Features of treatment and types of streptoderma on the face

Types of disease

Streptoderma on the face in adults - photo:

There are several classifications of streptoderma on the face. They are based on certain characteristics of the disease.

according to its symptoms :

• acute - the signs are pronounced, and if treated in a timely manner, a rapid recovery occurs;
• chronic - symptoms are sluggish, stages of remission are replaced by periodic exacerbations. This form of the disease is almost impossible to completely cure.

Depending on the nature of the disease, there are the following forms of the disease:

• non-bullous - mild damage to the epidermis. Small ulcers (pustules) with a small fluid content in them form. After the ulcer ruptures, a crust forms on it;
• bullous is the most severe. Bubbles filled with liquid appear on a large surface of the skin. The diameter of the rash is up to 1 cm.

Depending on the depth of the lesion , it can be:

• superficial streptoderma - the infection is concentrated only on the surface of the skin and does not penetrate into the body;
• deep streptoderma - bacteria enter the body through the epidermis and cause various complications.

According to the nature of its occurrence, the disease can be primary - direct damage to the skin by streptococcal infection, secondary - manifest as a symptom of another disease.

Types and forms of the disease

There are the following forms of streptoderma on the face:

• streptococcal or contagious impetigo. This is the classic form of this disease. A characteristic symptom is single lesions that occur in the nose, on the nasal mucosa, skin of the chin and cheeks. Streptococcal impetigo usually affects only the upper layers of the skin, so with appropriate treatment you can get rid of the pathological process quite quickly,
• slit-like impetigo. In this form of the disease, the lesions are localized in the corners of the eyes and lips, near the wings of the nose. The pathological process is not complicated, but if left untreated it can develop into a chronic form,
• bullous impetigo. A more severe form of pathology. In this case, pathogenic microorganisms penetrate into the deep layers of the skin. The lesions develop slowly and persist even after the formed blisters open,
• dry streptoderma. This form of pathology is also called streptococcal infection or angulitis. The lesions appear as pink or red areas with a scaly surface. No blisters form in the affected areas.

Depending on the severity of the disease, acute and chronic streptoderma are distinguished. In the first case, the clinical picture is pronounced, the disease is treatable. In the second, the disease proceeds sluggishly, the symptoms intensify only during periods of exacerbation.

Another classification criterion is the extent of the pathological process. Streptoderma can be widespread, that is, it covers large areas of the body and face, including areas of the scalp. Streptoderma can be limited: lesions form in one place, that is, near the ears, in the chin area.

Causes

The source of the disease can be both environmental factors and internal causes.

The development of pathogenic microflora on the face can be caused by:

• poor skin care (lack of cleansing, prolonged wearing of cosmetics, etc.);
• disturbance of local blood circulation;
• exposure to very high or low temperatures on the skin;
• facial injuries (cuts, abrasions, bites);
• metabolic disease;
• stress, overwork;
• chronic diseases, etc.

Today, streptoderma in adults is often a consequence of poor ecology and inappropriate working conditions.

Treatment of streptoderma with ointments and other drugs

For the effective treatment of streptoderma in adults, various medications with antiseptic and antibacterial action are prescribed.

Products for external use

• Disinfectant solutions for treating the skin around the lesion twice a day to localize its further spread (salicylic, boric alcohol).
• Wet-dry dressings with aqueous solutions . A sterile multilayer napkin, soaked in the solution and wrung out, is applied to the lesion. After a quarter of an hour, the procedure is repeated. This complex should be repeated at least three times a day with an interval of three hours. Resorcinol and silver nitrate are used as solutions.
• Seizures with streptoderma are treated with silver nitrate three times a day.
• In the case of a chronic form of the disease, the abscesses are opened . This operation is performed exclusively by professionals, but in no case independently, so as not to cause an infection and thereby cause serious complications. After the ulcers are opened, they are treated with antibacterial ointments (tetracycline or streptocide) three times a day and covered with bandages.
• The crusts can also be treated with disinfectant ointments : rivanol, ethacridine-boron-naphthalan, erythromycin.
• For a short period of use, hormonal external agents - Triderm or Lorinden A, C.
• If there is an acute inflammatory process, ultraviolet irradiation of the affected areas of the skin may be prescribed. Physiotherapy can be carried out through ultraviolet irradiation, heliotherapy, UHF, ultrasound, electrophoresis, phonophoresis, laser therapy.
• It is also recommended to treat the affected skin with iodine .
• For isolated rashes, ichthyol in its pure form.

Be sure to read:

How errors in diet affect the skin, prevention of skin diseases

Another effective and inexpensive ointment for streptoderma in adults is Gioksizon. It contains tetracycline (an antibiotic) and hydrocortisone (a hormone). The drug is contraindicated during pregnancy and breastfeeding.

Preparations for internal use

• To block the active spread of infection, the doctor may prescribe antihistamines - Claritin or Telfast.
• If the process has become widespread, if there is an elevated temperature, enlarged lymph nodes, antibiotics (penicillin and its semisynthetic analogues, tetracycline, macrolides, aminoglycosides, cephalosporins).
• If the recovery process is delayed, vitamin therapy (the emphasis is on retinol, thiamine, pyridoxine, ascorbic and niacin acids).
• To strengthen the immune system, they resort to autohemotherapy and pyrogenal .

In especially severe cases, a streptococcal vaccination is given . For the entire duration of streptoderma treatment until complete recovery (from 2 to 4 weeks), the patient is quarantined. However, the disease is not protracted, so the moment of complete recovery in the absence of complications comes quickly.

Not particularly trusting medications to support the main course of therapy, many treat streptoderma at home using folk remedies. However, it gives an effect only if it is approved by a doctor and combined with the main course.

Read about the effective use of sulfur ointment for various skin problems.

Symptoms

The main symptom of streptoderma on the face is impetigo . These are formations (papules) that rise slightly above the surface of the skin. First, hyperemia suddenly appears on the skin.

, a bubble with a yellowish exudate inside appears . The extent of skin damage depends on the form of the disease.

Gradually, the formation grows to 1-2 cm. After opening the bubbles, yellow-brown crusts form in their place. Subsequently they disappear. During an exacerbation of streptoderma, the patient may experience itching.

The whole process lasts about 3-7 days.

If the affected areas are scratched, the infection can spread even further and cause a number of complications .

If adequate treatment is not undertaken, the localized form of the disease will become widespread.

Types of disease

Streptoderma is very diverse.

Currently, several clinical varieties of this skin disease are known:

• Streptococcal impetigo. This type of disease most often appears on the face in the area of ​​the nasolabial triangle, as well as behind the ears. Less commonly, streptococcal impetigo can be found on the stomach, back, legs and arms. First, slight redness appears on the skin, which after a while becomes covered with small blisters. The bubbles burst and a yellow crust appears. If you forcefully tear them off, this can lead to weeping and pain. The disease is also accompanied by severe itching, but if you constantly scratch such rashes, this can spread the infection. During healing, peeling appears. See photos of streptococcal impetigo in children here.
• Streptococcal infection. The main causes of this type of disease are vitamin B deficiency, the formation of caries, as well as colds and allergic diseases, as a result of which mucus is released from the nose in large quantities. Bubbles with yellow liquid that appear in the corners of the lips burst quite quickly and create painful sensations and cracks.
• Bullous streptoderma. This type of skin disease develops very slowly, forming small lesions on the back, abdomen and arms. First, in adults, a small purulent bubble with a clear red border appears. The abscess matures slowly, gradually increasing in diameter. When the disease has spread greatly, a person’s temperature rises and the lymph nodes become enlarged.
• Felon. Panaritium most often occurs in people who have the habit of biting their nails. Injured skin around the nail leads to swelling, redness and pain. At the first stage of the disease, the pain is aching, but after some time it becomes throbbing and painful. If the purulent process is strong, then this may even lead to separation of the nail plate.
• Streptococcal diaper rash. Excess weight and heavy sweating often cause diaper rash to form on the body. Foci of maceration with inflammation appear in the armpits, groin, buttocks and under the breasts in women. After the formations dry, wetting may occur again. Thus, streptoderma can go away over several years.
• Dry streptoderma. The symptoms of this type of skin disease are very similar to those of ringworm. For this reason, dry streptoderma is often called common lichen. This type of disease is a round-shaped rash of a pinkish tint, which is covered with white dry scales. Most often, rashes form on the chest, sides and back. If sweating is profuse, the itching can intensify significantly. If the infection is not treated, it can spread, and the rash can increase in diameter to 10 cm. After healing, white scars often remain, which disappear over time.
• Streptococcal ecthyma. This type of streptoderma is characterized by the presence of an abscess that is not associated with the hair follicle. After the contents of the abscess drain, a painful ulcer forms, after which rough scars may appear. Such scars usually last a lifetime.

Here you will find a similar article on the topic of photos, symptoms and treatment of pyoderma.

Diagnostics

The disease can be diagnosed by characteristic symptoms, as well as using laboratory tests. To confirm the diagnosis, you need to contact a dermatologist .

He will conduct a thorough examination of the patient. Determines primary and secondary signs of infection.

A bacterial culture of the fluid from the blisters may be prescribed to identify the causative agent of streptoderma.

In the chronic form of the disease, additional diagnostic measures are used:

1. Ultrasound of internal organs.
2. Coprogram, stool test for worms.
3. Advanced blood test.
4. Examination of the gastrointestinal tract using an endoscope.

Treatment options

How to treat streptoderma on the face in adults? The main task of therapy for streptoderma is to localize the lesion and prevent the infection from spreading further. For single lesions of the skin, local treatment is limited.

In case of severe cases, a complex of external and systemic medications and procedures is prescribed to relieve streptoderma.

Local

How to treat skin? To prevent the spread of infection, local treatment of foci of infection is imperative.

with antiseptics 2-3 times a day :

• Boric or salicylic alcohol;
• Fukortsin;
• Miramistin;
• Hydrogen peroxide.

When the skin dries after the antiseptic, you can apply an ointment that contains an antibiotic:

• Neomycin;
• Erythromycin ointment;
• Chloramphenicol;
• Bacitracin;
• Levomikol;
• Methyluracil;
• Supinracin, etc.

It is better to apply the ointment on a gauze bandage and apply it to the affected skin for several hours.

In case of extensive foci of infection, hormonal ointments may be prescribed. But you can use them for a short time.

Otherwise, they can cause increased skin vulnerability, thinning, and aggravate the course of the disease.

• Lorinden;
• Kanizon;
• Betaderm;
• Akriderm.

For severe itching, antihistamines :

• Claritin;
• Fenistil;
• Telfast et al.

Systemic

If the infectious process is widespread, systemic antibiotics are indicated. Mainly used are cephalosporins, macrolides or penicillins .

• Augmentin;
• Flemoxin Solutab;
• Cefuroxime;
• Suprax;
• Erythromycin;
• Sumamed.

In parallel with antibiotics, a course of probiotics to restore the intestinal microflora (Linex, Acidolac, Bifinorm).

To strengthen the immune system and maintain the patient’s vitality, you need to take multivitamins :

• Multitabs;
• Kvadevit;
• Suprastin;
• Centrum.

After the removal of acute inflammatory phenomena, a course of ultraviolet irradiation in suberythemal doses is prescribed to the affected areas of the skin.

Immunomodulators:

• Neovir;
• Pyrogenal;
• Lycopid.

Physiotherapy:

• Laser therapy;
• UHF;
• UV irradiation.

Folk remedies

Is it possible to cure it with folk remedies? To dry the skin, you can use gauze dressings with herbal decoctions:

• chamomile;
• oak bark.

To prepare the decoction 1 tbsp. pour 200 ml of water over a spoonful of raw materials and simmer for 5 minutes over low heat.

For internal use , prepare an infusion of hazel bark (1 part bark, 10 parts water).

Keep in a water bath for half an hour. Cool and take 1 spoon every 2 hours.

Folk remedies can only be used as an adjuvant therapy. They cannot replace drug treatment.

Symptoms of the disease

Many people wonder what streptoderma looks like? The main symptom that catches your eye is pink spots on the skin. In this case, flaky scales form on their surface. When rashes occur, the patient does not notice the accompanying symptoms. In some cases, severe skin itching and a slight increase in temperature are noted. Lymph nodes may enlarge and the skin becomes drier.

Streptoderma symptoms are quite clear. It is difficult not to notice such rashes on the skin. The spots have different sizes, but usually their average diameter is 4 cm. Streptoderma appears on the face, arms, back, buttocks and legs. After the spots pass, they leave a white mark that disappears after some time.

Treatment of streptoderma should begin immediately. This happens because, along with other infectious diseases, it can cause a lot of complications, including damage to internal organs. Therefore, it is important to know how to treat streptoderma.

Depending on where the rashes are located and how deep their damage is, several forms of the disease are distinguished:

1. Streptococcal impetigo. Manifests itself in the form of single rashes on the skin. The spots may merge into larger lesions. The lesion does not penetrate deeper than the basal layer of the epidermis. When the formations are opened, thin gray crusts form in their place.
2. Bullous impetigo. Large lesions form. After opening them, erosion appears on the surface. They can enlarge the affected area. Most often they appear in the area of ​​the hands and feet.
3. Streptococcal infection. Appears in the area of ​​the corners of the mouth. First, a rash forms, which quickly develops into cracks covered with a yellow crust. They disappear without leaving traces, but can easily return again. Sometimes the disease is accompanied by symptoms such as itching and drooling.
4. Ringworm simplex. Most often observed in children. Lesions appear on the skin of the face, which are flaky and have a pink-white tint. The rash may improve with sun exposure, but the initially affected areas of the skin will not tan normally.

Contraindications and precautions

Streptoderma is a contagious disease. It can be transmitted by contact. Therefore, the patient must be isolated for 10 days until he ceases to be a source of infection for others.

During an exacerbation of the disease, the face should not be washed with water, so as not to spread the infection. The patient must have individual hygiene items and utensils. All cutlery must be thoroughly sanitized after use.

If the symptoms of streptoderma do not disappear during treatment, you should be further examined. This may be a signal of a disruption in the functioning of other organs and systems.

Complications of infection may include:

• dermatitis;
• eczema;
• diseases of internal organs;
• tissue abscess;
• autoimmune diseases;
• blood poisoning.

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