Skin manifestations of the eczema type

Skin manifestations of the eczema type
Skin manifestations of the eczema type

Depending on the stage, eczema is classified into: 1. Acute eczema, also called acute phase, characterized by the appearance of skin lesions, erythematous, accompanied by small vesicles, sometimes only visible microscopically. The lesion area is wet, exudative. Subacute eczema, also called the subacute phase, represents the next stage of acute eczema, in which exudation is reduced and the crusts resulting from the drying of the secretions. Most of the time, subacute eczema presents both acute and chronic type lesions. or chronic phase is the stage where the eruption is persistent but there is no exudation of the skin, scuame and scuum-crust, and the lesions are pruritus and the skin thickens; .

From the histological point of view, the presence of the upper dermis of a moderate perivascular lymphoplasmocytic infiltrate, and the epidermis of the vesicles and spongioses, the consequence being the appearance of the free spaces between the cells, they depart from each other. Depending on the type of eczema or its stage, histopathological changes may also show acanthosis or in chronic forms - papillomatosis. Depending on the time of occurrence, eczema is classified as follows: 1. Eczema infantum or infant and small babySeaves after the first 2-3 months of life and is located especially in the cheeks, upper and lower limbs and even in the cervical and thoracic region, characterized by a erythematous eruption and small lesions . It can be the shape of small, coin-sized, slightly delimited, but scuamo-exudative.

The evolution of the baby's affection shows remission and worsening periods, especially related to food diversification, but also some viral or bacterial seasonal infections. This first form of eczema tends to disappear around the age of 2, with the risk of developing during adolescence or adulthood. Sometimes there is also the possibility that a child with atopic terrain develops other atopic manifestations during his / her life, such as: allergic conjunctivitis, allergic rhinitis, both manifesting and concomitant. A form of combination atopy is rhino-sino-bronchial syndrome, which is more and more common in children with the following manifestations: sinusitis and bronchial hyperreactivity. Since the terrain is atopic, the complications are also quite frequent, by worsening of their lesions and their confusion with other mycoses lesions, but also by the overinfection of the lesions and the appearance of specific lesions called eczema herpeticum.

Eczema of Preschool and School Child (prurigo Besnier) Appears in preschool and school age as the name calls it and ranges between 4-12 years of age. The predominant localization area is in the elbow, popliteal buttocks, but also the area of ​​the neck, respectively laterocervical. It is characterized by extensive erythematous, pruritic plaques, poorly delineated at the periphery, with papulo-vesicular or papulo-squamous lesions, but also exudative during periods of exacerbation. The cause may also be the \. Chronic lichenic eczema or atopic dermatitis of adult adult Eczema is localized in the latero-cervical, limb, head, and lombo-fese area.

They are chronic, often intense, dry, with lichen skin, with a pseudopapulous look and plaque pigmentation. In periods of exacerbation, a small local exudation occurs with the formation of brown or hematite crusts. These atopic patients may have an increased sensitivity to various in the environment or contact, which may sometimes be the trigger factors of the disorder. The most important allergens are: - contact allergens: cobalt, nickel, various solvents or even wool - they cause - allergens in the environment, also called pneumalergens such as pollen, smoke, mold, animal hair etc. - food allergens - infectious allergens: the most important and known is.

Diagnostic CriteriaThere are two types of criteria: one major, pruritus, when it is more intense, when it occurs and whether or not it gives up on certain medications are the most frequently asked questions by dermatologists. The other type of criteria is represented by minor criteria and includes: - the history of flexural dermatitis or cheeks in children under the age of 10, - personal history of asthma, fever, etc. . - a history of dry xerotic tears in the last year. Local treatment by application of special creams and ointments containing: - medium-intensity dermatocorticoids with local anti-inflammatory role, - pimecrolimus is an active substance that inhibits the synthesis of proinflammatory cytokines by action on T lymphocytes; .

Systemic treatment based on: - non-sedative and weakly sedative oral treatments - balneary treatments through or in spa resorts - ultraviolet treatment in severe forms - oral corticosteroid recommended only in serious cases where other local treatments do not provide results. ConclusionsThe mode of production of the disease is quite complex and the variety of clinical manifestations differs from one age to another, therefore some exacerbations may cause new complications, sometimes unexplained, but with a properly initiated treatment and can be cured without time. .

Source : sfatulmedicului.ro

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