Pink deprive of Zhiber

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200 MDL

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SANCOS

Moldova, Chişinău
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Description

Pink deprive of Zhiber

Pink deprive (pityriasis rosea, Zhiber's illness, a rozeola which is shelled) it is a sharp dermatosis with a peculiar course, character and an arrangement of rashes, inclined to spontaneous treatment. As a rule, arises after the postponed catarrhal diseases. Feature of this disease is in that, as with treatment, and without it, before 6 - 8 weeks it will not be resolved. Subjective feelings in most cases are absent, the itch (at emotional people is sometimes noted and at impact on skin of the irritating factors). Seasonality is characteristic of this disease (the greatest number of cases are the share of spring and fall). Pink deprive occurs generally at people of 20 - 40 years, cases at children are younger than 10 years and at elderly people are very rare. Retsedivov (repetition of a disease), as a rule is not marked out. After it there is quite resistant immunity.

The reason pink depriving of Zhiber

Pink depriving the activator it is definitely not known. There is an opinion that pink deprive is caused gerpesvirusy 7 types. The most popular belief that activator virus. And the disease often develops after the postponed catarrhal infections.

Symptoms pink depriving of Zhiber

Manifestations everything begins with "a maternal spot" - a spot of the large size, pinkish - yellowish color, with a peeling. After peeling of scales there is narrow "collar" bordering the central ocherous part of a spot. On the periphery pinkish color remains. Similar elements compare to medallions. It is patognomonichny (i. e. very characteristic of this disease) a sign. In 7 - 14 days the quantity of spots increases, they by the size it is less, pinkish or pinkish - yellow color, so nazavayemy "children".

The part of patients - to 25% has a severe itch, approximately at a half of patients - easy, at a quarter of patients the itch is absent. Approximately 80% of patients have a maternal plaque in the form of bright, an oval form of a spot with a diameter from 2 to 5 cm. It is in rare instances noted rashes of several primary centers located on different sites of a trunk. In the central part of a spot the skin peeling is noted, and scales form a peculiar collar around the center of a plaque.

On the periphery of a spot the pink rim without peeling is noted. The secondary rashes in the form of the shelled oval spots of red or dark pink color of an oval form which in most cases are settling down on Langer's lines also remind branches of a fir - tree (Christmas tree). Most often spots are noted in a trunk and proximal sites of extremities. On a face and on a neck of a rash are noted seldom or never.

Recovery comes independently in 6 - 12 weeks. Seldom or never the disease can longer proceed - about several months and years. Recurrence of a disease is extremely rare.

Pink depriving atypical forms

Forms with lack of primary maternal plaque belong to atypical forms, with rashes in a face and a neck and so - called angry pink deprive - pityriasis rosea irritata arising at friction, pressure, perspiration, the wrong treatment and which is characterized by a severe itch and mishenevidny spots like a multiformny eritema. Rashes in a look vezikul, gemorragiya and pustul are seldom or never possible.

To what diseases it is similar pink deprive

Pink deprive it is necessary to distinguish from secondary syphilis, medicinal toksikodermiya, parapsoriasis, tear - shaped psoriasis, the chronic migrating eritema (Lyme's illness), mycoses of smooth skin, a multiformny eritema.

Inspection

The diagnosis is made on the basis of characteristic symptoms. In disease duration cases over 12 weeks the skin biopsy for a parapsoriasis exception is recommended. In respect of differential diagnostics are appointed serologichesky research to syphilis, soskoba from the defeat centers on a mycelium, inspection Wood's lamp.

Treatment pink depriving of Zhiber

Pink depriving of special treatment does not exist. The disease usually passes independently. In the period of the beginning of secondary rashes the friction and pressure of elements is not recommended to avoid emergence of the angry form pink depriving. The opinion that reception of a bathtub and shower promotes development of a disease and emergence of the angry form is not proved - just during reception of water procedures it is necessary to avoid strong friction a bast or a sponge.
At a severe itch antihistaminic preparations, locally - low - strong corticosteroids (hydrocortisone) and prescription protivozudny mixes are appointed.
There are researches showing that reception in the first days of a disease of high doses of erythromycin, an acyclovir and ultra - violet radiation leads to more rapid and uncomplicated current of a disease.

Hypoallergenic diet;
Antihistamines (for removal of an itch);
Outwardly: vodno the shaken - up suspensions (Tsindol); use of kortikosteroidny ointments is possible;
To limit the cosmetics applied on a body;
Not to use woolen and synthetic linen.

Complications at pink herpes of Zhiber

At active treatment and water procedures massive distribution of rashes is observed. At the weakened immunity and a severe itch accession of an infection is possible, but it happens seldom.