antibiotics. To be most effective antimicrobial therapy for pyoderma shankriformnoy necessary additional diagnostic step to test for susceptibility to various antibiotics. Most often used in this disease penicillins, macrolides, tetracyclines, other antimicrobial agents - sulfonamide. It is important to raise the level of immunity, so in the treatment of patients used vitamins, immunostimulants, and normalize diet and sleep. Locally administered solutions of aniline dyes, chlorhexidine, to promote healing and epithelialization prescribe solutions and ointments based on gialorunata zinc and biogenic stimulants. Physiotherapy treatments (ultraviolet irradiation of the affected area, microwave warming) also results in a more rapid healing of ulcers in pyoderma shankriformnoy.
Prediction and prevention of pyoderma shankriformnoy
Forecast at shankriformnoy pyoderma usually favorable - when correctly prescribed treatment purulent inflammation is attenuated and erosion healing. In the case of its development on the skin can be more or less noticeable scar, while the localization of mucosal ulcers heal completely. Worsens the prognosis shankriformnoy pyoderma in the presence of immunodeficiency, diabetes and similar conditions - in these cases, the treatment of disease takes a long time, but also increases the risk of complications: new ulcers, other forms of pyoderma, sepsis. To prevent shankriformnoy pyoderma should follow the rules of personal hygiene, to maintain an optimal level of immunity, timely detect and treat the disease, contributing to the development of this condition.