Golden shingles: how to stop the progression of the disease and prevent recurrence?
Hello! In this article we will talk about a common form of lichen, which has many names: multicolor, Golden, pityriasis, solar fungus.
It is a disease with fungal etiology is clarified, which is not only a medical but also a social problem.
As the disease develops?
Golden lichen refers to infectious diseases and affects the stratum corneum of the epidermis. It is caused by a fungus Pitysporum, which experts divide into two types, possibly being different forms of the same pathogen.
In spite of a fungal nature, ringworm is not contagious this. Cases of mass disease of relatives are only associated with a genetic predisposition them to mycoses.
The agent is released in about 10-15% of the population, more often in males.
Reproduction and life cycle of the fungus are directly related to the sebaceous glands of the skin, so the skin is inhabited by them more.
Reasons of development of the lichen to be the next:
- Excessive sweating;
- Living in a hot climate;
- Irrational nutrition;
- Violation of the physiological process of skin peeling;
- Pathology of the internal organs, particularly the gastrointestinal tract and endocrine system;
- Serious diseases like diabetes, AIDS, rheumatism, tuberculosis.
The debut of the disease
Golden shingles begins with the appearance of yellow dots around the hair follicles. The elements increase in size, later turning into spots of yellow and pink.
This is typical of lichen growth on the periphery, so some spots are always fused with each other, forming large plaques.
Spots on the surface of the visible scales resembling bran, gradually, the color of the lesions changes to brown-yellow.
If we apply the method of pokalyvanie, common in dermatology, some spots on the surface of a large number of scales.
If you remember that for the life of the pathogen by depriving the right sebum, it will become clear which locations are the favorite: a hairy part of the head and upper half of the body (photo).
This dermatosis is accompanied with a common symptom — pseudobacteremia, there is uneven staining of the skin. the affected areas of skin after bathing and removing from the surface of the scales look lighter, which experts attribute to two main reasons: UV light is delayed by the scales, so the spots do not tan, and it is also believed that the fungus inhibits the development of melanin pigment.
The incubation period varies from 2 weeks to 2 months. Other symptoms can distinguish itching and increased sweating.
Usually difficulties for the doctor to make a diagnosis according to clinical picture no. But for the differential diagnosis of individual cases, there are samples.
The most common — Balsera, or iodine. The hearth smeared with tincture of iodine and immediately wipe with alcohol.
In areas of tinea versicolor a solution of iodine is quickly absorbed, so after wiping with alcohol scales remain painted in an intense brown color, in contrast to the surrounding healthy light brown skin.
If only aniline dyes, you can use them.
Used in dermatology skin scraping will examine the resulting material under a microscope: visible accumulation of filaments of yeast, rounded cells.
Also used ultraviolet wood’s lamp, and more specifically, the UV-spectrum of the quartz lamp. It lights the lesions of lichen in a dark room, they give a glow of multiple colors: greenish blue, red, yellow, brown.
How to cure?
The disease develops during the transition from the saprophytic fungus form, which exists in apparently healthy individuals, the pathogenic. So to start is to eliminate the factors that contributed to this.
The main treatment is the application of external funds. It is a keratolytic and antifungal drugs which are given preference.
Scales eliminate using alcohol solution of resorcinol, salicylic alcohol.
Antifungal drugs applied usually in the form of lotions, sprays, solutions, as the volume of the lesions usually significant:
These funds are for one week, and the multiplicity of skin treatments — 2 times per day.
Often the patient have a recurrence that may be associated with the presence of lesions on the scalp.
For the treatment of depriving such localization is used antifungal shampoos (ketoconazole, climbazole, salicylic acid), and preventive with zinc pyrithione (like Head&Shoulders).
Another is to describe the antifungal agent zinc pyrithione, which is part of not only the outer skin of the body, but also in the composition of many therapeutic shampoos.
We have dedicated a whole article to the overview of the shampoos from Stripping. To read it you can here.
This component has anti-bacterial and protivomikrobnuu action. There are two drugs convenient in mind the various forms of their release (in the form of a cream and spray): Skin-up and Psorinum.
These drugs are not recommended for use only in the treatment process, but also as a prophylactic once in two weeks.
In severe cases, when drug-resistant forms of the disease, prescribe systemic antifungal drugs: fluconazole and Intraconazole.
The course of treatment depends on its frequency and dosage. You can extend the treatment for a week, or assign a single intake of large doses.
The patient should explain that its not contagious disease and white spots after a course of treatment remain for quite a long time, but still then disappear without a trace.
Author: Anna Derbeneva (dermatologist)