Streptodermii in adults: symptoms and treatment

Streptoderma – a skin disease from the group of pyoderma caused by streptococci. They are sick people of any age but in adults the nature and localization of skin lesions in this disease has its own characteristics that affects the course of disease, and the principles of its treatment.

Causes of streptococcal in adults

The culprit for the development of streptococcal is a beta-hemolytic Streptococcus. However, his skin does not mean that there is a disease. The skin of a healthy person is well protected against the penetration of pathogenic agents. Therefore, the strep can live on the body for some time without causing its host any harm. Streptodermii develops when the skin ceases to perform its barrier function.

To provoke the deterioration of the protective properties of the skin in an adult can the following factors:

• Prolonged exposure to heat or cold, moisture, wind. Due to drying out, overheating, chapping, of being in the water with the surface of the skin disappears the protective layer of sebum, making the top layer more vulnerable.
• Excessive sweating, oozing, maceration of the skin in combination with high temperature (such conditions often occur particularly in the natural folds of the body have been full of people) create a perfect environment for the growth of pathogenic bacteria.
• Decrease in immunity. The cause of immune system depression is more likely to be stress, fatigue, malnutrition, diabetes and other serious chronic diseases.
• Lack of elementary hygienic rules. The more the skin of dirt, the more potentially dangerous microorganisms and consequently higher risk of infection.
• Constant trauma to the skin garments, working form, etc. Streptococci are much easier to penetrate deep into the skin, if it has cracks.
• The local disturbance of the microcirculation, which is accompanied by a like decrease in arrivals to the skin of nutrients and oxygen and accumulation in the cells and intercellular space of toxic metabolic products. A striking example of such disorders is varicose veins, which very much affected the trophic skin of the feet.

Variants of the course of streptococcal

Of streptococcal there are superficial and deep – affecting the lower skin layers.

Surface forms of the disease:

• streptococcal impetigo (specific pustular lesions exposed areas of the body);
• zaedy (inflammation at the corners of the mouth);
• dry streptoderma (another name for the disease – shingles is a simple entity);
• panaris (inflammation of the tissue around the nail).

Deep streptodermii include:

• actime ordinary (spread of inflammation to deeper layers of the skin with formation of ulcers, which leave behind severe scarring);
• cellulitis (inflammation of subcutaneous fat);
• chronic pyoderma (prolonged inflammatory process manifesting with ulcerative lesions of the skin).

In most cases, patients are diagnosed superficial forms of streptococcal. Deep streptococcal inflammation of the skin characteristic of people with serious health problems and an extremely weakened immune system. In addition, the cause of chronic pyoderma may be the wrong treatment impetigo and failure to comply with hygiene regulations (separation of the infection from one part of the body to the other using towels and dirty hands), excessive scratching of the rash.

Streptodermii in adults

From infection until the first symptoms of the disease usually takes 7-10 days. However, in adults it is not always possible to relate the manifestation of streptococcal contact with the sick person, since, as mentioned above, strep can be a time for the “host” to live on the skin and wait for the “right moment” to attack.

Localization of lesions in adults may be different: nosogubnyj a triangle, fold under the breast, armpits, neck, back, hands, legs, feet. If several areas of the body affected streptoderma, the patient may increase the temperature and there was a strong intoxication.Begins streptodermii in adults is usually sudden with local redness and vesicular rash on it, accompanied by severe itching. Bubbles on the skin very quickly burst and in their place are formed erosion, which instantly dry and covered with honey crusts. If the patient combing these elements, they begin to “spill over” to neighboring and even distant areas of the skin.

Streptodermii in adults: symptoms of various forms

Impetigo is most common in adults form of streptococcal. It manifests rashes that undergo four stages of development: buds, bubbles, small erosion, crust. Localization of the rash in impetigo is the nose and the area beneath the nose, area around mouth, behind the ear space, brushes, obese people folds of the body. Impetigo is always accompanied by severe itching. After recovery at the place of inflammatory elements for some time may remain pigmentation.

Zaedy erosions and crusts in the corners of the mouth. “Catch” this disease can be, if you use a Cup or Cutlery of a sick person. In addition, the aggravating factor in the development of this pathology is increased salivation (which may be from people wearing dentures) and deficiency of vitamin B2.

Felon streptococcal is called turyol. This inflammation occurs mainly in adults on the hands. Symptoms – education around the nail of the large bubble with content that gradually turns from serous to purulent. After opening in place of the bubble formed horseshoe erosion, which is gradually tightened, healthy tissue. All this is accompanied by swelling and redness of the nail phalanges, and severe pain. Strep periungual roller can cause the discharge of the nail plate. Causes turniri can become a finger injury, hangnail, the use of dirty manicure tools.

Dry streptoderma simple or ringworm of the face is large pinkish spots on the face, covered with scales. Most often, this type of streptococcal occur in adolescents and young men. After the disappearance of peeling on the face may be the depigmentation.

When aqtime the body appear an abscessthat is growing rapidly. As a result of drying it formed loosely connected with the skin a yellow crust. After the discharge cover remains deep, uneven rotting ulcer. Her healing occurs with the formation of rough scar. Favourite localization ectima – lower extremity. Photos of patients with active very terrifying because of the appearance of the ulcer.

Chronic streptococcal pyoderma is characterized by the periodic appearance of the skin large inflammatory lesions (with a diameter of 5-10 cm). At first they appear as a vesicular rash, but eventually turn into ulcers. After abatement of inflammation of the skin are scaly whitish spots. Most often, a similar picture appears on the lower legs in people with varicose veins.Streptococcal cellulitis usually develops at the site of injury of the soft tissues or ulcerations of the skin. He spilled is characterized by inflammation of the subcutaneous fat. Cellulite is accompanied by redness and swelling of skin, severe pain. In addition, quite often in patients with marked inflammation of the regional lymph nodes and fever. If cellulite is not treated, can cause serious complications such as cellulitis, gangrene, etc.

Treatment streptodermii in adults

Mild forms of streptococcal in adults treated only locally:

• Treat the wound and healthy skin around the spotted elements of water or alcohol antiseptic solutions. For example, boric alcohol, hydrogen peroxide, iodine, chlorhexidine, resorcinol.

Healthy skin can be safely cleaned with alcohol-containing means, but the inflamed parts are preferably lubricated with aqueous solutions.

• Applied to the affected areas compresses with ointments, suspensions, antibacterial, drying and anti-inflammatory actions. Effective in streptococcal resorcinol paste, zinc ointment, zinc talkers streptocida ointment Levomekol, Baktroban and other means.
• Prescribed a short course of lubricating the periphery of the inflamed hearth hormonal ointments and creams. If the rash localized on the face, apply this group of funds is impossible.

A good Supplement to the local drug therapy are folk remedies – decoctions of medicinal plants for the treatment of inflamed skin. Prepare these solutions on the basis of oak bark, sage, chamomile, succession.

In some cases, streptodermii in adults treated with antibiotics. The indications for this therapy are:

• Streptococcal ecthyma.
• Common streptococcal skin lesions.
• High risk of complications.
• Immunodeficiency States.
• Fever and swollen lymph nodes.

The drugs of choice for streptoderma are usually semi-synthetic penicillins and cephalosporins. They are administered in pill form and in injection form. In addition, to reduce itching and allergic mood of an organism using antihistamines. They need to take short courses in high therapeutic doses.

A necessary component of treatment of streptococcal skin lesions is a General tonic and immunostimulant therapy. Patients prescribed vitamin preparations, herbal Immunostimulants. In some cases it is necessary to resort to synthetic drugs immunocorrection.

Of great importance to reduce the symptoms of the disease and the diet. The food of the patient should be easy, fortified with restriction of sugar and sweets, spicy and oily food. In addition, we should not forget about body care. To the disappearance of the rash is not desirable to wet the affected skin, especially wash with a washcloth and bath.

Finally, if you were able to determine the factors that contributed to the development of streptococcal, need to try to eliminate them. Diabetes requires correction of glucose concentration, with varicose veins should consult a vascular surgeon or flebologia and undergo medical or surgical treatment. Also doesn’t hurt to get checked out by immunologist, especially if streptoderma became chronic.