Erythrasma - causes, symptoms, diagnosis and treatment

Erythrasma - Psevdomikoz chronic bacterial origin which affects the epidermis mainly in large areas of skin folds. Manifested erythrasma appearance and merging painless gray-brown, brownish-red or yellowish-brown spots, covered with fine desquamation. Diagnosis erythrasma based on her clinical picture, localization of foci, typical glow under fluorescent study the characteristic microscopic picture. In the treatment of erythrasma considerable importance is the disinfection of linen and clothes. Held treatment of lesions, antibiotic therapy, ultraviolet irradiation, blood sugar correction, hyperhidrosis treatment.

  • Causes erythrasma
  • Symptoms erythrasma
  • Diagnosis erythrasma
  • Treatment erythrasma
  • Prevention erythrasma
  • Erythrasma - treatment

  • Erythrasma


    actinomycosis, pityriasis versicolor, trichophytosis, crusted ringworm, athlete's and microsporia believed fungal disease of the skin. This was due to the fact that the microscopy of scales taken from the affected skin areas erythrasma, detect the presence of meandering thin threads that resemble the mycelium of the fungus. In modern dermatology erythrasma referred to psevdomikozam - diseases on a clinical picture similar to the fungal infection of the skin, but at the same time having a very different etiology.

    bath or swimming pool, while walking barefoot on the ground or on the beach.

    Pathogen erythrasma affects only the surface layer of the skin (epidermis), hair and nails remain intact. Bacteria penetrate the epidermis to the development erythrasma can contribute hyperhidrosis and changes in skin pH to the alkaline side, hot and humid climate, friction and maceration of the skin (traumatic dermatitis), diaper rash, the individual characteristics of the microorganism, poor adherence to skin care or, conversely, too frequent washing with soap disturbs the natural protective properties of the skin.

    dermatologist. Erythrasma takes a long time (over 10 years) and is followed by alternating periods of remission and exacerbation. Exacerbations erythrasma usually occur in the summer, when the warm weather promotes greater growth of bacteria. In patients with obesity, hyperhidrosis, diabetes erythrasma can take complicated course with the accession of eczema symptoms, the occurrence of diaper rash or a secondary infection of the lesion. The development of complications also contribute to friction, humidity and pollution erythrasma affected skin area. For complicated erythrasma characterized by the appearance of a burning sensation, itching and /or pain in the affected area.

    Fluorescent diagnostics should be carried out on the untreated plot erythrasma as washing or processing can remove pigment secreted by the bacteria. Microscopy scrapings taken from the affected area of ​​the skin reveals erythrasma like mycelium filament winding and coccoid cells, forming chains or individual groups.

    Differentiate erythrasma from jock itch, multi-colored lichen, rubromikoza, pink lichen, skin candidiasis, microbial eczema, perianal dermatitis. In complex cases, differentiation from other diseases erythrasma spend bakposev scrapings on nutrient medium for the detection of the pathogen. Determination of susceptibility to antibiotics is necessary when choosing a drug for systemic antibiotic therapy.

    Local UFO. For the prevention and successful treatment samoinfitsirovaniya erythrasma necessary to carry out disinfection of clothing, shoes, personal items and bed linen of the sick. Things and linens should be washed daily and be sure to iron iron.

    In the complex treatment erythrasma in patients with diabetes should consult an endocrinologist to correct blood sugar levels. Patients with excessive sweating in remission erythrasma should be an effective treatment for hyperhidrosis: sympathectomy, ultrasonic destruction, curettage or surgical excision of the sweat glands of the problem area.

    mesotherapy with botulinum toxin).

    Secondary prevention is aimed at preventing the recurrence erythrasma, held within a month after the disappearance of symptoms and consists in treating skin folds camphor or salicylic alcohol, followed by applying talcum powder.